Vol. 81 • Number 3 August, September, October 2012 ANA ... · On June 15-16, 2012 I, along with Jane Roggensack, had the opportunity to represent NDNA at the 2012 ANA House of Delegates

current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

Inside

Vol. 81 • Number 3 August, September, October 2012

Nurses From the PastPage 5

North Dakota State Nurses Association1912-1934

Page 8-13

THE OFFICIAL PUBLICATION OF THE NORTH DAKOTA NURSES ASSOCIATIONCirculation 14,000 To All Registered Nurses, LPNs & Student Nurses in North Dakota

ContentsANA 2012 HOD Report . . . . . . . . . . . . . . . . . 1American Nurses Association Re-Elects Karen Daley as President . . . . . . . . . . . . . . 3My ANA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Members in the News . . . . . . . . . . . . . . . . . . . 3S ino T: An Emerging Phenomenon? . . . . . . . 4How Strong Start is Leveraging Public- Private Partnerships to Reduce Early Elective Deliveries . . . . . . . . . . . . . . . . . . . . 5Partners in Nursing: The Magic of Mentoring . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Centennial Celebration and Conference . . . 14American Nurses Association . . . . . . . . . . . 15

Donelle Richmond, VP Finance, NDNA

On June 15-16, 2012 I, along with Jane Roggensack, had the opportunity to represent NDNA at the 2012 ANA House of Delegates in National Harbor, Maryland . It proved to be interesting and historic session, as the House of Delegates (HOD) voted itself out of existence .

Over the past few years, ANA has come to realize that as an organization they are in danger of losing both their viability and the right to claim that they are the voice of nursing in this country . They have evolved into a very complex and confusing organization with over 500 entry points for membership, and a structure that makes them slow to respond to both nursing and health care related issues . The HOD meets every other year and can consist of up to 675 delegates . Gathering this group together is an expensive proposition for both ANA and the individual states and organizational affiliates . Constituent Assembly, which is made up of the Presidents and CEOs of all of the state organizations, meets twice a year and is primarily a recommending body to the ANA Board of directors . ANA also realized that many of the smaller state associations (including North Dakota) were struggling both financially and with membership numbers .

Recognizing the need to make drastic changes sooner than later, the Constituent Assembly that met last October directed the board to look at making significant structural changes to the organization . So this past winter the ANA Board of Directors proposed major transformational bylaws changes for consideration at this year’s House of Delegates . The initial proposals would have eliminated both the House of Delegates and the Constituent Assembly and created an Advisory Group made up of two representatives from each state/organizational affiliate . They would have decreased the size of the Board of Directors from 15 to 7, and given them full decision making authority for the organization . They proposed the development of multi-state groups, wherein smaller associations could share business services . They proposed changing ANA from a federated model, where the state associations

and organizational affiliates are the members of ANA and individuals belong to ANA through their state association, to an individual member model, where all members join ANA directly and belong to their state association based on where they live .

Much discussion took place between the time the proposals were first made and the actual House of Delegates meeting . ANA held teleconference calls with state association leaders to get their feedback and input . There was opportunity to give on-line feedback at the Virtual HOD on the ANA website . In the final days leading up to

ANA 2012 HOD Report the HOD state leaders held multiple strategizing sessions to develop a consensus on what degree of change they could all support . In the end, major changes were made but not quite as drastic as first proposed .

Changes adopted by the HOD include the following: 1) downsizing the ANA Board of Directors from 15 members to 9 members 2) retiring both Constituent Assembly and House of Delegates and replacing them with a Membership Assembly 3) dissolving the Congress on Nursing Practice and Economics effective March 31, 2013 and instead giving the Board of Directors authority to appoint Professional Issues Panels 4) creating a membership option for retired nurses who no longer have an active license .

The newly created Membership Assembly would be comprised of 2 representatives from each state association and 1 from each organizational affiliate who would have voting privileges . The CEO from each would also attend as a non-voting member . Votes for each state/affiliate would be weighted based on numbers of members, so those states with a larger membership base would have higher weighted votes . The Professional Issues Panels will be short term ad hoc groups comprised of subject matter experts on any emerging issue pertinent to ANA . They will ensure that ANA’s policy development is based on informed member’s expertise and will allow for more opportunities for involvement for all members .

The two major changes that were NOT passed by the HOD were changing from a Federated Model to having Individuals as the Members, and changing the definition of a nurse member of ANA . Both of these amendments were referred back to the ANA Board of Directors for further refinement . As ANA looks at changing to one membership route in ANA down to the state level and at significantly decreasing membership dues, most of the states felt there was not enough hard data on financial implications of such a change to move forward at this time . The states wanting to delay the implementation have state-only members that they could potentially lose if the only membership option is through ANA directly . The states in favor of early implementation feel the delay could leave state associations more vulnerable to union takeovers .

The HOD also acted on several reference reports . These reports puts ANA on record in support of: a . Rights of Registered Nurses Handling Hazardous Drugs; b . Reproductive Rights of Registered Nurses Handling Hazardous Drugs; c . petitioning OSHA to require health care employers to develop comprehensive workplace violence prevention programs; d . reaffirming their support for safe staffing levels; and e . recognizing nursing’s role in educating and advocating for healthy energy choices . There was much debate

ANA 2012 HOD Report continued on page 2

Page 2 Prairie Rose August, September, October 2012

Published by:Arthur L . Davis

Publishing Agency, Inc .

http://www.ndna.org

The Prairie Rose Official Publication of:

North Dakota Nurses Association

Telephone: (701) 223-1385General Contact Information:

[email protected]

OfficersPresident: Vice President–Wanda Rose MembershipBismarck, ND Mary Smithjustducky@bis .midco .net Minot, ND mary .smith@minotstateu .edu

Vice President– Vice President–Communications Government Relations Susan Pederson Karen Macdonaldsusan_pederson@bis .midco .net krmacd@bektel .com

Vice President– Vice President–Finance Practice EducationDonelle Richmond Administration Researchdonellerichmond@sanfordhealth .org Stacey Pfenning staceypfenning@yahoo .com

Nurse Consultant, NDNABecky Graner, MS, RN

becky@ndna .org

Published quarterly: February, May, August and November for the North Dakota Nurses Association, a constituent member of the American Nurses Association, 5265 Highway 1806, Mandan, ND 58554 . Copy due four weeks prior to month of publication . For advertising rates and information, please contact Arthur L . Davis Publishing Agency, Inc ., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub .com . NDNA and the Arthur L . Davis Publishing Agency, Inc . reserve the right to reject any advertisement . Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement .

Acceptance of advertising does not imply endorsement or approval by the North Dakota Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. NDNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of NDNA or those of the national or local associations.

Writing for Publication in the Prairie Rose

The Prairie Rose accepts manuscripts for publication on a variety of topics related to nursing . Manuscripts should be double spaced and in APA format . The article should be submitted electronically in MS Word to becky@ndna .org . Please write Prairie Rose article in the address line . Articles are peer reviewed and edited by the RN volunteers at NDNA .

Nurses are strongly encouraged to contribute to the profession by publishing evidence based articles . If you have an idea, but don’t know how or where to start, contact the office at NDNA: 701- 223-1385 .

The Prairie Rose is one communication vehicle for nurses in North Dakota .

Raise your voice .

The Vision and Mission of the North Dakota Nurses Association Vision: North Dakota Nurses Association,

a professional organization for Nurses, is the voice of Nursing in North Dakota .

Mission: The Mission of the North Dakota Nurses Association is to promote the professional development of nurses and enhance health care for all through practice, education, research and development of public policy .

You are cordially invited to join the North Dakota Nurses Association

See the NDNA Website at www.ndna.org Click on Membership

Under how to join Click on Membership Application (ANA website)

Click on Full Membership(Be ready to provide your email address)

Full membership is just $20.50/ month! Less than 70¢ a day!

