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By Jacqueline J. Hill, PhD, RN

If you don’t like something change it; if you can’t change it, change the way you think about it. ~Mary Engelbreit

As we approach the end of the year, there is much that has occurred and more importantly, much to be done. In the last Pelican News, I shared with you the changes that have occurred at the national level with ANA, specifically the outcome of transformational bylaws. Since there were no major changes in the biennial bylaws, I will not bore you by sharing them in this issue. What’s more important is the direction LSNA is going.

In October, I was invited to speak at the Louisiana Association of Student Nurses (LASN) convention in New Orleans. In attendance at the faculty luncheon were some of the officers of LASN. My topic was “The Relevance of LSNA.” In my presentation, I framed my message using Race for Relevance: 5 Radical Changes for Associations by Harrison Coerver and Mary Byers. Some of the changes that have occurred at the national level are:

• HouseofDelegatesreplacedwithsmallerMembership Assembly

• ReducedsizeofANABoardfrom17to9• DissolutionoftheConstituentAssemblyand

Congress on Nursing Practice and Economics• Institutingmulti-stateassociations&shared

services• TechnologyPlatform• FocusedProducts&Services

Similar to the issues ANA, LSNA is experiencing the following:

current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

21st Annual Convention of the Academy of Medical-Surgical Nurses

Page 5

District News - Lafayette DistrictLegacy of a Leader

3

Vol. 68 • No. 4December 2012

Circulation 69,000 to all Registered & Licensed Practical Nurses in Louisiana

THE OFFICIAL PUBLICATION OF THE LOUISIANA STATE NURSES ASSOCIATION

Inside

Inside this issue . . . .

LSNA President’s Message . . . . . . . . . . . . . . . . . . 1

LSNAExecutiveDirector’sMessage . . . . . . . . . . 2

Vacancy on LSBN . . . . . . . . . . . . . . . . . . . . . . . . . .3

How to Work with Stress and Challenging Emotions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Nightingale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

LouisianaNursesFoundation . . . . . . . . . . . . . . . . .7

Continuing Nursing Education Corner . . . . . . . . . .8

CNE Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

DidYouKnow . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Call for Nominations . . . . . . . . . . . . . . . . . . . . . .10

Call for Poster Presentation Abstracts . . . . . . . . .10

Health Care Updates . . . . . . . . . . . . . . . . . . . . . . .12

DistrictNews . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Save the Date2013 Nightingale Gala

Saturday, February 16, 2013Crowne Plaza, Baton Rouge, LA

(Details inside or www.lsna.org under Important News!)

Nurse Day House of Delegates Friday, April 26, 2013 Friday & Saturday, April 26 & 27, 2013

LSNA President’s Message

Jacqueline J. Hill

• Stagnantmembership• Outdated,andinefficientgovernancestructure• Insufficientfundsforreinvestmentingrowth

opportunities• Substandardtechnology

In maintaining the relevance of the association LSNA, the next steps involve:

• StrategicPlanning• Informationalsessionswithmembership• BylawChanges• Revampingorganizationalstructureofassociation• Planningfor2013HouseofDelegates

So, how does LSNA remain relevant to the modern day nurse?

• Changewiththetimes• Findoutwhattheirneedsare• Provideresources/information• Continuetoadvocateforthematthedecision-

making table(s)• Increasediversity• Provideopportunitiesformentoring

With this new and improved LSNA, belonging is important! More nurses belonging to LSNA…

• Gives additional power to the association whenspeaking in front of the Legislature and other regulatory bodies

• ProvidesadditionalfundsforLSNAtodoworkonbehalf of the profession

• Puts nursing in a position to direct health care policy versus reacting to it

At the end of the presentation, I asked for input from the audience. One of the major recommendations was to have a state convention for all registered nurses,

LSNA President’s Message continued on page 2

• Pelican News December 2012, January, February 2013

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.lsna.org

5713 Superior Drive, Suite A-6Baton Rouge, LA 70816

P: 225-201-0993 F: 225-201-0971Toll Free: 800-457-6378

www.lsna.org

Board of DirectorsPresident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JACQUELINE HILLPresident-Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CAROL TINGLEVice President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DIANE WEBBSecretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PATRICIA LaBROSSETreasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEBRA SHELTON

Chairs of Committees and CouncilsResolutions and Bylaws . . . . . . . . . . . . . . . . . . . . . NORLyN HyDEHealth Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .LISA DEATONContinuing Education . . . . DEBRA SHELTON/NANCy DARLANDMembership . . . . . . . . . . . . . . . . . . . . . . . . . . VICTORIA JOHNSONWorkplace Advocacy . . . . . . . . . . . . . . . . . . . . . . . DEBORAH FORDClinical Practice Council . . . . . . . . . . . . . . . . . . . LESLIE NORMANEducation Council . . . . . . . . . . . . . . . . . . .CyNTHIA PRESTHOLDTLeadership/Management Council . . . . . . . . . MELISSA STEWARTResearch/Informatics Council . . . . . . . . SUSAN STEELE-MOSESImmediate Past President . . . . . . . . . . . . . . . . . . . .DENISE DANNAStudent Representative . . . . . . . . . . . . . . . . .LEONARD D. JONES

District Presidents01 Alexandria. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STACy MAyEUX02 Baton Rouge . . . . . . . . . . . . . . . . . . . . . . . . . . . PAULETTE FAUL03 Northshore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LIZ MCHUGH04 Lafayette . . . . . . . . . . . . . . . . . . . . AFRICA BLACK-DAUPHINEy05 Lake Charles . . . . . . . . . . . . . . . . . . . . . . . . . . . ANETHA CRAFT06 Monroe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EMILy DOUGHTy07 New Orleans . . . . . . . . . . . . . . . . . . . . . . . . . . . . MARIE ADORNO08 Ruston . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CAROL OWENS09 Winnfield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VACANT10 Shreveport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RENEE SOWELL11 Tangipahoa . . . . . . . . . . . . . . . . . . . . . . . . . . . . CHARLES DyKES12 Bayou. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LINDA SONGy13 Feliciana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VACANT

LSNA OFFICE STAFFMonday-Friday

(9:00 a.m. – 4:00 p.m.)CALL FOR APPOINTMENT

Executive DirectorRita J. Finn, RN, MSN

[email protected]

Program Coordinator CNE Coordinator / Office Coordinator Carol Cairo, RN Jennifer Newman, B.A. [email protected] [email protected]

Membership VolunteerKaren Loden

[email protected]

Article Submission• SubjecttoeditingbytheLSNAExecutiveDirector• ElectronicsubmissionsONLY as an attachment (word or pdf)

• Email:Subject Line: Pelican News Submisson: Name of

the Article• Mustincludethenameoftheauthorandatitle.• LSNAreservestherighttopulloreditanyarticle/news

submission for space and availability and/or deadlines.• Ifrequested,notificationwillbegiventoauthorsoncetheFINAL

draft of the Pelican has been submitted.• LSNAdoesnotacceptmonetarypaymentforarticles.

Articlesubmissions,deadlineinformationandallotherinquiriesregarding Pelican News please email: Managing Editor: Jennifer Newman at [email protected]

2013 Article Submission Dates(submissions by end of the business day)

January 11, 2013April 12, 2013July 12, 2013

October 11, 2013

Advertising

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, [email protected]. LSNA 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 Louisiana State 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. LSNA 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 LSNA or those of the national or local associations.

Louisiana Pelican News is published quarterly every March, June, September and December and is the official publication of the Louisiana State Nurses Association, a constituent member of the American Nurses Association.

LSNA Executive Director’s Message

Rita J. Finn

Rita J. Finn, RN, MSN, Executive Director

I can hardly believe I have had the honor of serving as the Executive Director of LSNA forjust over a year, it is difficult to remember not being involved on this level with LSNA. This time has been one of the most memorable and enjoyable of my career. Meeting with nurses from across the state, and across the country, while having the opportunity to share with them not only our commitment to nursing but to hear firsthand the visions, hopes, and concerns for our profession from nurses of every generation, ethnicity, gender, and every avenue of nursing practice has been the most incredible experience. I look forward to many more such conversations in the future.

What Ididnot realizecoming into thisposition,was thedramatic restructuring of the national organization thatwouldoccurat theANAHouseofDelegates in June.ANAapproached these changes with great deliberation to position ANA, and in-turn the state organizations, on a new andmore secure path leading to the future. Many, many hours of research, consideration, and education occurred before these changes were approved by the delegates at that historic House in June. The impetus for this transformation was broughtabout by the book, “Race for Relevance” by Coerver and Byers.Theauthorsrecommendorganizations,suchasANA,will need to find new and dynamic ways to increase their relevance to members in today’s technologically advanced and fast paced world.

TheHouseofDelegatesapprovedthenewtransformationalbylaws, and set in motion the most radical changes in ANA’s longhistory.TheoverridinggoalistomakeANAandin-turnthestateorganizationsmoreflexible,effective,andtimelyinmeeting the needs of the members.

