president’s perspective · call is filled with passion, diligence, and structure. they are...
TRANSCRIPT
The ANA\C Board of Directors is pleased to announce that Robin Schaeffer, MSN, RN, CAE, former interim executive advisor, has been hired as the Executive Director of ANA\C. As our interim advisor, Robin has done a tremendous job on the operational side of the association and has been a wonderful resource and teacher regarding
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Special Points of Interest:
• ExecutiveDirector’sMessage
page 3
• RNDay–ADayattheCapitol 2016
page 4
• MyPatientEncounterwithRNs
page 5
• CaliforniaNursingStudents’AssociationInitiated the Save a Heart Campaign
page 6
• NSSIAdvocacyandMentoring in Action:
A Glimpse of an Experience
page 7
• Nursing Leadership is Global Leadership
page 8
• NSSI Experience page 10
ANA\C is AN AffiliAte of the AmeriCAN Nurses’ AssoCiAtioN
Volume 21 • Issue 3July, August, September 2016
President’s PerspectiveCorinne MacEgan, BSN, RN, CHPN
It’s always bizarre writingthese notes in the present tense when it feels I should be writing them in the future tense. Currentlyit’sMay9thandbythetimeyoureadthis,itwillbelaterin the year with so much morehaving happened. I hope you’reall taking advantage of our new website at www.ANACalifornia.org. Brenda Brozek has done afabulous job with it and it’s somodern and easy to use! Wealso have our weekly e-lettercomingtoyou.Besuretocheckyour spam folders for [email protected].
I have very exciting news to share with you, althoughby the timeyou read this,youmayalreadybeaware.Wehave joined theWesternMultiStateDivision inANA!Welistened toyour surveyanswers andwenotedyourdesirefor continuing education credits as well as being more of a voiceinthenation.WithourMSDaffiliation,wewillsoonbe able to offer you these things.We areworkingonourcontractsnow,andyou’llallbethefirsttoknowwhenweare able to provide youwith those dearly beloved contacthours!Aswecontinueworkingthisyear,weareaddressingmanymore concerns brought to us in the surveys.Thankyousomuchforparticipating–wearelistening,Ipromise.
Our wonderful Vice President, Anne Hughes, andher taskforce have beenworkingdiligently on this year’sGeneral Assembly. They’ve put together an astoundingplanandIknowitwillbethebestturnoutwe’veeverhad.Please readmore about theGA inAnne’s article furtherinto the issue. There are some special guests that I’ll letAnnetellyouabout!Anne’salsobeenleadingthechargeto find a Director of Education, and we are in the process of interviewing candidates.By the next issue,we’llmostlikelybeintroducingyoutothem.
Our Legislative Committee, chaired by LegislativeDirectorLizDietz,isupandrunning,doinggreatworkondiscussing legislation that affects nurses and our patients
all across the state. We have over sixty people on ourcommittee, and several strong, experienced voices who bring years of experience (in awide array) of specialtiesto the table. It is always a pleasure to hear professionalnursing discussion on topics that affect all of us even in wayswecan’tphysicallysee.
OurBylawsCommittee isgoingstrong…thesepeoplehaveunbelievablestamina.ChairedbyKathyFalco,everycall is filledwith passion, diligence, and structure. Theyare ensuring that our bylaws are prepared for you – thisrequires several go-rounds of suggested amendments,wording questions, clarification, and a few hundred phone calls.Kudostothemfortheirhardwork.
In this issue, you’ll also see photographs and articlesfrom several people on the success of RN Day at theCapitol. Our NSSI Interns have all written their reports for you, and have shared photographs of their day inSacramento. Phillip Bautista, Membership Director, andMarketaHouskova,SeniorPolicyAnalyst,havesubmittedtheirviewsaswell.MarketaalsowantstosharewithyouherjourneytoPanamawhereshementoredseveralnursingstudents in international nursing care. Having been on a medicalmission to Panamamyself, I understand the joyshe felt at serving those in communities such as the one shewillsharewithyou.IshouldalsomentionthatPhilliphasofficiallystartedtheNewGraduatetaskforcemaillistandtherearealreadyquiteafewmembers.