The Mission of the North Dakota Nurses Association isto promote the professional development of nurses and enhance health care for all

through practice, education, research and development of public policy.

about this last report as it called for a national moratorium on new permits for unconventional oil and natural gas extraction . States that are more economically dependent on energy sources (coal, oil and natural gas in particular) favored less stringent language than the states that only feel the impact of transporting these energy sources .

In other ANA business, CEO Marla Weston updated us on the other activities of ANA over the past year . They include working with the Coalition for Patient Rights, a group of 35 organizations working to ensure that all nurses are able to work to their full scope of practice . ANA is in the process of developing a Leadership Institute in cooperation with Capella University . The 5 part series, which is scheduled to launch in September of this year, is designed to promote nurses as leaders in all settings and areas of practice . ANA has provided input into the promulgation of rules related to changes brought about by the Affordable Care Act . Improving the work environment of all nurses continues to be a major focus of ANA activities through the Safe Patient Handling Program, the development of Principles for Nursing Staffing, and their ongoing work on recognizing and reducing bullying in the workplace .

Financially ANA has seen the same drop in membership numbers and revenues as have the state organizations . The Board has acted in a fiscally responsibly manner and ANA has a positive bank balance and a 30% reserve ratio .

ANA 2012 HOD Report continued from page 1 Throughout the meetings various survey questions were asked of the attendees using the voting system . Of the 475 registered delegates, 39% have been members of ANA for over 25 years . The other categories (1-5 yrs, 5-10, 11-15, 16-20, 21-25) were all in the 11-13% range . Sixty nine percent of those in attendance have been a Registered Nurse for over 25 years . Next highest was 20-25 years at 10% . Approximately half of the delegates traveled 8 or more hours to attend the meeting . Forty two percent were members of the Student Nurses Association when they were in school . Delegates were asked how many times they had changed clinical specialties during their nursing career . Four percent had changed 9 or more times, 6% had 7-8 specialty changes, 18% had 5-6 changes, 34% had 3-4 changes, 25% have made only 1-2 changes, and 14% have not made any clinical specialty change .

The 2012 HOD was held at the Gaylord National Hotel and Convention Center in National Harbor, Maryland . Located on the Potomac River within sight of the nations’ capitol, the Gaylord is as beautiful as it is large . I am always surprised and pleased by the beautiful landscaping in the DC area, as there are plants and flowers everywhere . There was a lot to see and do in the surrounding area and this would make a fabulous vacation destination for anyone interested in our country’s history .

I would like to again thank NDNA for the opportunity to attend the final meeting of ANA’s HOD . I look forward to the upcoming changes both nationally and locally as we work toward a unified voice for all nurses .

Every great hospital is run by great staff. Here at Trinity Health, we employ nearly 3,000 wonderful and caring people and we’re looking for the best nurses to join our team – nurses who are compassionate and dedicated to their profession! We offer the opportunity to work with a growing health care system that has cutting edge technology. We’re located in Midwestern North Dakota, where the region is growing and the economy is strong. Our openings include:

RNs, LPNs – We welcome new grads!Hospital, Long Term Care & Clinic

We offer a competitive salary and benefits package, to include a sigN oN boNus and ReLocatioN

assistance. apply online at www.trinityhealth.org. inquiries may be addressed to [email protected].

Trinity is an Equal Opportunity Employer

Now Hiring RNs and LPNsSkilled Nursing | Assisted Living | Basic Care

Visit us today to learn more about available employment opportunities in Bismarck, North Dakota!

(701) 255-1084www.good-sam.com

AA/EOE, M/F/Vet/Handicap, Drug-Free Workplace 11-G0974 Bismarck

August, September, October 2012 Prairie Rose Page 3

Stacey Pfenning DNP, APRN, BC and Becky Graner MS, RN published “A web-based state journal club for nurses in North Dakota” in the March/ April 2012 Journal for Nurses in Staff Development . The North Dakota Journal Club was featured along with the model Becky developed that explains the implementation and facilitation of the club . Stacey has presented the online journal club model at many different conferences in and out of the state .

When ANA’s Website http://www .nursingworld .org/ was redesigned last year, a landing page customized for each member was added called “My ANA .” You need to LOGIN to access your page. Here, members can access and update your profile, print a member card, and view CE modules you have taken . You will also see links to any special areas that you have been granted access to – HOD, the Congress, etc .

Karen Daley

SILVER SPRING, MD–American Nurses Association (ANA) delegates re-elected Karen A . Daley, PhD, MPH, RN, FAAN, of Cotuit, Massachusetts, to serve a two-year term as president of ANA, the nation’s leading professional nurses organization representing the interests of 3 .1 million registered nurses . Daley and other nurse leaders were elected during the ANA House of Delegates biennial meeting, which was held June 15-16 at the Gaylord Hotel and Convention Center in National Harbor, Md .

President Daley served as a member of ANA’s Board of Directors (2008-2010) and as a director of the American Nurses Credentialing Center (ANCC) before being elected to her first term as ANA president in 2010 . She is past president of the Massachusetts Association of Registered Nurses (MARN) and the Massachusetts Center for Nursing .

President Daley spent more than 26 years as a staff nurse at Brigham and Women’s Hospital in Boston . She holds a diploma in nursing from Catherine Laboure School of Nursing, a bachelor’s of science in nursing from Curry College, a master’s of public health from Boston University School of Public Health, and a master’s in science from Boston College . Additionally, she earned a

doctoral degree from Boston College .In 2006, President Daley was inducted as a

fellow into the American Academy of Nursing in recognition of her advocacy work in needlestick prevention . In 2011, she was included on Modern Healthcare magazine’s list of the “100 Most Influential People in Health Care .”

Elected to serve two-year terms as officers were Cindy Balkstra, MS, RN, ACNS-BC, of the Georgia Nurses Association, elected as first vice-president; Jennifer S . Mensik, PhD, RN, NEA-BC, of the Idaho Nurses Association, elected as second vice-president; Teresa M . Haller, MBA, MSN, RN, NEA-BC, of the Virginia Nurses Association, elected as treasurer; and Teresa G . Stone, BSN, RNC, PRP, CP, of the Oregon Nurses Association, elected as secretary .

The director-at-large board members elected include Devyn K . Denton, RN, of the Oklahoma Nurses Association; Andrea C . Gregg, DSN, RN, of the Florida Nurses Association; and Faith M . Jones, MSN, RN, NEA-BC, of the Wyoming Nurses Association . Two additional director-at-large candidates who received the next highest vote tallies were appointed by the board to fill the director-at-large vacancies left by Balkstra and Mensik: Thomas Ray Coe, PhD, RN, of the Federal Nurses Association (FedNA); and Patricia Travis, PhD, RN, CCRP, of the Maryland Nurses Association .

Linda M . Gural, RN, CCRN, of the New Jersey State Nurses Association, was elected to a second term as director-at-large staff nurse member . Also elected to a term as director-at-large staff nurse member was Gayle M . Peterson, RN-BC, of the

American Nurses Association Re-Elects Karen Daley as PresidentANA delegates elect officers, board members, and other leaders

Massachusetts Association of Registered Nurses .Remaining on the ANA board until 2014 are

Barbara Crane, RN, CCRN, of the Washington State Nurses Association; Jennifer Davis, BSN, RN, of the Ohio Nurses Association; and Rose Marie Martin, BSN, RN, OCN, of the Ohio Nurses Association .

Additionally, four nurses were elected to the Nominating Committee: Carrie Houser James, MSN, RN, CNA-BC, CCE, of the South Carolina Nurses Association; Kelly Haight, BSN, RN, of the Ohio Nurses Association: Judith Huntington MN, RN, of the Washington State Nurses Association; and Jennifer Tucker, MA, RN, of the Minnesota Organization of Registered Nurses .