It is an exciting time to be a member of LSNA, a time when LSNA needs your support and talent to shape our state organization into an influential and vibrant voice forprofessional nursing in Louisiana. The work of transforming our state association has already begun. The Strategic Planning committee has met and is in the process of laying the foundation for the LSNA of tomorrow. Some of the initiatives being considered include a re-structuring of theLSNA board of directors, to help improve the efficiency of the organization. Also, we have been in meetings withseveral other southern states to consider the option of joining

in aMulti-StateDivision,whereby each statewill retain itsindividuality or “brand”, but would share some services with the other states in our division in an effort to improve services toourmembersanddecreaseorganizationalcost.Wewillbeupdatingour InformationTechnology services early in 2013and are currently in the process of updating our phone and internet technology at the state office. These are just a few of the upcoming changes the LSNA board is considering. All of these changes will be decided by the votes of the LSNA membershipattheApril2013House.Pleaseknowthatmuchmore information will be made available on all these issues in the next several months. The information in this article is a very broad overview of the potential changes under consideration.

So you can see, we need you! This is a critical time for LSNA and every thought and idea you bring to the discussions will enrich the decisions made about LSNA and guide us toward a long and successful future. Our state House of DelegateswillbeheldinApril2013andthereareanumberof board positions open. Please consider running for one, or consider membership on one of LSNA’s committees. There are so many ways to become active in your professional organizationandgivebacktotheprofessionthatgivesyousomuch.

On behalf of the LSNA board of directors, and staff, may you know joy and gladness in this beautiful season and find contentmentandpeaceintheNewYear.

LSNA President’s Message continued from page 1

regardless of specialty, to meet and discuss issues relevant to nurses as a whole. While the group appreciated what the Link to the Legislature and the Nurse Summit offered, they thought that a convention would unify the profession. Another idea suggested was combining the conventions of LASN and LSNA into one. According someof thehistorians in theorganization, thatwasdonein years past. Maybe it’s something we should give serious consideration. Please keep the ideas coming. Send me your questions, comments or concerns at [email protected]. One final quote about change…

God grant me the serenity to accept the people I cannot change, the courage to change the one I can, and the wisdom to know it’s me. ~Author Unknown

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December 2012, January, February 2013 Pelican News •

For the following positions:

The term of the following member of the Louisiana State Board of Nursing will expire on December 31, 2012:

• Demetrius Porche, DNS, APRN, PH.D, FNP who serves in a position dedicated to the area of Nursing Education, as set forth in La. R.S. 37:914(C)(1)(b). Dr. Porche is eligible forreappointment to a second term.

In accordance with the requirements of La. R.S. 37:914 and La. R.S. 37:916 the Louisiana State Nurses

Vacancy on Louisiana State Board of Nursing

Call for Nominations!Association submits the names of qualified applicants for each Louisiana State Board of Nursing vacancy to the Governor. The Governor then selects one person forappointment.

Louisiana Revised Statutes 37:916 A (1-4) state thequalifications for each member of the LSBN:

1) Be a citizen of the United States and a residentof Louisiana for one year immediately prior to appointment.

2) Hold a current, unencumbered, unrestricted Louisiana license to practice as a Registered Nurse.

KIDS LOVE THE TASTE!Milk provides nutrients essential for good health and kids drink morewhen it’s flavored.

NINE ESSENTIAL NUTRIENTS!Flavored milk contains the same nine essential nutrients as white milk - calcium, potassium, phosphorus, protein, vitamins A, D and B12, riboflavin and niacin (niacin equivalents) –and is a healthful alternative to soft drinks.

HELPS KIDS ACHIEVE 3 SERVINGS!Drinking low-fat or fat-free white or flavored milk helps kids get the 3 daily servings* of milk and milk products recommendedby the Dietary Guidelines for Americans.

BETTER DIET QUALITY!Children who drink flavored milk meet more of their nutrient

needs; do not consume more added sugar or total fat; and are notheavier than non-milk drinkers.

TOP CHOICE IN SCHOOLS!Low-fat chocolate milk is the most popular milk choice in schools

and kids drink less milk (and get fewer nutrients) if it’s taken away.

REFERENCES:1. National Health and Nutrition Examination Survey (2003-2006), Ages 2-18 years.2. Johnson RK, Frary C, Wang MQ. The nutritional consequences of flavored milk consumption by school-aged children and

adolescents in the United States. J Am Diet Assoc. 2002; 102: 853-856.3. National Dairy Council and School Nutrition Association. The School Milk Pilot Test. Beverage Marketing Corporation for

National Dairy Council and School Nutrition Association. 2002. Available at:http://www.nationaldairycouncil.org/ChildNutrition/Pages/SchoolMilkPilotTest.apx.

4. National Institute of Child Health & Human Development. For Stronger Bones…for Lifelong Health…Milk Matters! Available at:http://www.nichd.nih.gov/publications/pubs/upload/strong_bones_lifelong_health_mm1.pdf Accessed on June 21, 2011.

5. U.S. Department of Health and Human Services. Best Bones Forever. Available at: http://www.bestbonesforever.gov/ Accessed June 21, 2011.

6. Frary CD, Johnson RK, Wang MQ. Children and adolescents’ choices of foods and beverages high in added sugars are associatedwith intakes of key nutrients and food groups. J Adolesc Health. 2004; 34: 56-63.

7. American Academy of Pediatrics, Committee on School Health. Soft drinks in schools. Pediatrics. 2005; 113: 152-154.8. U.S. Department of Health and Human Services and U.S. Department of Agriculture. Dietary Guidelines for Americans, 2010.

7th Edition, Washington DC: U.S. Government Printing Office, December 2010.9. Greer FR, Krebs NF and the Committee on Nutrition. Optimizing bone health and calcium intakes of infants, children and

adolescents. Pediatrics. 2006; 117: 578-585.10. Murphy MM, Douglas JS, Johnson RK, et al. Drinking flavored or plain milk is positively associated with nutrient intake and is

not associated with adverse effects on weight status in U.S. children and adolescents. J Am Diet Assoc. 2008; 108: 631-639.11. Johnson RK, Appel LJ, Brands M, et al. Dietary Sugars Intake and Cardiovascular Health. A Scientific Statement From the

American Heart Association. Circulation. 2009; 120: 1011-1020.12. 2010-2011 Annual School Channel Survey, Prime Consulting Group, May 2011.13. Patterson J, Saidel M. The Removal of Flavored Milk in Schools Results in a Reduction in Total Milk Purchases in All Grades,

K-12. J Am Diet Assoc. 2009; 109: A97.

Reasons Why Flavored Milk Matters

*DAILY RECOMMENDATIONS – The 2010 Dietary Guidelines for Americans recommends 3 daily servings of low-fat or fat-free milk and milk products for those 9 years and older, 2.5 for those 4-8 years, and 2 for those 2-3 years.

www.nationaldairycouncil.org/childnutrition ©National Dairy Council 2011®

Adding Chocolate to Milk Doesn’t Take Away Its Nine Essential NutrientsAll milk contains a unique combination of nutrients important for growth and development.Milk is the #1 food source of three of the four nutrients of concern identified by the 2010Dietary Guidelines for Americans: calcium, vitamin D and potassium. And flavored milk contributes only 3% of added sugars in the diets of children 2-18 years.

3) Have three years of experience in the respective field of practice.

4) Be actively engaged in the practice of nursing as a Registered Nurse at time of appointment.

Foranomineetobeconsidered,allrequireddocumentsmust be received in the LSNA office by December 15, 2012. All applicants will be interviewed by the Louisiana StateNursesAssociationBoard ofDirectors at a time tobe determined. Applications are available on the LSNA website www.lsna.org or from the LSNA office.


How to Work with Stress and Challenging EmotionsBy Dave Johnstone, RN, BSN

I recently became acquainted with the story of a nurse (I’ll callher Jane)whosounded like shewas fighting forher sanity. The degree of stress she was experiencing was viscerally palpable. Jane related the following story(details have been changed to protect the privacy of all involved).

One day last week I came to work, received report from the previous nurse and felt myself teetering on the brink of having a panic attack. The nurse going off looked wrecked. She handed me the kardex. The first of my new patients needed blood hung, the next was on a heparin drip and needed a CBC drawn. Client number three needed an Epogen injection. The fourth client was a brittle diabetic with blood sugars that had been all over the place. The last two patients were more of the same. One had had a recent knee replacement who kept trying to walk without assistance and then the last client had just had a valve replacement. Later, one of our CNAs had to go home because they got clobbered with a raging stomach virus, leaving us short-staffed. That was the beginning of a shift thatended up being chaotic and exhausting... which sadly is more often the norm than the exception now.