Mary Ellen Dellefield, our Director of Practice, haswritten for you about her own experience as a patientunder nursing care. I’m honored that she chose us toshare her storieswith, as I know firsthandwhat it’s liketo be vulnerable in talking about health issues. I hope you’ll be able to relate to herwords, and let us know [email protected] if you’d like to share your ownexperiences.
I continue to work through my own health “stuff”however I know I’ll be bouncing around soon enough. Iwill completemyMaster’s inNursing/NursingEducationonJune13th,andhope togoon formyDNPin thenextfew years. Until then, I’m immersed in this wonderfulprofession we call nursing. It’s not easy work, but it’seasytoloveourwork.Iwishyouallthehappiestofdays.Please let me know how I can assist you, or if you justneed an ear.
Corinne MacEgan,BSN, RN, CHPN
Robin Schaeffer Executive Director
boardgovernance.Someoperationalchangesthatyouhavealready seen are our new website, www.anacalifornia.org, and the launch of our “ANA\C Weekly” electronicnewsletter. Robin has led two Board retreats, with a third scheduledforJuly.TheBoardisworkinghardtore-visitthemission and vision of our association and build a strategic plan that will meet the needs of all of our diverse members.
Robin has been a nurse for 38 years and has had avaried nursing career that includes staff nursing, teaching, and administration. She has administrated over manynonprofit organizations and holds a certification as anassociation executive through the American Society ofAssociationExecutives (ASAE).Only a small percentageof association executives achieve this credential.
Robin can be reached at [email protected]
ANA\C Welcomes New Executive Director
Page 2 • ANA\C The Nursing Voice July, August, September 2016
American Nurses Association\California is an Affiliate of the American Nurses Association
The Nursing Voice is the official publication of theAmericanNurses’Association\California
ANA\C is located inThe Senator Office Building
1121 L. Street, Suite 406Sacramento,CA95814
Office916-346-4590–[email protected]
The Nursing Voice Editor [email protected]
ANA\C 2016 BOARD OF DIRECTORS
Officers CorinneMacEgan,BSN,RN,CHPN-President
MelanieKrupa-Kelly,RN,MSN,CNOR-TreasurerAnneHughes,APRN,PhD,FAAN-Secretary
Directors MaryEllenDellefield,PhD,RN-NursingPracticeDirectorPhillipBautista,BSN,RN,PHN-MembershipDirector
ElizabethO.Dietz,EdD,RN,CS-NP-Legislative Director
ADMINISTRATIONANA\California Executive Director:
Robin Schaeffer, MSN, RN, CAEANA\CaliforniaLobbyist,RoxanneGould
ANA\California Staff: Markéta Houšková, RN, MAIA, BA
The official publication of the ANA\C shall be The Nursing Voice.
TheNursingVoiceispublishedquarterlystartinginJanuary;copy must be received by the first (1st) of November,February, May, and August to be included in the nextpublication. The publication is complimentary to ANA\Cmembers, schools of nursing and their nursing students, affiliates of the association and their memberships. If youwould like to submit a letter, article, or manuscript, for publication please read ‘Article Submission for The Nursing Voice’inthisissueforsubmissiondetails.
Reprints and Submissions: ANA\C allows reprinting of newslettermaterial.PermissionrequestsshouldbedirectedtotheANA\CofficeinSacramento.(916)447-0225.
Advertising:AdvertisingRatesContact–ArthurL.DavisPublishing Agency, Inc. 517 Washington St., PO Box 216,CedarFalls,IA50613,800-626-4081,[email protected].
ANA\C and the Arthur L. Davis Publishing Agency, Inc. reserves the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by ANA\C of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA\C 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.
Copyright©bytheAmericanNursesAssociation\California.
Help us stay in touch: Do you have a new address or
e-mail address?