The following nurses were elected to serve on the Congress on Nursing Practice and Economics: Paula K . Anderson, RN; Laura Chapman, MSN, RN; Darleen Dansby, DNP, RN, FNP-C; Michelle DiGiovanni, PhD, APN-BC, ACNP, FNP; Betty J . Ellender, MSN, RN; Scott D . Goodsite, RN; Iris Grissel Hernandez, MPH, RN, HNB-BC; Nancy A . Knechel, MSN, RN, ACNP-BC; Susan A . Letvak, PhD, RN; Sara McCumber, MS, FNP-BC, ANP-BC, ACNS-BC, PHCNS-BC, RN-BC; Rebecca A . Miller, MSN/MHSA, RN; Edtrina L . Moss, MSN, RN, CNN, NE-BC; Bonnie S . Osgood, MSN, RN-BC, NE-BC; Lisa A . Pahl, MSN, RN; Kim Powell, APRN, ACNP-BC; Jennifer I . Rheingans, PhD, RN; Brienne M . Sandow, BSN, RN, RNC-OB; Audrey M . Stevenson, PhD, FNP-BC; and Melissa Stewart, DNP, RN, CPE . However, due to changes in the ANA bylaws adopted by the 2012 House of Delegates, the Congress on Nursing Practice and Economics will retire in March 2013 .

My ANAWhen it comes time to renew your membership

or update your credit card information you should login to “My ANA .” If you have an open renewal order, you will see a pop-up reminding you to renew . If you pay monthly via credit card, you will see a link to update this information online . Please do NOT go through the join process to renew or provide updated credit card information . This will cause a duplicate record to be created . If your membership has actually been canceled then you need to follow the join process to reinstate .

When calling ANA’s Membership Billing Department, please call 1-800-923-7709 or email memberinfo@ana .org . It is best to call the 800 number . This line is always staffed during business hours, so you do not have to leave voicemails and have to wait for anyone to call you back . ANA wants to provide the members the most prompt and efficient service they can!

The North Dakota Department of Healthhas an employment opportunity as a Health Facilities Surveyor for a

QUALIFIED MENTAL RETARDATION PROFESSIONAL (QMRP)*

How would you like every weekend to be a three-day weekend plus have ten paid holidays each year?

Join our team of dedicated nurses and other healthcare professionals and you will travel across our great state to assure compliance with state and federal standards.

Overnight travel required (60% travel) and you will be reimbursed for your food & lodging expenses.

Here’s a chance to make a difference in a unique way using your developmental disabilities education and experience.

As a state employee, you will enjoy our excellent benefits package and a four-day work week.

*QMRP is defined as a professional who has at least one year experience working directly with persons with mental retardation or other developmental disabilities. The opening is for either a registered nurse or an individual who holds at least a bachelor’s degree in their healthcare category or special education and must be licensed, certified, or registered in North Dakota in their respective healthcare or special education category.

Immediate Opening AvailableThe position will remain open until filled.

Competitive SalaryPlease contact:

Bruce Pritschet, Division of Health Facilities600 E. Boulevard Ave Dept 301, Bismarck, ND 58505-0200

701.328.2352Website: www.ndhealth.gov/Human Resources/

An Equal Opportunity Employer

Page 4 Prairie Rose August, September, October 2012

Becky Graner MS, RN

Karl presents in the ED with severe pain in his back, hip, and ankle and tells the nurse, “I fell off my deck, landed on my side and knee; I can’t really remember what happened .” The nurse proceeds to take his history, update his list of meds, and then tells the patient to change into a gown . She notices his knee has old dried blood . She reports to the ED physician “he fell off his deck . . .” After X-rays to determine if Karl has broken ribs, pelvis, or his ankle, the nurse wipes the dried blood from Karl’s knee . Karl tells her, “Of all the areas that hurt my knee hurts the most .” While cleaning his knee she notes one tiny “spot” where the bleeding had come from . After cleaning the wound, she proceeds to place a bandage over the scrapes on Karl’s knee . During the dressing application she drops the non-adhering gauze pad on the floor, picks it up, turns the side that hit the floor away from the patient’s skin, drops it over the wound, and continues with dressing the site of the wound . The nurse doesn’t wear gloves during wound cleaning nor while placing the dressing . During the procedure Karl asks the nurse for a Tylenol®, saying “I have such a headache .” She tells him, sorry there is no order and the physician is with another family right now, “there has been a terrible accident, someone we all know .” She proceeds with discharge instructions which mainly instruct Karl to see his regular physician if he does not feel better in a “few days .” Karl is discharged thankful the instructions are written, as he can’t really remember what she said . No lab was drawn; no specific instructions on signs of a wound infection are given .

Several days later, Karl continues to experience on and off headaches, his knee has swollen and is very painful . He has a difficult time walking as he has developed full body aches . Karl, sadly, is a victim of S ino T phenomenon . Skills in need of Theories occurs when the skill applied is totally

S ino T: An Emerging Phenomenon? blocked off from any theory . S ino T phenomenon places patients at risk for physical death and the nurse at risk for career death . How often have we heard fellow nurses dismiss “that theory stuff” or have uttered our own contempt for “theory”? Theory gets a bad rap by many nurses . In some cases theory is taught to students by an overview of specific nurse theorists and their theories . Sometimes it is taught by differentiating the various definitions among the terms theory, concepts, constructs, or model begging many to ask, “Why do we need to know this?” ANSWER: Theory is the ground upon which we build our nursing actions . Science is based on theories . Nursing practice is based on science which is based on theories .

Let’s look at the scenario again . Ever heard of the germ theory? How about the theory of how wound healing occurs? Were the mistakes made in triaging the severity of Karl’s injuries; because of a lack of knowledge of triage theory? How about the theories upon which we base patient education? And what about patient confidentiality and the reasons (theories) why we don’t share patient information? Have we focused so completely upon skill acquisition and the checklist in nursing to the exclusion of the importance of theories? Is the lack of theory application putting patients and nurses at risk? Have we mistakenly decided a simple checklist will keep patients safe, a list of tasks without knowing why the list was created in the first place? Do we know the theory behind list creation!??

The defining characteristics of nursing practice include: “human responses (phenomena), theory application (science), nursing actions (EBP), and outcomes (effects)” (ANA, 2010, p . 11) . Nursing actions are based upon the understanding of theories, and serve as the basis for evidenced based practice . Nursing actions must be theoretically and evidence based and these actions require well honed critical thinking skills . While Karl’s dressing may have been applied in a skillful manner (it looked nice and stayed on)…it fell far short in the theory department! Karl’s triage and subsequent care in the ED did not meet any standard based upon theory, even though the med list was up to date, an “assessment” was documented and his chart indicated he received discharge instructions evidenced by the fact the box was checked and the “copy” of instructions was with the chart .

Karl decided to see his regular physician post injury at day 3 . Karl was diagnosed with diabetes 10 years ago, he also had a gastric bypass, he is

62 years old . He doesn’t remember why he fell off his deck . Just woke up and found himself on the ground . The terrible accident the nurse told Karl about was a well known community member, involved in a car accident who was DOA . The staff, overwhelmed with grief, failed to correctly triage and care for the living patient . Karl’s tiny spot was a puncture wound over a joint . He now requires weeks of treatment with antibiotics . He is at severe risk of losing his limb due to his compromised healing as he deals with diabetes and his nutrient absorption issues related to his gastric bypass . His ongoing headache, memory issues, is discovered to be related to a leaking aneurysm in his brain . Karl is also a Vietnam veteran and was injured in the war . He received a major blood transfusion and is in the age group that has been identified as under diagnosed for hepatitis . The nurse really should have worn gloves when cleaning and dressing his wound .