Is stress really that bad?While you may or may not be experiencing the same

degreeof stress that Jane is, it is important toknow thatthere are ways of coping with experiences that provoke stress either in work or in life outside of work. Stress can impact an individual’s physical body, their mood and their behavior. If stress continues for longer periods of time, it may weaken your immune system and put your body at

an increased risk for: heart disease, sleeping problems, digestive problems, depression, obesity, and memory impairment. It may reduce your quality of life and may even reduce your life expectancy. On amore day-to-daybasis,thebodycangetrun-downandbegintoexperiencemuscle tension, muscle aches, headaches, and reduced psychological resilience.

With regard to an individual’s mood, stress may result in anxiety, lack of motivation, irritability, anger, sadness and depression. If left untreated these may impact relationships with friends and family, your ability to enjoy life and may adversely impact ability to care for your patients.

How is stress impacting your life?Consider the degree of stress and anxiety you

experience in the various aspects of your life right now. Sadly, many of us may know we hurt in some way from stress, but are in denial as to how it really impacts our life. Generally, people prefer not to look at this aspectof their life. There may be fear that they are “being negative” or have a belief that they have no options, so why worry about it. They may also have a fear that it will hurt more if it is looked at in depth. But by facing these challenges in a healthy manner, you create the possibility for change. I encourage you to pause for a moment, grab a pen and paper, and write down how stress and anxiety are impacting your health, behavior, mood, relationships and quality of life. Take some time to do this and then write down what is likely to happen if you continue down this road withoutmaking any changes. For some of youthe results may not be significant, but for others it could mean severe loss. If after answering the above questions, you have concern for your future, do something to address the problem. As Einstein said, “Insanity is doing the same thing, over and over again, but expecting different results.”

How can a nurse work with stress?One way to work with stress, anxiety and burnout is by

practicing mindfulness. There is a growing body of research that points to the effectiveness of this practice in working with anxiety and depression (Hofmann, Sawyer, Witt &Oh,2010).Additionally, ithasbeenmakingheadlinesfor itshealth benefits. One study found that mindfulness meditation slows the progression of HIV, others found that it can reduce the symptoms of depression, lower blood pressure and speed up healing. It has been taught to firefighters, law enforcement personnel, marines, and nurses. Anyone who experiences stress and anxiety may benefit from this simple and cost-effective practice.

How does mindfulness work?Mindfulness practice effectively supports creating a

vibrant and meaningful life because it helps an individual see more clearly what is happening in their mind and allows one to notice when their mood is going into a downward spiral. By learning to do this effectively, one can mitigate the downward spiral of emotions by dropping into present moment living. The truth is that everyone experiences pain, but not everyone experiences thesamedegreeofsufferingfromthatpain.Forexample,if two people stub their toe on a sidewalk, they may have completely different experiences of suffering. One person may practice mindfulness by focusing on the present moment sensations of the pain and emotions that come from hitting his toe and walk away limping until the pain goesaway.Forthisperson,thepainwasreal,buttheydidnot create additional suffering. Another person could stub their toe and curse their luck, bemoan that this is how the rest of theirweek is likely to go, call themselves a klutzor take out their frustration by hitting a wall with their fist. This is an extreme example, but it allows one to see that the suffering of the second individual is much greater than the suffering of the first, even though their degree of pain was the same. Because mindfulness is simple to incorporate into work and life settings and doesn’t require a lot of time, it is a powerful tool for nurses and other healthcare workers to practice.

A beginning...Mindfulness can be practiced in many different forms

and can be a simple and effective tool to use throughout life and especially when at work. The R.A.I.N acronym is often considered a helpful guide for this type of practice.

R = Recognize what is happening in the presentmoment

A = Allow your inner life to unfold just as it is

I = Investigate your experience (sensations, emotions, and thoughts)

N=Non-identifywithwhateveristhere.

The R.A.I.N acronym is a practice you can use both as a nurse on the unit or in your personal life. It is especially helpful in working with challenging emotions. Over the next few days, strive to recognize when a strong emotion is present and simply allow it to be present. Much of our stress and anxiety comes about from resisting the emotions we are experiencing. In order to investigate, it may be helpful to use questions such as: What sensations am I experiencing around this challenge? Where am I experiencing tension? What is the quality of this tension? One important point to remember with investigation is to be gentle with oneself. The investigation should have the quality of curiosity one might see a child have when she sees a bubble for the first time. It is a gentle fascination. Lastly, non-identification means that one’s sense of self is not tied to the strong emotions one may be experiencing. This allows for much greater flexibility and psychological resilience.

Dave Johnstone, RN, BSN – Dave is a psychiatricnurse, therapist, speaker, and online stress reduction workshop facilitator. He welcomes questions and also enjoys hearing from nurses about how they have skillfully learned to work with stress in the professional setting. He may be contacted at his website: www.EmbodyYourTruth.com/contact.

©DaveJohnstone,2012

Hofmann, S., Sawyer, A., Witt, A., & Oh, D. (2010).The effect of mindfulness-based therapy on anxietyand depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2),169-183.

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ResearchThe 21st Annual Convention of the Academy of Medical-Surgical Nurses

BatonRouge,LA—(October, 2012)—The21stAnnualConvention of the Academy of Medical-Surgical Nurses(AMSN) was held in Salt Lake City, Utah, in October, 2012. The approximately 700 participants included staffnurses, nurse educators, clinical nurse specialists, nurse practitioners, and administrators. A variety of topics were discussed including Sickle Cell Disease: Do you know how to care for these patients? presentedbyLeisaKelly,MS, APRN-CNS, CEN. Highlights of the presentationincluded:

• Painmanagement:UseofPatientControlledAnalgesiaandavoidanceofDemerol

• Majorcomplications:• Acute chest syndrome• Stroke• Splenic&liversequestration

• Health maintenance: Importance of the patient’songoing relationship with his/her PCP in order toensure:• Currentvaccinationsagainstinfluenzaand

pneumonia• Avoidance of situations that trigger sickle cell

crisis• Optimal eye and dental care

• Two case studies shared: How 55-year-old and26-year-oldmale sickle cell patients navigated thehealth care arena

• Vital role of the CaseManager following upwiththese patients to hopefully decrease readmissions

Leisa is the Clinical Nurse Specialist for the Medicine division at OLOLRMC. She was awarded a research grantfromAMSNin2011.Herpersonal interests includeemergency,medical-surgical nursing, and the care of thegeriatric patient. The information on sickle cell disease was well received.

SandyWadeMNAPRN-CNSandAngelaDykesBSN,RN presented Creating a healing environment: Bridging the gap between traditional and complementary therapy. The speakerswereco-investigatorsona researchproject,funded by the DAISY Foundation, which tested theeffects of music and white noise on postoperative patients’ perceptions of pain, anxiety and noise. The study found that:

• Bothinterventiongroupsexperiencedadecreaseinpain, anxiety and noise perception when compared to the control.

• Bothmusicandwhitenoiseworkequallywell.• Patientswhonaturallytendtobemoreanxiousmay

also have heightened perception of pain and noise, thus requiring more vigilant management.

In addition to discussing the study, the presenters spokeoftheroleoftheRelationship-BasedCaremodelatOLOL, and described various complementary therapies being employed by acute-care staff to create a healingenvironment. These include prayer; Healing Touch; Reiki; massage with aromatherapy; lymphedema massage therapy; creation of a multisensory environment for pain management with a device called a Snoezelen©;

meditation and relaxation videos on the GetWell patientTV network; and gestures honoring the sacredness of end of life, particularly in the case of organ donation. Multiple complementarymodalities are also utilized in behavioralhealth,theoutpatientCancerFitprogramandatthePACEday care facility for the elderly.

Sandy is the post-surgicalClinicalNurse Specialist atOLOLRMC. Her special interests are cardiac care, pain management and care of the elderly. Angela is pursuing her Nurse Practitioner degree at Southern University, with graduation scheduled for December, 2012. Their sessionreceived many positive comments; and participants were extremely interested in some the complementary therapies beingutilizedatOLOL.

Utilizing Nursing Theory to Improve Patient SatisfactionHolly Delatte, APRN, MSN, BC andRosalind Albarado, RN, MN, CMSN

Our Lady of the Lake Hospital, Baton Rouge, La.

In today’s healthcare, it seems that the only persistent constant is change. The use of nursing theory enabled our unit to not only implement change, but to embrace it with a caring and compassionate attitude for the patients, families and staff with the goal of improving patient and staff satisfaction. In order to incorporate theory into daily practice, it is important for the bedside nurse to be familiar with theory and how it can be applied. Theory needs to be practical and doable for the nurse delivering care for patients and families.