You can help American Nurses Association\California ‘stayintouch’byupdatingyourcontactinformation.CallANA\Cat916-447-0225,[email protected] or return this form to:
The ‘Nursing Voice’c/oANA\C1121 L Street, Suite 406Sacramento,CA95814
ANA\CMemberIdentificationNo.(ifapplicable) _______________________________________________
Name: _________________________________________
New Address: ___________________________________
_______________________________________________
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Old Address: ____________________________________
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NewE-mailAddress: _____________________________
*** This is not to update your license information with the Board of Registered Nursing.Go to www.rn.ca.gov
ANA\C Wants To See You….IN THE NEWS
Haveyouoroneofyourcolleaguesbeenrecognizedforanaccomplishment,electedto office, won an award, received a grant or scholarship, launched a new venture? Tell us aboutit!Sendname,address,phonenumber,
headshot(jpeg)andnewsto–
E-mail to: [email protected]
Mail to: ANA\California‘INTHENEWS’
1121 L Street, Suite 406Sacramento,CA95814
Fax to:916.442.4394
Article Submittal to ‘The Nursing Voice’ANA\California accepts and encourages
manuscripts and editorials be submitted for publication in the association’s quarterly newsletter,The Nursing Voice. We will determine whichletters and articles are printed by the availabilityof publication space and appropriateness of the material. When there is space available, ANA\Cmembers will be given first consideration for publication.Wewelcomesignedlettersof300wordsorless,typedanddoublespacedandarticlesof1,500words or less, typed and double spaced. ANA\Cwill accept larger narrative if space permits. Formore information please email [email protected].
ANA\California’s official publication, ‘TheNursing Voice’editorialguidelinesandduedatesforarticle submittal is as follows.
1. Letters, Articles and Manuscripts should be word processed and double-spaced on one sideof 8 ½ x 11 inch white paper. Manuscripts should be emailed to Editor at [email protected] a. Letters, Articles and Manuscripts should
include a cover page with the author’sname, credentials, present position, address and telephone number. In case of multiple authors, list the names in order in which theyshouldappear.
b. The Nursing Voice reserves one-timepublication rights. Letters, Articles and Manuscripts for reprint will be accepted if accompanied with written permission.
c. The Nursing Voice reserves the right to edit Letters, Articles and Manuscripts to meet styleandspacelimitations.
d. Letters, Articles and Manuscripts may bereviewedbytheEditorialStaff.
e. Letters, Articles and Manuscripts submitted bymembers’ ofANA\Cwill be given firstconsideration when there is an availabilityof space in the newsletter.
f. Letters, Articles and Manuscripts submitted to ANA\C will be published as space allows unlesscontentisofatimelynature.
g. Letters, Articles and Manuscripts printed in The Nursing Voicedonotnecessarilyreflectthe views of ANA\C, its membership, the board of directors or its staff.
2. Photographs should be in jpeg format andemailed with the name of the Letter, Articles or Manuscript referenced in the subject line. Email to [email protected] Photographsshouldbeofclearquality.Writethename(s) of thepersonsdisplayed in thephoto intheorderinwhichtheyappearinthebodyoftheemail.
3. E-mail all narrative to [email protected]
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July, August, September 2016 ANA\C The Nursing Voice • Page 3
Robin Schaeffer, MSN, RN, CNE
It ismy pleasure towritemy first column as your ExecutiveDirector. I have hada wonderful experience meeting and working with the ANA\C board of directors and members inmyexecutiveadvisor roleand look forward tocontinuingourpartnershipasyourExecutiveDirector.OneofthemostexcitingandtransformationaldecisionsthatyourBODrecentlymadewasjoiningtheWesternMultistatePilotProject;aninitiativeforassociationsustainabilityledbytheAmericanNursesAssociation(ANA.)
In 2013 ANA adopted a book that would change the course of ANA and most of the state nurses associations forever. Race for Relevance: 5 Radical Changes for Associations (Coerver & Byers, 2011) is a blueprint for radical changes that need totake place if an association wants to survive and thrive in an environment of advanced technology, increasedcompetition,higherordifferentmemberexpectationsandmore.Keeping ahead of the curve and adopting innovative and progressive models andstructures is essential for surviving and thriving.
Onepilotprogram that rose to the topatANAwas theMultistate (MSD)businessmodel.ThedecisiontoparticipateintheMSDpilotprogramwasvoluntary,madebytheleadershipofeachstateassociation.Anystatecould join theMSDatany timeduringthe pilot phase. The focus was to implement a streamlined business operations model wherestates shared feesandservices; forexamplepurchasingawebinarplatformandmerging the continuing education unit ofmany states into one central area to reduceaccreditation and operational fees. In this model, individual states still keep their own identities, boards of directors, local initiatives, etc.