In an attempt to improve patient care quality and safety, we have decided that lists keep us safe . But what really keeps patients safe? Nurses who understand and apply theory in providing evidence based skills, nurses who use lists to trigger thinking/ remembering, but never to replace critical thinking . Like the heart muscle during an infarct in need of re-connected blood flow to be saved so too is the need to re-connect theory to the skills to ensure safety for patients .

ANA . (2010) . Nursing’s Social Policy Statement. Silver Springs, MA: nursebooks .org

Sources for further discovery:Germ theory http://www .nap .edu/openbook .

php?record_id=10733&page=7 Emergency Severity Index (ESI) A Triage Tool for

Emergency Department Care http://www .ahrq .gov/research/esi/esi1 .htm

Emergency Nursing Association: Emergency Nursing Triage http://www .mcstrategies .com/enatriage/

Nutrition and wound healing http://www .ncbi .nlm .nih .gov/pubmed/18361172

WOCN® Wound, Ostomy, Continence nursing http://www .wocn .org/

CDC Standard Precautions (outpatient setting) http://www .cdc .gov/HAI/settings/outpatient/outpatient-care-gl-standared-precautions .html

Hospital Acquired Infection Prevention http://www .cdc .gov/HAI/prevent/prevent_pubs .html

HIPAA http://www .hhs .gov/ocr/privacy/ Understanding HIPAA http://www .hhs .gov/ocr/

privacy/hipaa/understanding/index .html

*Some events in this story are true. Incidents have been modified or combined from multiple stories.

Devils Lake, ND • 701.662.2131

FT Surgical Tech—Sign On Bonus! 2 years previous OR experience preferred.

OR Manager—BSN & CNOR preferred. Minimum 3 years OR experience.

Utilization Review Coordinator—BSN with 3-5 years experience in acute care.

FT OR-RN/Surgery—Sign On Bonus! 2 years previous OR experience preferred

ER-RN—previous ER experience required.

For further information contactHuman ResourcesMercy Hospital, 1031 7th ST NE,Devils Lake, ND 58301

Competitive salary and benefit package Relocation assistance Retirement and Tax Sheltered 403B Plans

Phone (701) 662-9717 • Fax (701) 662-9681

www.mercyhospitaldl.com

August, September, October 2012 Prairie Rose Page 5

by Karen Macdonald MS, FNP-C

If you think about who might live at the North Dakota Veterans Home (formerly known as the Old Soldiers Home) you might conjure up an image of an elderly retired male veteran who served in either WW II or the Korean Conflict . But in this case our retired veteran is female and is a retired Air Force nurse living at the Veteran’s Home . I had the privilege to visit Betty Faye Graham who graduated from the Hahneman School of Nursing in Worcester, Mass in 1941 and enlisted in the military service soon after the attack on Pearl Harbor . She served in the Pacific theater in air evacuation “hopping all over the islands” to bring wounded soldiers to Pearl Harbor . She said they were all “litter” cases and required a lot of attention from the one nurse and corpsman while being transported on the evacuation planes . She said it was not glamorous; instead described her work as a job to be done .

Her husband also served in the “SeeBees” in the Pacific theater . After the attack on Pearl Harbor and the United States entry into the war, the use of civilian labor in war zones became impractical . Navy therefore created Construction Battalions (from which the abbreviation “C .B .” became Seabees) . Betty told me she had known him in high school, and they married after the war . She was asked to relieve a nurse in the recovery room at the Hayward Hospital in Gardner, Mass . Then that nurse got married and didn’t come back so she worked there for “quite a while .” She told me that she liked nursing–“it’s a good profession if you are serious . If you are not serious, stay away .” She thought the biggest change in nursing in her career was the move of nurse training from schools into a college setting .

After her husband died, she moved to ND . Her son who was also in the service had married a girl

Nurses from the Pastfrom ND, and when they retired they moved to Hazen . She moved into the Veteran’s Home three years ago and resides in the basic care pod of the new facility . The ND Veteran’s Home relocated to a new facility in May 2011 . It is a state of the art facility designed in the neighborhood concept, where the focus is on individual households designed for 12-13 residents . Eligibility for admission requires ND residency and veteran status or a surviving spouse of a veteran .

I also visited with Muriel Rofsvold who graduated from Deaconess Hospital in Minneapolis in 1943 . She served in the Army Nurse Corps for three years, in Australia and the South Pacific . She remembers when she came home she worked at the Lisbon Hospital for 28 years as a night nurse while she raised her family . She told me it takes a certain type of personality to do all the things nurses do . Ms . Rofsvold thought her first salary was $90 .00 a month . She recalls wearing a blue dress with a white apron

and bib as a student . Her sister was a classmate in the nursing program .

Both Ms . Rofsvold and Ms . Graham agreed the work they did was hard but very rewarding . Perhaps the most rewarding part of my day spent with these two lovely ladies was to listen to their stories . Being able to visit with these retired nurses was an honor and their willingness to share their nursing stories was very much appreciated . I encourage you to take the time to re-connect with retired nurses you may know and discover some of the history of nursing .

Betty Faye Graham holding an early photo of herself.

Muriel Rofsvold

How Strong Start is Leveraging Public-

Private Partnerships to Reduce Early

Elective DeliveriesFor decades, organizations like the American

College of Obstetricians and Gynecologists (ACOG) and the March of Dimes have been promoting the importance of full-term pregnancies—those naturally reaching at least 39 weeks gestation—yet early elective deliveries still account for 10-15 percent of all deliveries .

In February 2012, the U .S . Department of Health and Human Services (HHS) introduced the Strong Start initiative to reduce early elective deliveries and improve outcomes for newborns and pregnant women . “Strong Start” builds on the work of ACOG, March of Dimes and others, and brings together the Federal government, state, and local government agencies, as well as the private sector .

Numerous studies show early elective deliveries are associated with increased maternal and neonatal complications for both mothers and newborns, compared to deliveries occurring beyond 39 weeks and women who go into labor on their own .

Decreasing the rate of these early elective deliveries means:

• Moremothersgetsafe,evidence-basedcare.• Infants improve their chances for good

physical and developmental health .• Lower costs for public and private payers

because they’re performing less caesarian sections for failed inductions, they have less neonatal intensive care unit admissions, and less associated complications for the newborns .

The Centers for Medicare & Medicaid Services’ (CMS) Innovation Center—in partnership with the Center for Medicaid and CHIP Services—supports this effort to improve birth outcomes .

“Strong Start” is made of 2 separate, but related, programs:

• Anationwidepublic-privatepartnershipandawareness campaign to spread the adoption of best practices that can reduce the rate of early elective deliveries for all populations .

• A funding opportunity for providers, statesand other applicants to test the effectiveness of enhanced prenatal care approaches to reduce pre-term births in women covered by Medicaid .

CMS is taking on 3 major activities as part of the “Strong Start” campaign:

1 . Promoting Awareness—CMS will support broad-based awareness efforts in partnership with leading organizations, including the March of Dimes and ACOG, as well as other professional and advocacy organizations . These efforts will target pregnant women, their families, their health providers, and organizations that serve pregnant women .

2 . Spreading Best Practices—to help speed and spread the adoption of best practices that reduce early elective deliveries, CMS will build on the efforts and infrastructure of HHS’ Partnership for Patients, and the commitment of the nearly 4,000 participating institutions . The campaign will work with the Partnership for Patients’ 26 Hospital Engagement Networks to make measurable goals for participating hospitals, and to give technical assistance in testing strategies and putting them into place . The existing Partnership for Patients infrastructure will also support efforts to collect data, measure success and promote quality improvement .

3 . Promoting Transparency—CMS will support efforts to collect performance data and measure success and continuous improvement .

Visit: http://innovation .cms .gov/initiatives/Strong-Start to learn more about “Strong Start” and to access additional resources in the online e-toolkit .