Nursing at Our Lady of the Lake Regional Medical Center chose Jean Watson’s Caring Theory to guidenursing practice. “Upholding Watson’s Caring Theory, not only allows the nurse to practice the art of caring, to provide compassion to ease patient’s and families suffering, and to promote their healing and dignity but it canalsocontributetoexpandthenurse’sownactualization(Cara, 2003, p. 51).” The major elements of Watson’stheory are the transpersonal caring relationship and the caring moment, demonstrated in ten clinical caritas processes:1)practiceof lovingkindnessandequanimity;2) being authentically present; 3) cultivation of one’s own spiritual practices and transpersonal self; 4) developing and sustaining a helping-trusting authentic caringrelationship; 5) being present to, and supportive of the expression of positive and negative feelings; 6) creative use of self and all ways of knowing as part of the caring process; 7) engaging in genuine teaching and learning,attempting to stay within others’ frames of reference; 8) creatinghealingenvironmentonphysicalandnon-physicallevels;and10)openingandattendingtospiritual-mysteriesand existential dimensions of one’s own life and that of the onebeingcaredfor(Watson,2001,p.347).

Our nurses were familiar with Jean Watson’s CaringTheory, but viewed theory as required information learned in nursing school and not a usable component of daily nursing care. The team was challenged to learn

the components of Watson’s theory and devise methods to incorporate its basic principles into their practice. A monthly education process for the theory was initiated during the unit shared governance council meetings. The theory was divided into phases and the staffs learned and discussed its components and how they could be integrated into the daily care of our patients. Team members developed a form that encouraged staff to document their or a team member’s use of Watson’s Theory in everyday practicethroughaninitiativecalled“JeanWatson’sCaringMoments.” During the monthly staff meeting the JeanWatson Caring Moments forms are read; and a token of appreciation is given to a selected team member from all the caring moments for the month. As a result of this time of sharing, the staff now has an increased awareness of the importance of self-care through the application ofJeanWatson’sTheory.Recognitionofselfaswellaseachother performing a “caring moment” has been positively received by all.

In conjunction with the “Caring Moments” the unit also implemented a program called “Take 5.” Every shift, each staff member is to choose one patient to sit 5 minutes to truly be with the patient. It is a time of listening, sharing, praying, offering support or encouragement and getting to know the patient. The impact of this small portion of time has allowed patients that one to one connection without hurriedness from the staff and enhances the trusting and caring relationship. The patients have responded positively to these times, and commenting on the staff’s caring attitude and how meaningful it is for us to take time to be with them. Team members have shared that they also enjoy the time with the patients and that it has helped them to individualizetheircare.

Our staff enthusiastically embraced these two initiatives which have resulted in improve patient satisfaction scores on phone surveys above 95% as wellstaff satisfaction. Team members also have voiced positive comments about these two initiatives making theory a usableresourceandhavingapositiveimpactontheirday-to-dayinteractionswithpatients.

ReferencesCara, C. (2003). A Pragmatic View of Jean Watson’s

Caring Theory. International Journal for Human Caring, 7,51-60.

Watson, J. (0.2001). Jean Watson: Theory of HumanCaring. In M. E. Parker, Nursing theories and nursing practice(pp.343-354).Philadelphia:Davis.

Watson, J. (1988). Nursing: Human science and human care. A theory of nursing.NewYork:NationalLeagueof Nursing.

Registered Nurses (RN) • Licensed Practical Nurses (LPN) Advanced Practice RN (APRN)

State Board of Nursing

DISCIPLINARY ACTIONor

ALLEGED NURSING VIOLATIONOffering STATEwIDE ASSISTANcE to ALL Nurses

(225) 769-4715Robert S. Patriquin, RN, JD

Nurse/Attorney • BatonRouge,LA • email:[email protected]

The University of Arkansas – Fort Smith, located on a modern campus in the state’s second largest city, is part of the University of Arkansas System and currently enrolls approximately 7,300 undergraduate students. The College of Health Sciences is one of the largest suppliers of healthcare professionals in the state.

ExEcutivE DirEctor: School of NurSiNgThe successful candidate will be responsible for the administration of the nursing programs in the Carolyn McKelvey Moore School of Nursing. Requires a master’s degree in nursing; plus a doctorate or a doctorate near completion, in nursing or a related field; teaching experience at the university level; knowledge of curriculum and the nursing accreditation process; and administrative experience at the university or corporate level. Must hold or obtain licensure as a registered nurse in the State of Arkansas. Rank and salary will be commensurate with qualifications and experience, with appointment expected at a minimum rank of associate professor. Competitive benefits package available.

For additional information and application procedure, visit our website at: www.uafs.edu or contact: UAFS, Human Resources, 5210 Grand Avenue, Fullerton Admin. Building, Room 239, P.O. Box 3649, Fort Smith, AR 72913-3549.

Telephone: 479-788-7088 • E-mail: [email protected]/EOE


The Nightingale Awards Gala will be on Saturday, February 16, 2013 at the Crowne Plaza Baton Rouge. Our website has hotel information on the Nightingale ticket flyer


Louisiana Nurses FoundationJoe Ann Clark Graduate Nursing

Education Award Launched!Cynthia Prestholdt, RN, PhD, Chair;

LNF Scholarship & Awards Committee

The Louisiana State Nurses Association offered this monetary award for the first time this fall to honor Dr.JoeAnnClarkforherdistinguishedcareerinprofessionalnursing in Louisiana. Dr. Clark exemplifies the highestvalues of the nursing profession and is recognized forher significant contributions in nursing leadership and education.

The goal of this award is to provide financial support to a Louisiana registered nurse pursuing graduate education for preparation as a nurse educator in an academic environment. The award is made on a competitive basis to professional nurses enrolled in an accredited graduate nursing program. Recipients may receive this award one timeonly.Theawardthisyear isfor$1,000.This award will be offered on an annual basis when possible. Announcements were made on the LSNA website (www.lsna.org), via email messages to all Louisiana schools of nursing deans and department heads of graduate nursing programs, and by LSNA Board members wherever possible. Information and application forms were posted on the LSNA website in September with an application deadline of November 29, 2012. The most deservingrecipient will be selected based on the established criteria and potential commitment to ongoing contributions to the nursing community. All applicants will be notified of the LNF Scholarship and Awards Committee’s decisionin a timely manner. The award will be given for Spring, 2013 academic expenses. Financial arrangementswill bemanagedthroughtheLouisianaNursesFoundation(LNF).

The recipient will agree to provide academic progress updates and upon program completion, provide data on employment and related professional activities for two years following the award.

Applicant qualifications included possession of a current, unencumbered Louisiana RN license, and verification of Louisiana residency. Only students pursuing a nursing education track and having a nursing education focus to qualify them as nursing faculty in Louisiana may apply.Applicantsmust be unconditionally admitted/fully matriculated in a Louisiana based graduate nursing program that is nationally accredited by the NLNAC or CCNE. They must evidence a cumulative grade point average(GPA)of3.0(ona4.0pointscale)onallgraduatecoursework as reflected on an official academic transcript. They must have demonstrated competence in graduate studyasevidencedbysuccessfulcompletionof9graduatehours of course work OR may apply during the semester while enrolled and completing the first 9 graduate hours–withverificationofatleast3.0cumulativeGPAatcloseof term, prior to receipt of the award. Requirements also included provision of dates of beginning graduate study, along with projected date for degree completion. Formsposted on the LSNA website included a Biographical Narrative, Funding History/Financial Resources, and a Personal Statement along with a Scholarship Application Checklist.

LSNA is pleased to offer this award to support Louisiana professional nurses seeking a graduate degree, and to thereby assist in providing qualified nurse faculty to continue our state’s legacy of quality nursing education.

2012 LNF Woodard Nursing Scholars

AnnouncedCynthia Prestholdt, RN, PhD, Chair

LNF Scholarship & Awards Committee

DuringAugust2012,thefourth annual round of Mollie C. and Larene B. Woodard Nursing Scholarships for Louisiana undergraduate nursing students was completed. Announcement and scholarship application information wasmadeavailableon theLSNAwebsite inSpring2012with an application deadline of June 15, 2012. Mr. E.ScottWoodard again generously donated $75,000 to theLouisianaNurses Foundation for the 2012 awards.Therewere 50 applicants this year, with ten students fromaround Louisiana receiving awards. These scholarships provide $5,000 per year for academic expenses duringeach student’s remaining enrollment in clinical nursing courses. Continued academic eligibility is verified at the completion of each term until graduation. Hearty congratulations to the 2012 scholarship recipients and tothe schools of nursing they represent:

Kelsea K. Bice and Bryan B. wagar -OurLady ofHoly Cross College; Elizabeth Ann G. Broussard and Tara Huber – McNeese State University; Amber Lynn chauffepied – LSU Alexandria; Julia Ann Donahue, Ngoc T. Huynh, Leonard D. Jones – LSU Health Science Center; Krystal J. Hills–DillardUniversity;andKrystal w. Hunt – Louisiana Tech University.

During preceding years, 35 additional Louisiananursing students have received scholarships. The following summarizes the status of each of the three foregoingWoodard Nursing Scholarship groups:

2009: ALL 15 students of this initial group hadgraduatedbySpring,2012!

2010:Among the 12 students in this group, the last 3studentswillgraduatebyDecember,2012.

2011: Among the 8 students in this group, the last 4 studentswillgraduateinSpring,2013.