The three MSD pilots are as follows: Northeast MSD (Maine, Vermont, NewHampshire,Rhode Island,Connecticut andNewYork),MidwestMSD(Iowa,Kansas,Missouri,NebraskaandNorthDakota),WesternMSD(Arizona,California,Colorado,Idaho,andUtah.)EachMSDgrouphasanMSDleader:aseasonedexecutivedirectorwhohasmanagedastatenursesassociationforaminimumof5years.IamtheMSDLeaderfortheWesternMSD.
ANAhasinvestedintheMSDpilotsfinanciallyandoperationally.Theyworkcloselywith the MSD Leaders to both support and supervise the work. Support services through various ANA departments are available and utilized by eachMSD group. Since theultimate goal of theMSDgroups is to be self-sufficient,ANAworkswith theMSDsto develop a plan for sustainability, incorporate lessons learned along the way and,ultimately,determinethefuture.
At the local level the MSD structure allows state nurses associations and its board to focus on growing and retainingmembers and enhancing state advocacy initiatives.ANA\C has already benefitted from this model because they are now able to offerANCC approved Contact Hours for continuing education activities offered in California. This is a huge benefit to all of our certified nurses who need ANCC approved contact hours to renew their certification. For more information on how to apply for ANCCapprovedcontacthoursforyournexteducationalactivity,visitwww.ANACalifornia.org andclickonthe“resources”tab.
ANA\Cistrulygettingaheadofthecurveandmakingwaves.Don’tmisstheOctoberGeneralAssembly:Making Waves: Empowering California Nurses.Seepage9.
Reference:Coerver,H.,&Byers,M.(2011).Raceforrelevance:5 radical changes for associations. Washington,DC:ASAE,theCenterforAssociationLeadership.
ANA\C Keeping Ahead of the Curve and Making Waves
Executive Director’s Message
Page 4 • ANA\C The Nursing Voice July, August, September 2016
By Marketa Houskova, RN, BA, MAIAANA\C Government Affairs Director
On the sunny morning of Monday, April 11th 2016,ANA\C held its annual educational event in Sacramento bringing together more than 180 participants from all corners of California. Nursing students, nurse leaders and nursing faculty filled Room 4203, including the Gallery,of the CA State Capitol ready to learn about nursingadvocacy, nursing leadership and the overall politicalprocess. The event offered the expertise of 7 interestingspeakers, including a former AssemblyMember and theChair of the Little Hoover Commission Pedro Nava andthePrincipalConsultantatSenateBusiness&ProfessionsCommittee Sarah Huchel.
Thedaystartedwithanoverviewofnursingregulationandnursingpracticefollowedupbymainpointsofnursingadvocacyandtheartoflobbying.Mr.Navadiscussedhis
RN Day – A Day at the Capitol 2016
Volunteers helping with preparation - Stephanie Smith, Cindy Nguyen, Kelly Broughton
ANA\C leadership with Mr. Pedro Nava Nursing students, nurse leaders and nursing faculty filled Room 4203
work in the CAAssembly and howmuch he relied andstill relies on the testimony of experts, such as nurses,during his time in Assembly and even now during hiswork at the LHC, a commission that oversees the work of CA Boards, including the Board of Registered Nursing. The importanceof hiswords resonatedwith everyone inthe room as the attendees, most of them nursing students needed to realize the power of their soon-to-be assumedposition of nurses, leaders and experts.
The nursing profession was voted for the 14th yearstraight as the most trusted and ethical profession in the U.S. and as such we, the nurses, have an enormousresponsibility to the public.We not only keep the publicsafe and receiving the highest standards of care, but we also advocate on their behalf to continue to keep them safe and receiving the highest standards of care. To hear words of encouragement and empowerment along those lines from Mr. Nava was quite poignant.
Moreover, RN Day participants heard a presentationabout the importance of nursing ethics in the legislative arena and also witnessed the legislative process via a case study showcasing the process of taking a measure fromlegislation, through regulations, all theway to creating anew nursing education standard.
RNDay 2016 ended in the newANA\C office acrossthe Capitol where nursing students received a Certificate of Accomplishment and RNs fulfilling their CE requirements received CE Certificate. The discussion in the hallways and around the office, listening toexcited students and seasoned nurses alike about nursing advocacy and about nursing involvement in the politicalprocesswasthebestrewardwecouldaskfor.Mydeepestthanksgo tovolunteersStephanieSmith,CindyNguyen,KellyBroughtonandAnnieTatfortheirwillingness,theirtimeanddedicationwiththeevent’spreparation.RNDAY2016wasaroaringsuccesssohere’stoRNDay2017!