The Fargo VA Health Care System and Community Based Outpatient Clinics have job opportunities for RNs and LPNs that seek a position in a challenging and

cutting edge organization, delivering care to America’s veterans.

We are a general medical, surgical, and psychiatric facility with a restorative care unit and vast clinical areas. The medical center has state of the art automated patient medical records and telehealth services.

We offer an excellent benefits package and salary is commensurate with experience. Job openings can be viewed on USAJOBS website, www.usajobs.gov.

VA Health Care SystemHuman Resources (05)

2101 N. Elm Street, Fargo, ND 58102Phone: (701) 239-3700, Ext. 93641

An Equal Opportunity Employer

Keeping the Promise

to those Who Served

Northwood DeaconessHealth Center

We have Immediate Openings:

RN to work every third weekend, 12 hour shifts in the hospital area.

PT RN needed for our 11p-7a shift and every third weekend in the Acute Care Hospital.

Alternative wage available.

Interested applicants contact: Carla Sletten, RN/DON

at 701-587-6487 or [email protected]

www.ndhc.net

Page 6 Prairie Rose August, September, October 2012

Written by:Joyce Eisenbraun

Director of Marketing/DevelopmentElim Rehab & Care

Young faces of soon-to-be nurses peer timidly out of the conference room and look down the hall . “What do I say?” “What do I do?” “What if someone dies while I’m with them?” “Why do I have to be here? I’m going to be a nurse in a hospital/clinic/operating room .”

Negative attitudes and even fear are not unusual emotions for nursing students in a clinical rotation at a nursing home . Often the stereotypes they may have outweigh the reality of the modern long-term care facility . “I always ask students at the beginning of their rotation if they are considering gerontological nursing,” said Kirsten Reile, DON at Elim Rehab & Care Center . “The answer is always “no” because they want to work in the hospital, clinic, ICU, ER, or some other place . But rarely—if ever—in my 13 years of organizing clinical rotations have I encountered a student that was eager to embrace gerontological nursing .”

The perception of long-term care nursing is one that Reile has worked to change during her nursing career . “We have been student mentors

Partners in Nursing: The Magic of MentoringAn interview with Kirsten Reile, DON, Elim Rehab & Care

ever since I became the director of nursing 13 years ago,” she noted . “I believe, as do the nurses who work here, that someone cared enough to do this for us, so we’re just trying to give back . We want students who don’t know about long-term care to come here so we can help break down the stereotypes .”

Didn’t Happen Overnight“Our mentoring program started very small,”

recalls Reile . “We knew we wanted to give back, and that we wanted to help change the perceptions of long-term care, but it started with just one senior nursing class from Concordia College .” The nursing staff compared notes on their past experiences, and tried to craft something that would be useful, positive and helpful for the students .

“We learned from those first evaluations that students wanted to do more than just watch someone, they wanted the hands-on experience . So, our nursing staff met, and we realized we needed to teach our nurses how to teach the students,” she said . “Our nurses automatically do assessments of each person when they’re passing meds or having a conversation . But we needed to tell the students what we were doing, and teach them how to do it as well .”

“For example, students now learn that even something as ‘simple’ as a medication pass is an opportunity for a nursing assessment of that individual: checking temperature, hydration level, skin tone and color, breath scents, lung sounds,” Reile explained . She notes that often subtle changes in the individual are noted by the nurse long before there are physical manifestations of a problem . Student nurses are now taught to watch for those subtle cues as well, she said .

Evolving ProgramOver the years, the mentoring has evolved and

expanded to include more hands-on experiences, Reile noted . “We don’t hold their hand when they come here as senior students . We give them opportunities to do various patient care activities, and if they haven’t done a procedure before, they can watch it or do it along with one of our nurses . During their rotation, students have the opportunity to perform all types of procedures, from trach changes, IVs, UAs, Foley or catheter changes, ports, piccs, tube feeding, peritoneal dialysis, and more . Staff welcomes questions, and will even try to schedule certain procedures so the students can gain the experience . These nursing students will be caring for people soon, so they need the knowledge and skills!”

Another change over the years has been the expansion to an interdisciplinary experience . Elim started the interdisciplinary mentoring early on, though many facilities don’t offer it even yet . “We offer an interdisciplinary team experience which is very valuable for students . They don’t get to see the interdisciplinary approach in most acute settings . We believe that all of the areas can have an impact on the individual, so it’s important that student nurses see the role that activities, chaplaincy, dietary, or therapy etc ., can have for a resident,” Reile said . “Again, it requires support from the administration and the entire care team, and it is more work to set it up, but we believe it’s a stronger, richer experience for the students, and the evaluations from the students have been very positive .”

Today, dozens of students from area nursing schools include Elim in their geriatric rotation each year . Seniors in nursing at the various colleges, plus Fargo South health careers students, spend time at Elim, learning from the nursing staff .

Not only has Elim been a clinical resource for nursing students, but for internships in social services, recreational therapy, dietary, administration and chaplaincy . “I really consider Elim to be a teaching facility, just as some hospitals are teaching hospitals,” Reile said . “Yes, it does increase our staff load, but it also gives us the opportunity to have a new set of eyes in the building: What are we doing that we could be doing better? What other practices could be considered? We want to know, and the students are great about sharing ideas and information with us as well .”

In addition to hopefully changing perceptions about long-term care, the other bonus to being a clinical nursing site is the opportunity to have new nurses consider long-term care—and especially Elim—as a potential future employer, Reile said .

At the end of each clinical rotation, Reile asks for evaluations of the experience . Without fail, the evaluations express amazement at the level of nursing knowledge they gained, the expertise and kindness of the staff, and best of all, the new appreciation for a potential career in gerontological nursing . “Very often at the end of the rotation, I’ll ask for a show of hands of anyone who might consider a career in geriatric nursing, and usually there will be one or two hands that will pop up,” she said . “That’s when I know that the time and effort has made a difference in their lives, and that we may see them again in the future . It’s awesome!”

PERSONAL BEST.ANCC Board-Certified.

I’m proud and in charge of my nursing career. And I trust ANCC certification to help me maintain and validate the professional skills I need to remain a confident and accomplished nurse for years to come.

Find out how to be the best at www.nursecredentialing.org/Certification

American Nurses Credentialing Center. All Rights Reserved.The American Nurses Credentialing Center (ANCC) is a subsidiary of the American Nurses Association (ANA).

© 2012

1505 North BroadwayMinot, ND 58703

701-852-3161

• Non Smoking• Minot’s Largest Indoor Pool & Jacuzzi• Primo Fine Dining Available 24 Hours

• Lobby Lounge • Fitness Center• Business Center • HBO

CALL TOLL FREE FOR RESERVATIONS 1-800-735-4493www.grandinternational.com

Now Hiring RNs and LPNs Skilled Nursing | Rehabilitation | Basic Care

$4,000 Hire Bonus

(701) 965-6086Apply Online:

crosBy

August, September, October 2012 Prairie Rose Page 7

by Becky Graner MS, RN

In the 2012 Spring edition of the Missouri Nurse (the official publication of the Missouri Nurses Association), Godfrey and Crigger wrote a short 2 page article titled: Forming a Professional Identity: An important key to nursing’s future. The authors linked their work to the IOM report on the Future of Nursing’s recommendations that specifically focus on nursing leadership . The article caught my eye as the ND Center for Nursing’s Action Coalition is focusing on developing a body of work to support development of nursing leadership skills and knowledge .

The authors presented the Framework for Nurse Professionals (FrNP) and the Stairstep Model of Professional Transformation . The authors used the words flourishing and slipping to describe the movements one takes while growing into being a nurse professional . They are very specific on the use of their language, something that really caught my eye as language use is very telling about how and where the user is in terms of critical thinking and reflection regarding what one says and means .