During the past four years, Mr. Woodard hasgenerously donated a total of $350,000 for scholarshipawards to 45 Louisiana undergraduate nursing students – and has thereby provided a significant legacy of support for professional nursing in our state. Merci Beaucoup, Mr. Woodard!

Gratitude is again expressed for the expertise, tirelessdevotion, conscientious and objective evaluation efforts of the all-volunteer LNF Scholarship & Awards Committee (formerly entitled: LNF Woodard Nursing Scholarship Selection Committee):CatherineCormier,DeborahFord,CarolGordon,MaxineJohnson,BarbaraMoffett,andAnnWarner. Carol Tingle (LNF President) & Debra Shelton(LSNATreasurer) serveex-officio.LSNAstaffmembers,Rita Finn, Carol Cairo, and Jennifer Newman have alsocontributed much to the efficient processing of all these scholarships.

SHOW PRIDE IN YOUR PROFESSIONAND SUPPORT THE

&Monies collected from the plates will go the Louisiana Nurses Foundation

to support nursing interests and continuing education.The cost of the plate is $50.00 above the normal renewal fee for your vehicle.

This is for a two year period.

To order:• On Line: www.expresslane.org.

o Go to Vehicle Services: Specialty Plates• By Phone: Special/Dealer License Plate Unit: (225) 925-6371 or 1-225-925-6146 for

assistance.• In person: (Baton Rouge) go directly to the Department of Motor Vehicles on Public

Safety Road just off Independence Blvd.Be sure to:

• Please be sure that you have properly titled and registered the vehicle in your name.• Have your current registration available to enter and verify vehicle information.• Special Plates can be issued to automobiles, trucks up to 10,000 lbs., and private

buses (motor homes). Some Special Plates are also available for issuance to motorcycles.

o Special plate fees calculated on the site are valid for regular license plates only.


ByNancy Darland, RN, BC, MSN, CNS, APRN

Chair, LSNA Continuing Education Committee

Nurse Peer Review Leader for Providers

Dr. Debra Shelton, EdD, APRN-CNS,NE-BC, OCN, CNE

Nurse Peer Review Leader for Individual Educational Activity

Providers of continuing nursing education frequently have questions related to theANCC/LSNA standards forcommercial support, conflict of interest, co-providership,and commercial entities. Content integrity of the educational activity must be maintained in the presence of commercial support or sponsorship. The provider developing the educational activity is responsible for ensuring content integrity.

commercial Interest, as defined by ANCC, is any entity producing, marketing, re-selling, or distributinghealthcare goods or services consumed by, or used on, patients, or an entity that is owned or controlled by an entity that produces, markets, re-sells, or distributeshealthcare goods or services consumed by, or used on, patients. Non-profit or government organizations, non-health care related companies and health care facilities are notconsideredcommercialinterestorganizations.

commercial support is financial or in-kindcontributions given by a commercial interest that are used to pay for all or part of the costs of a CNE activity. Providers of commercial support may not be providers or co-providersofaneducationalactivity.

Sponsorship is financial or in-kind contributionsfrom an organization that does not fit the category of acommercial interest and that are used to pay for all or part of the costs of the CNE activity.

Money for exhibit space is not considered commercial supportor sponsorship.Sponsorship is anon-commercialactivity. Organizations providing commercial support orsponsorship may notprovideorco-provideaneducationalactivity and may not participate in any component of the planning process of an educational activity.

Potential for conflict of interest exists when an individual has the ability to control or influence the content of an educational activity and has a financial relationship with a commercial interest organization,the products or services of which are pertinent to the content of the educational activity. The Nurse Planner is responsible for evaluating the presence or absence of conflict of interest and resolving any identified actual or potential conflict of interest during the planning and implementation phases of an educational activity. If the Nurse Planner has an actual or potential conflict of interest, s/he should recuse her/himself from the role asNurse Planner for the educational activity.

All individuals having the opportunity to influence content must be evaluated for potential conflicts of interest. A representative must assess the nurse planner’s bio form for potential conflict of interest. The nurse planner then assesses all other planning committee members’ and presenters’ bio forms for potential conflict of interest.

Relevant Relationships as defined by ANCC, are relationships that are expected to result in financial benefit from a commercial interest organization the productsor services of which are related to the content of the educational activity. If no relevant relationship with a commercialinterestorganizationexists,thennoresolutionis required.

If a relevant relationship with a commercial interest organizationexists, this relationshipwith the commercialinterestorganizationisevaluatedbytheNursePlannerand

may be determined to not be specific to the content of the educational activity. If this is the case, then no resolution is required. If a relevant relationship with a commercial interestorganizationdoesexistanduponevaluatedbytheNurse Planner is determined to be specifically related to the content of the educational activity, then resolution is required.

Resolution may be achieved by:• Removing the individual with conflict of interest

from participating in all parts of the educational activity.

• Revising theroleof the individualwithconflictofinterest so that the relationship is no longer relevant to the educational activity.

• Not awarding continuing education contact hoursfor a portion or all of the educational activity.

• Undertaking review of the educational activity bya content reviewer to evaluate for potential bias, balance in presentation, evidence-based contentor other indicator of integrity and absence of bias AND monitoring the educational activity toevaluate for commercial bias in the presentation.

• Undertaking review of the educational activity bya content reviewer to evaluate for potential bias, balance in presentation, evidence-based contentor other indicator of integrity and absence of bias ANDreviewingparticipantfeedbacktoevaluateforcommercial bias in the activity

Signed agreements are necessary between providers of continuing nursing education and providers of commercial support, sponsors and co-providers. Therequirementfordisclosureofoff-labelusewaseliminatedwith the 2013 criteria. However, commercial support,sponsorship, as well as any conflict of interests or lack thereof must be disclosed to the learners prior to the start of the educational activity. It is important to control bias because continuing nursing education should be designed to promote the professional practice of the registered nurse and should not be a vehicle used to sell a product or service.

ANCC’s Content Integrity Standards for Industry Support in Continuing Nursing Education Activities replaced ACCME Standards of Commercial Support. TheANCCGuidelines for EnsuringContent Integrity ofContinuing Nursing Education Activities is located on the accreditation web page at www.nursecredentialing.org.

Beginning in January2013changeswillbecoming tothe LSNA continuing education process. The Educational Design Process for providers will require furtherclarificationoftheNeedsAssessment,PurposeandGaps.ANCC’s definition of content that is eligible to award contacthoursisthecontentmustbegeneralizablebeyondthe employer setting, beyond the basic knowledge for the professionalregisterednurses,andevidence-base/basedonbest available evidence. The provider must first do a Needs Assessment. A variety of methods can be used; there is no “right way”. The method must be appropriate for your target audience. In the assessment, the provider must identify and validate a gap in knowledge, skills or practice for the target audience – which will always be an RN. The gap will drive the purpose and outcome of the educational activity.

We are recommending that providers use a GapAnalysis Tool. A gap analysis worksheet is a must for planners to use when getting started. This type of worksheet helps planners make the link between the gap, the purpose and the outcome of the activity. Here is the gap analysis worksheet:

“current state” represented the current level of practice for the intended target audience. Practice may be a variety of different types including but not limited to administrative, educational or clinical practice. The “desired state” represents the level of practice that planners would like to achieve through the educational activity. The “identified gap” represents the delta between current and desired states. Planners must then use data to determine if the identified gap is due to knowledge (doesn’t know), skill (does not know how), or practice (not able to show or do in practice) in the intended target audience. Data may be collectedby different methods which may include surveying stakeholders such as members of the target audience or content experts, reviewing quality data, analyzingdata from previous educational activity evaluations or reviewing trends in published literature. When planners have determined the basis for the practice gap, they develop the purpose for the educational activity, stated in terms of what the learner will achieve by the end of the activity,ANDhowplannerswillevaluate the outcome of the educational activity, or whether the activity achieved the purpose. These components can then be used as the basis for developing specific objectives and teaching/learning strategies for the activity.

The provider must also include the evidence in the application if it is a single individual educational activity and must be included in your activity file documentation if you are an approved provider.

Educational Planning Table will require a purpose that is learner focused, objectives that are learner oriented outcomes and content must be based on the most current available evidence. The teaching-learning strategiesshould identify methods used to cover the material. Two new rows will be added, one will be used to identify the methodsoflearnerfeedbackforeachactivity/session.Thesecond row will be for evidence-based references usedbythepresentedfordevelopingtheeducationalactivities/sessions. Evaluation should be short term or long term. The requirement to define the category of evaluation has been removed. BUT a new criterion has been established – how the evaluation data were collected to measure change in practice or nursing professional development.

The Nurse Planner is accountable for each activity and must be actively involved in the process. The requirement for having a BSN remains as well as a minimum of two individuals on the planning committee – the nurse planner and content expert. Other individuals can be on the committee – representative of the target audience, other content experts, faculty, or a member. The Nurse Planner mustdocumentontheBiographicalDataForm/ConflictofInterests that they have assessed for conflicts of interest. Another planning committee member will need to make the same assessment for the Nurse Planner.

Our plan is to have forms and instructions on the web inDecember.We recognize this processwill need to bephased in January. Awebinar will be held for providersearly in the year.

References:2013 ANCC Primary Accreditation Application Manual

for Providers and ApproversChappell, Kathy. (June 12, 2012). June Update for

Accredited Providers. (Letter) “Conflict of Interest, Commercial Support, Sponsorship”

Webinar(2012)byKathyChappell,MSN,RN,DirectorANCC Accreditation Program

CONTINUING NURSING EDUCATIONORNER

current State Desired State Identified Gap Gap due to Knowledge, Skills or Practice Purpose Outcome Measure


Did you know…?❖ ANA’s website, offers valuable resources to our members

• FREE:ANA’sOnlineContinuingEducationgivesyoueasyaccess to thehighestquality issue-basedand clinical CE topics. Whether you’re looking to advance in your career, understand new laws and regulations, or simply keep your license and certification up to date, ANA has CE that will help you meet your goals while improving your patients’ outcomes.

• Please log in to ANA’s website, http://www.nursingworld.org/, for access to many exclusive features and services for members. This includes access to your special MyANA page where you can change your profile, print your Member card, link to your state association site, access your special ANA groups and ANA NurseSpace.org and much, much more. Check out ANA’s Member Value Program! If you need help finding your login information, please contact the ANA Membership Department at 1-800-923-7709.

• Update needed to your LSNA membership information? Follow these simple steps…1. Goto:www.nursingworld.org2. Clickon:MYANA(tabintopleftcornerofthebluebar)3. LOGIN–ifyoudonothavealogininnameyetitisfreetoregister.4. Click on: Modify Profile5. Update with new information6. Click on: Update Profile

❖ Pelican News, LSNA’s quarterly news publication, goes to every RN in the state.• If you are not receiving the Pelican News and are an RN, please make sure your address is up to date

with LSBN. • Gotoservicesathttp://www.lsbn.state.la.us/orcall225-755-7500.

• Anyone may submit an article to be reviewed for possible publication. Please check out page 2 of the Pelican or go to our website, lsna.org, for information on how to submit an article.

• 2013ArticleSubmissionDEADLINES (submissions by end of the business day):

January 11, 2013 April 12, 2013 July 12, 2013 October 11, 2013

❖ cruise, every year LSNA combines learning with fun in the sun on the way to cozumel, Mx.• See website for more details!

❖ continuing Nursing Education

• Louisiana State Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing Nursing Education (CNE) Activities

– Those learning activities intended to build upon the educational and experiential bases of the professional RN for the enhancement of practice, education, administration, research, or theory development, to the end of improving the health of the public and RNs pursuit of their professional career goals.

Individual Educational Applicant (wait Time: 60 Days)isdefinedas an individual,organization,orpartof anorganization submittinganeducational activity for approval

from an Accredited Approver (LSNA). Those interested in submitting a CNE activity for approval from an Accredited Approver must complete the eligibility verification process and meet all eligibility requirements.

Must have a minimum of one Nurse Planner:A currently licensed RN with a baccalaureate degree or higher in nursing who is actively involved in all aspects

of planning, implementation, and evaluation of each CNE activity. The Nurse Planner is responsible for ensuring that appropriate educational design principles are used and processes are consistent with the requirements of the ANCC Primary Accreditation Program.

Individual Activity Applicants:Must have a clearly defined process for assessing needs as the basis for planning, implementing, and evaluating

CNE. CNE activities are designed, planned, implemented, and evaluated in accordance with adult learning principles, professional education standards, and ethics.

Please download forms on the website for more eligibility requirements.http://www.lsna.org/provide-cecourse.html

ANcc 2013 REVISIONS will be coming soon!LSNA keeps its continuing education application forms for both single activities and approved providers in

conformance with the guidelines of the American Nurses Credentialing Center’s Commission on Accreditation. These formsareavailableonlineandshouldalwaysbedownloadedanewbeforestartingyourapplication.GeneralDirectionsmay be found on the first page of the Application.

*LSNA asks that all instructions and documents be read carefully before contacting the office with questions.*QuestionsmaybeaddressedtoJenniferNewmanatlsna@lsna.orgorbyphone225-201-0993/1-800-457-6378.

RN - Clinical Quality ConsultantThe qualified candidate will be responsible for performing accurate analysis and effective diagnosis of BRGMC and System clinical and operational issues to ensure the development and deployment of the BRGMC and System Quality Program.

Will work in collaboration with physicians, nurses, pharmacy staff and IT to achieve strategic objectives throughout the continuum of care;

Will research and analyze data and recommend appropriate measures for quality improvement efforts with 100% accuracy and demonstrate technical skill and apply expertise to facilitate the integration of operations and clinical quality improvement efforts.

LA RN Licensure Required

Other requirements: possesses excellent analytical skills, experience working in clinical informatics, proficient in Microsoft Excel and preferably Microsoft Access, self-motivated, self-directed and flexible; comfortable in a high-paced and constantly changing environment, and is proactive and results driven.

Apply online at www.BRGeneral.org or call Judi Lefebvre at 225-381-6824.

Happy Holidays

from the Board

& Staff of the

Louisiana State

Nurses Association


Call for Poster Presentation

AbstractsSubmit a poster presentation abstract in the following categories:

• EvidenceBasedClinicalPractice• NursingResearch• ThesisorDissertation• NursingLeadershiporAdministration• ScholarlyProject• PerformanceImprovement• ApplicationofEvidenceBasedPracticeThe project should directly relate to patient care, nursing

education, staff development, nursing leadership, or other aspect of nursing practice and support LSNA’s priority agenda.

Base your abstract on the submission guidelines below and submitwithacopyoftheauthors/researchersvitaeorresumeto Susan K. Steele-Moses, DNS, APRN, CNS, AOCN®,Research/Informatics Chair on or beforeFriday, February 1st, 2013 at: [email protected]

Only electronic submissions will be accepted.Youwillbe notified by email of you poster acceptance on or before February22nd2013.

SUBMISSION INSTRUcTIONSInstructions for Abstract Submission Forms

1. The complete abstract submission includes the following:a. Cover Pageb. Abstract(un-blinded)thatincludesauthorsand

authors’ affiliationsc. Blinded abstract that does not include authors and

authors’ affiliations

• CoverPageincludesthefollowing:a. Firstname,lastname,andcredential(s)ofprimary

author

2013 Link to the Legislature andLSNA House of Delegates

Call for Nominations

Call for Poster Presentation continued on page 11 Call for Nominations continued on page 11


2013 Link to the Legislature andLSNA House of Delegates

Call for Nominationsb. Primary author’s physical address, email address

and telephone number c. Firstname,lastname,andcredential(s)ofallother

authors. List each author on a separate line.

• Abstractpage(Unblinded)includesthefollowing:a. The TITLE, which should be brief and clearly

indicate the nature of the presentation. Centered at the top of the abstract and typed in CAPITAL LETTERS.

b. Firstname,lastname,andcredential(s)ofprimaryauthor;co-authornamesandcredentials.

c. BODY/TEXTwhichistobetypedsingle-spacedand should be no more than 300 words. The abstractshouldnotexceedone(1)page.

• Blindedabstractpageincludesthefollowing:a. TITLE should be brief and clearly indicate the

nature of the presentation. It is centered at the top of the abstract and typed in CAPITAL LETTERS.

b. The BODY/TEXT is to be typed single-spacedand should be no more than 300 words. The abstractshouldnotexceedone(1)page.

c. Be sure to remove all references to names and organizations within the body text that couldidentifytheauthors/investigators.

2. Organize the body of the abstract as follows:a. Non-Research Poster Presentation Abstracts

1. Purpose—What was the intent/goal of theproject? What problem was addressed by the evidence-basedsolution?

2. Description—What was the evidence-basedsolution? How was it developed and implemented? Cite the research for the evidence

3. Evaluation and Outcomes—What were the outcomes of the project? How was success measured?

4. Application to nursing practice—What are the study implications to nursing and LSNA?

b. Research Poster Presentation Abstracts1. Purpose—What was the intent or goal of the

study? What did you want to learn?2. Background/Significance—What was the

problem and why was it important? What knowledge are you building on?

3. Method—What was the design? What was the sample? What instruments were used, if any? How wasdatacollectedandanalyzed?

4. Results—What were the findings?5. Application to Nursing Practice—What are the

study implications to nursing and LSNA?

Call for Poster Presentation continued from page 10

Louisiana Public Health Association65th Annual Educational Conference

Innovation and Creativity:Moving Public Health Forward

April 11-12, 2013 • Lafayette, LANetworking – Training Sessions – CNEs

Program and registration informationwill be posted at:

www.lpha.org

Providing legal consultation to Nursing Professionals since 1988 in select licensure, employment, medical

malpractice, divorce, risk management, personal injury and business matters.