Intrigued by the short article, I Googled and found their book . Their work is an absolute gem . Patricia Benner wrote the foreword and “enthusiastically recommends” the book . Benner connects this work with her own groups’ work that was widely read in the book titled Educating Nurses: A call for radical transformation .

Sections in the Crigger & Godfrey book are titled: What is the nature of a profession and of nurse professionals? Is it possible to develop an inclusive ethical framework for nurse professionals? How can professionalism be taught? Their views will challenge and inspire you . They ask if as a discipline, have we spent enough time now in setting ourselves apart, does nursing have a well established identity, and is it time to re-integrate and take our spot at the table? One of the many lines that caught my eye was “No discipline can be rich if its members are marooned in a stagnated or underdeveloped point of view” (Criggen & Godfrey, 2011, p . 138) .

To determine if we are leading ourselves in the direction that will meet the IOM Future of Nursing recommendations and meet the ultimate goal of “goodness,” it would seem we have some work to do, some big changes to make, some long held “truths” to shake loose .

An examination of paradigms, concepts, constructs, beliefs, values, bioethics, professional ethics, and world views that have shaped nursing provides many opportunities to reflect critically about how we have become what we are today . You will no doubt readily identify the consequences of our arrested growth and development in present day negative behaviors that plague not just nursing but all professions . You will read of the consequences of embracing a consumerism view in how we educate, employ, and interact in nursing .

Of particular interest will be the authors contrasting of the sociological and psychological

p a r a d i g m s a n d how mot ivat ion, education, goals, dealing with error/moral wrongdoing, t i m i n g o f ethical choices/behaviors, primary identity and process are impacted by the view held by the nurse and nursing . The authors advocate that nursing embrace virtue ethics as the guiding force that brings us individually and collectively to the ideal good…which is a life long process, one in which we are actualized by the process in our search for meaning, all the while benefiting from our “becoming” a nurse professional .

As Glenn McGee PhD, (John B . Francis Endowed Chair in Bioethics & Editor-in-Chief of The American Journal of Bioethics) wrote “…[this text] belongs on the desktop of any serious academic nurse, … .and anyone interested in the ethics of healthcare . ”

This body of work is so rich; I would like to propose it become the basis for a book club type discussion group . Those interested can contact NDNA at info@ndna .org and we can help members form a local group to either get together or form an online community . You will find you want to read this book over and over as it is so jam-packed with thought-filled, wise, and much needed insights that will transform both the practice and the person .

The Making of Nurse Professionals: A Transformational, Ethical Approach

Nancy Crigger & Nelda Godfrey (2011) Jones and Bartlett Learning

Trying to Balance

your life?

Find the perfect nursing job that meets your needs on

nursingALD.comRegistration is free, fast, confidential and easy! You will receive an

e-mail when a new job posting matches your job search.

Page 8 Prairie Rose August, September, October 2012

North Dakota State Nurses’ Association continued on page 9

August, September, October 2012 Prairie Rose Page 9

North Dakota State Nurses’ Association continued from page 8

North Dakota State Nurses’ Association continued on page 10

Page 10 Prairie Rose August, September, October 2012

North Dakota State Nurses’ Association continued from page 9

North Dakota State Nurses’ Association continued on page 11

“Helping my patients get back to their lives is the best part of my job”

Barb, MDS 17 yearsCatherine, DON

10 yearsBrian, STNA

6 years

57,000 employees...500+ facilities nationwide...one goal!At ManorCare of Fargo, the leader in post-acute and long-term medical care, we make a difference in the lives of our patients every day. Our goal is for every patient to get back to their lives, with HCR ManorCare, you can make it happen!

RN/LPN – Full-Time, Part-Time & PRN$5000 Sign-On Bonus Available for Full-Time RNs!

We offer you excellent benefits including medical, dental, 401(k) and much more!

For more information please contact: ManorCare of Fargo | 1315 S. University Dr. | Fargo, ND 58103Ph: 701-526-2539 | Fax: 701-237-9729 | E-mail: [email protected]

Apply online at jobs.hcr-manorcare.com • EEO/Drug-Free Employer

Follow VA Careers

VAcareers.va.gov/NURSE Apply Today:

I’m inventing new modelsof Veteran’s health care.

I’m not just a nurse.

Chris, VA Nurse

• • • • •

NSRH is a Joint Commission accredited facility with 18 acute care beds, 15 LTC beds serving the people of the Seward Peninsula and Bering Straits Region of Northwest Alaska. A new hospital is under construction opening in 2012!

ContactRhonda Schneider, Human [email protected]

NortoN SouNd HealtH CorporatioN

RNs • ER • OB

www.nortonsoundhealth.org

August, September, October 2012 Prairie Rose Page 11

North Dakota State Nurses’ Association continued from page 10

North Dakota State Nurses’ Association continued on page 12

At Sioux Falls Specialty Hospital, we’re focused on innovative and personalized care. With our team of specialized doctors, we’re able to offer a variety of surgeries, pain management options and the best imaging in the area. If you want more than “just a job,” it’s time to join our team.

Nurse Manager PACU–Full TimeThis dynamic leadership role promotes forward thinking in a patient-centered environment to assure quality care and total satisfaction. Bachelor’s Degree, two years of PACU and two years of management experience preferred. SD Nursing License, CPR, PALS and ACLS certification required. Must be willing to become a member of ASPAN and to pursue a perioperative nursing certification. Experience with Electronic Health Records beneficial. (Monday through Friday - Day hours)

We offer competitive compensation, bonus pay, and an excellent benefits package including medical, dental, vision, 401k, disability, etc. If you are interested in joining our team, please submit an application for employment or resume to:

SIOUX FALLS SPECIALTY HOSPITALATTN: HUMAN RESOURCES910 E 20TH STREETSIOUX FALLS, SD 57105EMAIL: [email protected]: (605) 271-8410APPLY ONLINE: WWW.SFSH.COMEOE

Register by October 5, 2012.For more information call701.780.5195.

RNs or LPNs*Tuition Reimbursement *

Various shifts. Additional $.25 per hour for eveningsand $1.00 per hour for nights.

Contact Cindy Smith at the Sheyenne Care Center(701) 845-8247, Email: [email protected]

Applications can be picked up at 979 Central Ave N, Valley City, ND 58072 or by going online at

www.sheyennecarecenter.com

3051 25th St. S. Ste. J1, Fargo, ND 58103701-478-0444/Store • 701-478-0445/Fax

www.reddotuniformshoppe.com

Red Dot Uniform Shoppe

The Best Scrub Store in North Dakota!

Page 12 Prairie Rose August, September, October 2012

North Dakota State Nurses’ Association continued from page 11

North Dakota State Nurses’ Association continued on page 13

Nominate your NDNA Colleagues

for an Award

The list with description of awards and eligibility criteria can be found along with the nomination form at https://sites .google .com/site/ndna100years/home .

The deadline is August 15, 2012 . Those wishing to participate in the

History Walk by purchasing booth space will find the registration and instructions at the same website as listed above .

NDNA members are strongly encouraged to provide an up to date email address so we can keep you in the communication loop .

If you are NOT receiving the e-newsletter and are a member of NDNA please send an up to date email address to info@ndna .org or becky@ndna .org .

$4,000 Sign On Bonus for LPNs and RNs in LTC

David “White Thunder” Trottier, DirectorHuman Resource Department

www.hamc.com800 Main Avenue S.Rugby, ND 58368

(701) 776-5261 • (701) 776-5043 TDD(701) 776-2933 [email protected]

Registered Nurse OpportunityImmediate opening in a 24-bed hospital with four rural health clinics. FT, PT or PRN 12-hour shifts available. Work with a dedicated, young nursing staff and experienced medical staff that includes three physicians and three PAs in a progressive south central North Dakota community of approximately 1000. Competitive wage and benefit package. Graduate nurses welcome.