Suite 1100, One Galleria BoulevardMetairie, Louisiana 70001

Contact Jacqueline Griffith, RN, JD atTelephone: (504) 962-4272

Find a nursing career where you can become a star!


Louisiana Health Care Quality Forum AnnouncesNew Officers, Board Members

BATON ROUGE, LA—(August 24, 2012)—TheLouisiana Health Care Quality Forum has named newofficers and five new board members to its Board of Directorsfor2012-2013.

The new officers are: Ray Peters, President (Vice President of Human Resources and Marketing for RoyOMartin Lumber Company in Alexandria, La.); B.

Vindell washington, MD, MHcM, FAcEP, President-Elect (Vice President of Performance Excellence and Technology at Franciscan Missionaries of Our LadyHealth System in Baton Rouge, La.); Dionne Viator, cPA, FAcHE, Secretary/Treasurer (Executive Vice President andChiefBusinessDevelopmentOfficer atBatonRougeGeneralMedicalCenter inBatonRouge,La.); andLynn

Buggage, Member at Large (State Health Systems DirectoroftheAmericanCancerSocietyinNewOrleans).

In addition, five individuals have joined the Quality Forumboard:catherine Fairchild, JD (Attorney with the LouisianaDepartmentofTransportationandDevelopmentattorney in Baton Rouge, La.); John E. carroll, cFM, ARPc, cRPc, cSNA, AAMS (Vice President with Merrill Lynch Wealth Management in Alexandria, La.); Sandra A. Kemmerly, MD, MAcP, FIDSA (Medical Director for Quality and Safety at Ochsner HealthSystem in New Orleans); Louis R. Minsky, MD (Private Practitioner with Minsky & Carver Medical Center forPersonal Wellness in Baton Rouge, La.); and Leonard weather, Jr., MD(GynecologistinShreveport,La.).

Formoreinformation,pleasevisitwww.lhcqf.org.

About the Louisiana Health Care Quality ForumTheLouisianaHealthCareQualityForumisaprivate,

not-for-profit organization, dedicated to advancingevidence-based, collaborative initiatives to improve thehealth of Louisiana residents. Its focus areas include quality measurement and analytics, clinical quality improvement, the patient-centered medical home/carecoordination model, outreach/education and healthinformation technology IT). With regard to health IT, the Forum is the State-Designated Entity to support healthcare providers and critical access/rural hospitals as theyadopt and meaningfully use electronic health records and to lead the planning and implementation of the state’s health information exchange. Formore information, visitwww.lhcqf.org.

Health Care Updates

CMS Announces Final Rule For Stage 2 Meaningful Use

BATON ROUGE, LA—(August 23, 2012)—TheCenters for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) released today the final requirements for Stage 2 of Meaningful Use (MU) in the Electronic Health Record (EHR) Incentive Payments Program.

Under the Health Information Technology for Economic and Clinical Health (HITECH) Act, doctors, health care professionals and hospitals can qualify for Medicare and Medicaid incentive payments when they adopt and meaningfully use certified EHR technology. Morethan120,000eligiblehealthcareprovidersandmorethan 3,300 hospitals have qualified to participate in theprogram and receive an incentive payment since it began inJanuary2011.

The Louisiana Health Care Quality Forum, a private,not-for-profit organization, is the state’s designated entityfor the administration of the Louisiana Health Information Technology (LHIT) Resource Center, which serves as the state’s Regional Extension Center. The LHIT Resource Center is currentlyworkingwithmore than 1,200 healthcare providers and nearly 30 critical access and ruralhospitals as they adopt and meaningfully use EHRs. To date, the Resource Center has assisted providers in applying for and receiving approximately $26 million in Medicare and Medicaid EHR incentive payments.

Nadine Robin, Health Information Technology Program

Manager for the Quality Forum, says, “As we moveforward, the LHIT Resource Center is poised to continue supporting providers in meeting these new requirements of meaningful use so that they can continue to receive Medicare and Medicaid incentive payments.”

The incentive payment program is divided into three stages.

Stage 1 sets the basic functionalities EHRs must include such as capturing data electronically and providing patients with electronic copies of health information.

Stage 2, whichwill begin as early as 2014, increaseshealth information exchange between providers and promotes patient engagement by giving patients secure online access to their health information.

Stage 3 will continue to expand MU objectives to improve health care outcomes.

The newly released requirements for Stage 2 must be met by hospitals and providers in order to receive incentive payments in the second stage of the program. These requirements ensure that Stage 2 will begin as early as 2014, with no provider required to follow thembefore 2014. The new rules also outline the certificationcriteria for the certification of EHR technology so eligible professionals and hospitals may be assured that the systems they use will work, help them meaningfully use health information technology and qualify for incentive payments.

In addition, the new requirements modify the certification program to streamline the process and allow current “2011 Edition Certified EHR Technology” to beuseduntil2014.

FormoreinformationabouttheLHITResourceCenterand its services, visit www.lhcqf.org. A fact sheet on CMS’s final rule and more information about the EHR incentive program is available at www.cms.gov.APDFofthe rule can be found at www.ofr.gov. To review ONC’s standards, implementation specifications and certification criteria for EHR technology, visit www.healthit.gov.

About the Louisiana Health Care Quality ForumTheLouisianaHealthCareQualityForumisaprivate,

not-for-profit organization, dedicated to advancingevidence-based, collaborative initiatives to improve thehealth of Louisiana residents. Its focus areas include quality measurement and analytics, clinical quality improvement, the patient-centered medical home/carecoordination model, outreach/education and healthinformation technology (IT). With regard to health IT, the Forum is the State-Designated Entity to support healthcare providers and critical access/rural hospitals as theyadopt and meaningfully use electronic health records and to lead the planning and implementation of the state’s health information exchange. Formore information, visitwww.lhcqf.org.


District News

Lafayette District

LEGACy OF A LEADER

Effie Tanner Logan3/3/21 – 10/9/12

Acadiana and the nursing profession celebrated the life of a most courageous and wonderful colleague this past week—Mrs. Effie Tanner Logan. While she departed her earthlycareeronOctober9,2012thereisnodoubtsheisstill serving, encouraging, and mentoring others in her new

heavenly career. The world was fortunate to have had this nursing leader for 91 wonderful years, over 70 of whichwere spent as a registered nurse caring for others. True to form, she maintained an active nursing license until December31,2011toensureshewas“licensed”toprovidecare, counseling and guidance to the community and her colleagues.

Miss Effie’, as she was affectionately known in the nursing community, was a World War II veteran, serving in the Army Nurse Corps. After the war, she started her nursingcareeratSt.Anne’sInfirmary.Duringherlengthycareer, she worked at Our Lady of Lourdes, Lafayette CharityHospitalandCypressHospital.Forabriefperiodof time, she worked as a home health nurse. Miss Effie was a member of the American Legion, the American Nurses Association, the Association of Operating Room Nurses and the District IV Louisiana State NursesAssociation where she served as president from 1957 to1959.

The Louisiana State Nurses Association District IVwas fortunate to have Miss Effie as an active member for many, many years. Anytime voices were needed at the legislature to advocate for patients or our profession, she was there, and she routinely served as a District IVdelegate to LSNA's Biennial House of Delegates until2009. Miss Effie also a very active member of AORNChapter1907theAssociationforPerioperativeRegistered

Nurses. During AORN meetings no matter what thetopic—challenging issues related to patient care, difficult physicians or evolving technology Miss Effie was always willing to share her vast knowledge and experience.

Several years ago, LSNA District IV developed theEffie Logan Community Service Recognition Award to be presented at the Annual Celebrates Nursing Event. It is awarded to a student from nursing programs at either the University of Louisiana College of Nursing or Louisiana State University at Eunice. Criteria include that the recipient will graduate in May of the current years; have aminimumGPAof 3.0; provide evidence ofcommunity service activities; and have two letters of recommendation—one from a peer and one from current faculty—which address the applicant’s involvement with community service. We were fortunate that Miss Effie was there to present of the first award.

Miss Effie, a nurse’s nurse, was still demonstrating her expertise during her last hospitalization by providinginstruction and guidance to the nurses caring for her. After an episode of aspiration while trying to swallow a rather large medication, commonly referred as a ‘horse pill’, Miss Effie calmly directed the nurses on how to adjust her bed, how to use the suction and irrigation to resolve the situation. Although Miss Effie had a clear, strong

Lafayette District continued on page 14


District News

Baton Rouge District

Greetings Louisiana nurses from the Baton RougeDistrictNursesAssociation(BRDNA).Thedistrictisbackin full swing after a quiet summer with a slate of exciting programs, meetings, and upcoming end of the year elections.