If you have a desire to work in a rural, community-owned hospital where family health care is priority one–and have a say in setting a work schedule that meets your needs, please explore this opportunity!

Apply by downloading and completing our application at www.wishekhospital.com, call DON Calli Klusmann at 800-492-2364 or email [email protected]

Wishek Community Hospitals & ClinicsWishek,North Dakota

August, September, October 2012 Prairie Rose Page 13

North Dakota State Nurses’ Association continued from page 12

Page 14 Prairie Rose August, September, October 2012

Stacey Pfenning, DNP, APRN, FNP

D r . P f e n n i n g i s t h e F a m i l y N u r s e Practitioner Program Coordinator at the University of Mary in Bismarck, ND . She practices at the St . Alexius Emergency and Trauma Center and as a provider serving rural areas through National Medical Resources; most recently, Northland Community Health Center, Turtle Lake, ND . She is an active member of the BON Practice Committee, NDNA, two Institutional Review Boards, and the Centers for Nursing Education Committee .

1912-2012

The first meeting of the North Dakota (State) Nurses Association was held May 7, 1912 in Grand Forks . At this first meeting 155 Registered Nurses signed on as charter members and organized under a new constitution and bylaws . They called themselves the North Dakota State Nurses Association . Their purpose was to raise the standards of all nurses and nursing education, to further the efficient care of the sick, and to promote all interests of the nursing profession .

Today, the North Dakota Nurses Association (NDNA) can proudly look back over the past 100 years and with full confidence and pride confirm that the original purposes have been met .

Nurses today have a work environment much different from 100 years ago, nursing education is progressive and looks to the future, patient care is based on evidence produced by nurse researchers, and NDNA continues to represent the many facets of nursing practice .

To celebrate our past and plan for the future we have put together a full day of activities where we can reminisce and vision for the future .

Karen Daley, PhD, M P H , R N , FA A N , was elected in 2010 as the president of the American Nurses A ssoc iat ion (A NA), the nation’s largest nursing organization r e p r e s e n t i n g t h e interests of the nation’s 3 .1 million registered nurses . President 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 Association of Registered Nurses (MARN), and the Massachusetts Center for Nursing . In addition, she has served on the boards of ANA, the American Nurses Credentialing Center (ANCC), and the American Nurses Association Political Action Committee (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 . President Daley has also been recognized for her outstanding leadership and excellence in practice, including being recognized as a living nursing legend by the Massachusetts Association of Registered Nurses . In 2006, she was inducted as a fellow into the American Academy of Nursing in recognition of her advocacy work in needlestick prevention .

In addition to her work as a practicing nurse and nurse advocate, President Daley is an experienced nurse researcher and writer . She has authored numerous articles on nursing and health care, and served as a staff writer for the Bay State Nurse News . Currently, she is a reviewer for the Journal of Emergency Nursing, the American Journal of Nursing and the American Journal of Infection Control . In addition, President Daley served as a project principal for the Nurses Education Hepatitis C Project funded by the Massachusetts Department of Public Health as well as a project coordinator for a trauma research study conducted by the Harvard Injury Control Center at the Harvard School of Public Health .

A resident of Boston, Massachusetts, President Daley holds a diploma in nursing from Catherine Laboure School of Nursing, a bachelor’s of science in nursing from Curry College, a master’s in public health from Boston University School of Public Health, a master’s in science and PhD in nursing from Boston College .

Mary Riske, RN, MS, CNS, the current State Genetic Coordinator for North Dakota, has been involved in genetics for over 25 years . She began her genetic career as a nurse geneticist with Dr . John Martsolf, coordinating the statewide genetic and birth defects program . In time, the position expanded into a faculty position with various teaching responsibilities within the medical school and university system, the community, the state, and the region . As an active member of national, regional and state genetic professional societies and organizations, Mary has represented and promoted the genetic services offered in North Dakota . As a clinical nurse specialist in genetics, Mary also offers billable genetic counseling services . More recently Mary moved to Fargo and now works at the Roger Maris Cancer Center as a half time genetic nurse coordinator and half time as a Head/Neck Cancer Nurse Navigator .

Daytime Celebration ScheduleCentennial Celebration

Conference

8:00-8:30 AMRegistration

8:30-8:45 AMWelcome by NDNA President

Wanda Rose PhD, RN, BC

8:45-10:00 AMNursing Leaders Reflect on the Past and

Vision for the Future (Panel Discussion)

10:00 AMHistory Walk Opens in the Courtyard

10:30 AM-12:00 PM “Genetics/Genomics – Nursing Practice

enters a New Era” Mary Riske MS, RN, CNS

(1 .5 contact hours)

12:00-1:30 PMLunch (included in registration fee)

1:30-2:30PM ANA President Address

2:30-3:00 PMBreak/ Networking

3:00-4:00 PM“Nursing Connections in the New

Social Media Network”Dr . Stacey Pfenning DNP, APRN, FNP

4:00-4:15 PMEvaluation & Wrap-Up

Fee for daytime activities:$55 NDNA Members

$65 Non-member

[Schedule may be subject to change]

Evening Celebration Schedule

5:30-6:30 PMSocial Hour

6:30-7:30 PMDinner

7:30-8:00 PMAwards & Recognition Ceremony

8:00 PMNightingale Tribute

Cash bar available during social hour/dinner .

$30/person or

$300 to reserve table for 8

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Name

Address/City/State

Email

Phone

Conference ($55 member) Conference ($65 nonmember) Awards Dinner ($30/plate) X# ___ of guests? = total ________Reserved table for 8 ($300)

Total Registration fee_________

Please make check payable toNDNA & mail by September 5, 2012

toNDNA

PO Box 292Mandan, ND 58554

REFUNDS: $25 administrative fee for refunds up to August 17, 2012,

NO REFUNDS AFTER AUGUST 17, 2012 .

Karen Daley

Stacey Pfenning

August, September, October 2012 Prairie Rose Page 15

SILVER SPRING, MD–The elected registered nurse (RN) representatives who set policy for the American Nurses Association (ANA) approved measures June 16 to rededicate efforts to address nurse staffing problems, petition a federal agency to require health care employers to develop violence prevention programs, and advocate for healthier energy options .

At ANA’s House of Delegates meeting, the representatives also approved resolutions to prevent nurses’ exposure to hazardous drugs and to urge employers to educate nurses who handle hazardous drugs about the risks of associated reproductive and developmental effects .

The nurse staffing resolution identifies short-staffing as a top concern for direct care nurses that negatively affects patient care and nurse job satisfaction . It notes that staffing decisions remain largely outside of nurses’ control, and that staffing plans lack enforcement mechanisms . The resolution requests ANA to “reaffirm its dedication” to advocating for a staffing process, directed by nurses, that is enforceable and that includes staffing principles, minimum nurse-to-patient ratios, data collection, and penalties for non-compliance in all health care settings where staffing is a challenge .

“Finding solutions to unsafe nurse staffing conditions is a top priority for ANA,” said ANA President Karen A . Daley, PhD, MPH, RN, FAAN . “It is not acceptable to put patients at risk because of inadequate staffing . Research shows that higher levels of nurse staffing result in better patient outcomes, so our job is to make sufficient staffing a reality nationwide .”

In March, ANA updated its Principles for Nurse Staffing, strengthening the focus on the work environment and broadening it to include all nursing practice settings . ANA’s Board of Directors

also acknowledged the validity of minimum nurse-to-patient ratios set by law when combined with strategies that encompass facility and unit level considerations .