In August the BRDNA opened the fall seasonwith aCE program andGeneralMembershipmeeting featuringKimberly Hendricks, RN and Lean Six Sigma BlackBelt. Her topic “Lean Six Sigma in Healthcare” featured the theory of Lean Six Sigma as a quality improvement methodology highlighting a project on improving cardiac care.TheBRDNAwouldliketoexpressourthankstotheBatonRougeGeneralMedicalCenterandAnnaCaze,VPof Patient Care Services for hosting our CE program and meeting.

TheSeptemberBRDNAGeneralMembershipmeetingfeaturedDr.LucieAgosta,PHD,APRN–BC.Dr.AgostaservesontheLouisianaStateBoardofNursingTaskForceas the Co-Chair and she is also an Assistant Professorin the Graduate Program at Southeastern LouisianaUniversity.Dr.Agosta presented an informative program

on the “NCSBN Consensus Model for APRN Regulation: Licensure Accreditation, Certification and Education, (LACE)andLSBNAPRNTaskForce”.Themeetingwasfilled to capacity spilling over into an adjacent meeting room with members and student nurses from surrounding schools of nursing. BRDNA wishes to express ourappreciation to the Nursing Educators for their support for promoting professional nursing as a responsibility to our states future nurses. Thank you to Our Lady of the Lake Regional Medical Center for allowing us the use of your auditoriums to host our meeting.

October brought another exciting speaker to the BRDNA General Membership Meeting. Dr. JamesKrahenbuhl,Ph.D. presentedon the topic“AwarenessofLeprosy in the United States.” This program and meeting was hosted at Our Lady of the Lake Regional Medical Center. The meeting will begin with social networking starting at 6:00 pm, business meeting at 6:30pm, andprogram starting at 7:00pm. BRDNA will be offering 1FreeCEwith this program for all registered nurseswhoattend.

For the BRDNA meeting in November the “soon tograduate”seniornursingstudentswillberecognized.TheBRDNAalsorecognizesandhonorallNurseVeterans inattendanceat thismeeting. Inaddition, theBRDNAwillunveil the newwebsite and Facebook SocialNetworkingsite. As members you may have noticed that we sent you an email communication introducing our new and exciting way of keeping you informed through Constant Contact. If you did not receive this email, we may have an incorrect email address for you. Please contact us at [email protected] so that we may keep you informed. The November 8, 2012 meeting will be held at SoutheasternLouisiana University School of Nursing located in Baton Rouge.

BRDNA will take a holiday break in December butwe will be working behind the scenes organizing theballot for upcoming Board Member and Committee Chair elections in January! If you are a member and have apassion to serve, please contact us for more information. The positions up for election are: President Elect, Vice President, Recording Secretary, and Treasurer. BRDNAwill also be sending out more information through email on the positions and criteria for eligibility. Noted is the BRDNAcalendarthroughMay2013.

Baton Rouge District Nurses Association

2012/2013 Program calendar and other Important Dates

DATE PLAcE PROGRAM

December2012 Happy HolidaysJanuary10,2013 Woman’sCenterforWellness Dinner6:00pmDinner ConferenceRoom–LowerLevel AnnualBusinessMembership7:00pmBusinessMtg. 9637JeffersonHighway,BatonRouge Meeting Election&InstallationofOfficers

February21,2013 OurLadyoftheLakeRegional “Heart Talk: continuation”6:00pmSocial MedicalCenter,AuditoriumB SandraBrown,PhD,RN6:30pmBusinessMtg. HennessyBlvd.,BatonRouge 1 CEU7:00pmCEProgram

February16,2013 CrownePlazaHotel Nightingale Gala

March14,2013 LaneRegionalMedicalCenter “Drug Therapy”6:00pmSocial StaffDevelopmentClassroom– GeneralMembershipMeeting6:30pmBusinessMtg. HumanResources7:00pmCEProgram 6300MainStreet,Zachary

March15,2013 CelebrateNursingHonorees BRDNA NominationsDEADLINE Attn:Nominations •Allapplicationsmustbesubmitted• P.O.Box15452 BatonRouge,LA70895-5452

April,2013 LodCookConventionCenter, LSNAHouseofDelegatesMeeting LSU-BatonRougeCampus NurseDay

April25,2013 •AllBanquetReservationsDue!!!!

May 6, 2013 LocationTBD cELEBRATE NURSING BANQUET

AsPresidentof theBatonRougeDistrictNursesAssociationandonbehalfof theBoard,BRDNAiscommitted tosupporting and serving the nurses in our district nursing community and all nurses in Louisiana. We welcome your input inourendeavorstoprovideyou,thenurse,withwhatyouvaluefromyourprofessionalorganization.Ourmeetingsareopen toallnursesand studentnurses.Weencourageand inviteyou to supportyourprofessionalorganization throughmembership and participation. Hope to see you soon! [email protected]

Dr. Lucie Agosta and Paulette Faul at the September BRDNA meeting.

voice when advocating for patients or the profession, her compassion and empathy for others was as loud in the kindness in how she interacted with others.

While those of us who were fortunate to know and work with Miss Effie personally and professionally, mourn the loss of this great leader, it is of no surprise to learn her succession plan has been fully implemented. While she personally cared for many throughout her career, she also ensured that the future would be provided for as well. The nursing community will soon be fortunate to experience the next generation of Logan nurses when Miss Effie’s grandchildren complete their nursing education in 2014.The consummate professional, caring not only for those who she encountered while here on earth with us, but preparing a legacy of caregivers to ensure future patients have professional registered nurses to care for them.

And so we commend our Miss Effie to a group of nursing pioneers who have gone before her and now await herpresenceamongthem.ThosewhoexemplifyFlorenceNightingale’s words—“Nursing is an art; It is one of the Fine Arts; I had almost said the finest of the Fine Arts.”

Carllene MacMillan, RNTreasurer,LSNA–DistrictIV

Lafayette District continued from page 13


New Medicare Provisions to Recognize andPay for Core Nursing Services

ANA Advocated Including Care Coordination, Transitional Care in Reimbursement PoliciesSILVERSPRING,MD– In amajor advancement for

registered nurses (RNs), a new Medicare rule calls for paying RNs for services intended to effectively manage patients’ transitions from hospitals to other settings and to prevent complications and conditions that cause expensive hospitalre-admissions.

The rule also creates new payment codes for “care coordination” activities performed by RNs that reduce costs and improve patient outcomes, increasing likelihood of direct reimbursement for these services and potentially creating more RN jobs to fill this need.

Withupto20percentofMedicarepatientsre-admittedto hospitals within 30 days of discharge, more valueis being placed on effective transitional care and care coordination.

“The American Nurses Association has been advocating for years that government and private insurers need to recognize nurses’ contributions to transitionalcare and care coordination and pay appropriately for these essential services,” said ANA President KarenA. Daley,PhD,MPH, RN, FAAN. “ThisMedicare rule is a giantstep forward for nurses whose knowledge and skills play major roles in patients’ satisfaction and quality of care.”

ANA’s 2012 report, “The Value of Nursing care coordination,” highlights numerous studies showing the positive impact of nurse-managed care coordination.Studies show that care coordination reduces emergency department visits, hospital readmissions, and medication costs; lowers total annual Medicare costs; improves patient satisfaction and confidence to self-manage care; andincreases safety for older adults during transitions between settings.

ANA participates on the American Medical Association CPT and RUC panels that set codes describing medical, surgical, and diagnostic services and place price values on them – the foundation for the Centers for Medicare&MedicaidServices’(CMS)paymentpolicies.

“There’s no doubt that ANA’s involvement on these panels had a strong influence on the new provisions that account in real dollars for nurses’ crucial contributions,” Daley said. “Patients benefit from our work. Now thevalue of our work is being recognized through paymentpolicy.”

New payments will be awarded to nurse practitioners, clinical nurse specialists, certified nurse midwives, and other primary care professionals for “transitional care management” services provided within 30 days of aMedicare patient’s discharge from a hospital or similar facility. To qualify for reimbursement, the primary care professional must: contact the patient soon after discharge; conduct an in-person visit; engage in medical decision-making; and provide care coordination. Care coordination involves effectively communicating and delivering a patient’s needs and preferences for health services and information among a continuum of health care providers, functions, and settings.

The Medicare Physician Fee Schedule Final Rule,issuedNov.1byCMSandset to takeeffect Jan.1,2013after publication in the Federal Register, also includes new codes that describe “complex chronic care coordination,” a service typically provided by RNs. Though the rule will not allow separate billing for care coordination, some private insurers are likely to use the codes to reimburse providers directly for the service. Such reimbursement

policies for care coordination could expand the RN job market. They could also raise recognition for nurses performing this long-held, coreprofessional standardandcompetency considered integral to patient-centered careand the effective and efficient use of health care resources.

The rule contains several other provisions that benefit nurses by:

• Clarifying that certified registered nurseanesthetists will continue to be reimbursed for providing chronic pain management services in states where permitted by license.

• Permitting advanced practice registered nurses toorderportableX-rays.

• Ensuring nurse practitioners and clinical nursespecialists can conduct the in-person encountersrequired for ordering durable medical equipment for patients.

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