The workplace violence prevention measure notes that health care workplaces experience a disproportionate share of non-fatal violence . It requests the U .S . Occupational Safety and Health Administration (OSHA) to require employers to develop workplace violence prevention programs that would include employee involvement; risk assessment and surveillance; environmental, architectural, and security controls; and training and education . In ANA’s 2011 Health & Safety Survey, about one in 10 nurses said they had been physically assaulted in the past year, half had been threatened or verbally abused, and one-third ranked on-the-job assault as one of their three top safety concerns .

Bureau of Labor Statistics for 2009 show that RNs reported more than 2,000 assaults and violent acts that required an average of four days away from work . The same year, the Emergency Nurses Association reported that more than 50 percent of emergency center nurses had experienced violence

ANA Reaffirms Dedication to Improving Staffing for RNs and Their PatientsDelegates Also Approve Measures Advocating Workplace Violence Prevention Programs, Clean Energy

by patients on the job . Numerous states have enacted laws requiring employer-sponsored violence prevention programs, study of the issue or reporting of incidents; or strengthening legal penalties against perpetrators .

The delegates also approved a resolution to educate nurses about health risks associated with coal-fired power plants, coal excavation, oil and natural gas drilling, and hydraulic fracturing, and to enhance the role of nurses in advocating for healthier energy choices, including conservation and renewable energy sources . ANA will support activities that monitor, reduce, and remediate environmental health risks . ANA has been engaged in legal action to require the U .S . Environmental Protection Agency to enforce more effective and protective pollution control standards for coal-fired power plants that emit hazardous air pollutants such as mercury .

RN, Chronic Care CoordinatorFull time 36-40 hours per week

Valid ND or multi state license required.Visit us online to download an application:

www.coalcountryhealth.com701∙873∙4445

Beulah, ND

We’re looking for nurses of the “CARING KIND.”

RNsJoin Garrison Memorial Hospital

Be part of our growth and excitement. Applications are being accepted to fill full-time RN positions in our Critical Access Hospital. We are seeking individuals with a desire to provide quality compassionate care and to be a team member within our facility.

GMH offers:* excellent salary and benefit package* medical/dental/life/disability insurance* paid retirement * tuition assistance* employee discounts

Garrison Memorial HospitalPrimeCarePlease contact: Beth Hetletved, DON

Garrison Memorial Hospital407 3rd Ave SE, Garrison, ND 58540

(701) 463-6513 (please leave a message)GHM is an EOE

[email protected] online at www.garrisonmh.com

The North Dakota Department of Healthhas employment opportunities for

REGISTERED NURSESas a Health Facilities Surveyor.

How would you like every weekend to be a three-day weekend plus have ten paid holidays each year?

Join our team of dedicated nurses and you will travel across our great state to assure compliance with state and federal standards.

Overnight travel required and you will be reimbursed for your food & lodging expenses.

Here’s a chance to make a difference in a unique way using your nursing education and experience.

As a state employee, you will enjoy our excellent benefits package and a four-day work week.

Immediate Openings AvailableThe position will remain open until filled.

Competitive SalaryPlease contact:Bruce Pritschet

Division of Health Facilities600 E. Boulevard Ave Dept 301

Bismarck, ND 58505-0200701.328.2352

Website: www.ndhealth.gov/Human Resources/An Equal Opportunity Employer

Put yourself forward as a potential member

of our university community.

Now Hiring•FNPProgramCoord –PT• FNPClinical

PlacementFaculty –PT•NursingFaculty•Nursing– Med/SurgicalandCommunity/MentalHealth

•NursingDivision –OB/GYN–PT

ForadditionalinformationcontactGlendaReemts,[email protected]

orvisitourwebsite:

www.umary.edu

Offers Challenging CareerOpportunities as it Provides Innovative Services

♦ Compassion ♦ Quality ♦ Respect ♦ Honesty

Missouri Slope LutheranCare Center

Human Resources Dept.2425 Hillview Ave.

Bismarck, ND 58501(701) 223-9407

For current openings visit ourwebsite at www.mslcc.com

Join a work environment that gives you the opportunity to experience the fulfillment of using your talents and abilities in providing care and services to our residents. Experience the rewards of making a difference in someone’s quality of life and explore the great opportunities in the nursing profession in long term care. MSLCC provides excellent pay, incentives and benefit package.

Consider us as you planyour nursing career.

Prairie TravelersThe Premier Healthcare Staffing Solution

ATTENTIONMONTANA & NORTH DAKOTA

RNs, LPNs, Certified Medication Aides and Certified Nurse Aides!

Are you interested in an exciting careeras a traveling nurse professional?

Prairie Travelers is an agency specializing in the temporary placement of nurses, medication aides and

certified nursing assistants. We offer competitive wages and flexible work assignments in hospital, nursing home,

correctional and mental health facilities throughout Montana and North Dakota!

Excellent wages and multiple bonus opportunities!

For an application or more information,Please call 406-228-9541 or visit us online at

www.prairietravelers.com

Page 16 Prairie Rose August, September, October 2012

Join One of Fortune Magazine’s Most Admired Healthcare Companies

IT’S SIMPLE. You want to work in a hospital setting where you are valued andappreciated – where you receive respect from your superiors and co-workers as wellas the patients you treat.

You want to be challenged by your job without being overwhelmed by it. You wantto play an instrumental role in helping a patient recover, sometimes against strongodds, and go home. What you want is Kindred Healthcare.

Our mission is to promote healing, provide hope, preserve dignity and produce valuefor each patient, resident, family member, customer, employee and shareholder weserve. Join us!

Kindred Hospital – Central Dakotas&

Kindred Hospital – Fargoare currently seeking:

RNs and LPNsQualifications:Graduation from an accredited RN or LPN program, current ND license as an RN orLPN and BLS certification. ACLS certification preferred.

NEW GRADS WELCOME! We offer competitive compensation while working with a healthcare leader! To apply, please visit us online at jobs.kindredhospitals.com.

www.KindredHospitals.comKindred is dedicated to Hope, Healing and Recovery. EOE

… WHAT TO SAY WHEN ASKED ABOUT ADOPTION.Learn best adoption practices allowing you to better servethose experiencing an unintended pregnancy. The InfantAdoption Training Initiative enhances understanding andknowledge about current adoption practice, laws, birth fathersand referral strategies.

NOW WE KNOW

For training dates and locations, and for quick and easy online registration, simply visit our Web site at www.infantadoptiontraining.org or contact us at 1.888.201.5061.

“All of the information was very beneficial.Thank you for the program.”

This project is funded through the Children’s Bureau of the U.S. Department of Health and Human Services.

–Director of Nursing

PATIENT CARE IS YOUR PRIORITY.

Protecting Your Future Is Ours.

You’re a nurse because you care. You always think of others first. Now it’s time to think about yourself. A malpractice claim could possibly ruin your career and your financial future. Set up your own malpractice safety net.

• You need malpractice insurance because . . . - you have recently started, or may soon start a new job. - you are giving care outside of your primary work setting. - it provides access to attorney representation with your best interests in mind.

- claims will not be settled without your permission.• ANA recommends personal malpractice coverage for every practicing nurse. • As an ANA member, you may qualify for one of four ways to save 10% on your premium.

This is your calling. Every day you help others because you care. You’re making a difference. Personal malpractice insurance helps protect your financial future so you can go on making a difference

800.503.9230 for more information • proliability.com

55867, 56738, 56739, 56737, 56736, 56734, 56735, 56733, 55923, 55920, 55911, 55899, 55893, 55876, 55873 (8/12) ©Seabury & Smith, Inc. 2012

Administered by Marsh U.S. Consumer, a service of Seabury & Smith, Inc. Underwritten by Liberty Insurance Underwriters, Inc., a member company of Liberty Mutual Group, 55 Water Street, New York, New York 10041. May not be available in all states. Pending underwriter approval.

AR Ins. Lic. # 245544, CA Ins. Lic. # 0633005 d/b/a in CA Seabury & Smith Insurance Program Management