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July, August, September 2016 ANA\C The Nursing Voice • Page 5
Mary Ellen Dellefield, Ph.D, RN, ANA\C Director of Practice
Recently I was an outpatient for several times and had theopportunity toexperienceRNnursingcare firsthand.Overall,the performance of the RNs was excellent. I concluded this because of their demeanor – how they expressed themselves,taught me about my health procedures, and maintained theirprofessionalappearance.Iwasleftwiththesensethattheywerecompetent,self-assured,andengagedinwhattheyweredoing.
These encounters left me with a sense that teamwork was alive. I was left with the impression that each person knew their role. It was expressed from a positive point of view rather than fromoneof limitations andnegativity about their scopeof practice compared to – say – the physician. ExperiencingRNs of different ethnicities, ages, gender, and tenure made for a more interesting experience.
Of course, these are justmy impressions as a recipient oftheircare.Theirperceptionsof theworkenvironmentwereunknowntome.Theymayhavebeenfeelingbadly,feelingoverworked,etc.ButIexperiencedacareenvironmentthat was calm and safe.
In contrast, the most highly educated RN I encountered seemed burnt out, bored,anddisengaged.Iexperiencedlittlesenseofherbeingfocusedonandobservantofmyexperience and its personalmeaning tome. Perhaps shewas dealingwith challengingsituationsinherlifeonthatday.Idonotknowthat,andinthatsenseitisnotfairofmeto be judgmental. However, her behavior got me thinking about the presumption that the morehighlyeducated theRN, thegreater the likelihood thathe/shewilladd increasedvalue to the patient/RN experience. In this case, I did not experience any increasedvalue in the patient/RN encounter because shewasmore highly educated. In contrast,regardless of their educational preparation, the RNs I most appreciated were those who wereobservant,engaged,andcompetentastheyperformedtheirnursingactivities.Iamnot suggesting that advancing the level of education and scope of practice of nurses as advancedbytheANAisnotimportant.Itisimportantandnecessary,butnotsufficientforaddingvaluetothepatient/RNencounter.
The overarching impression I was left with as a patient during these encounters with RNsremindedmeoftwowonderfulquotesfromFlorenceNightingale.Theyspeaktotheimportance of performing nursing as an applied science that involves both thinking and doing.
“Foritmaysafelybesaid,notthatthehabitofreadyandcorrectobservationwillbyitselfmakeususefulnurses,butthatwithoutitweshallbeuselesswithallourdevotion.”(FlorenceNightingale,NotesonNursing:Whatitisandwhatitisnot(1860),p.160.
“Ithinkone’sfeelingswastethemselvesinwords;theyoughtalltobedistilledintoactions,andintoactionswhichbringresults.”(LettertoMaryClarke(1844)quotedinSirEdwardTyasCook,inTheLifeofFlorenceNightingale(1914)p.4
My Patient Encounter with RNs
Mary Ellen Dellefield, Ph.D, RN
Anne Hughes, 2016 General Assembly Planning Committee Chair & Vice President
In less than fourmonths,ANA\Cmemberswillhave theopportunity tobe inspiredand rejuvenated, to learn and teach, to connect with old colleagues and to make new connections, as ANA\C celebrates more than 20 years as the professional voice ofCalifornianurses,atthe2016GeneralAssemblyinRedondoBeach.
TheannualGeneralAssembly(GA)isboththeannualgatheringofANA\Cmembersto conduct the business of the association and to shape its future, and an educational event.
Theeducationalprogramwasplannedby an amazing committeewho represent thepractice diversity of our profession.GA PlanningCommitteemembers include: ElissaBrown, Kathy Falco, Zack Huddleston, Kelly Hunt,Melanie Krupa-Kelly, Jimil-AnneLinton and Annie Tat.
ANAPresidentPamCiprianowillgivetheopeningkeynoteaddressFridayafternoononOctober14th.Dr.BeatriceKalish,ProfessorEmeritusofUniversityofMichiganwillgivethekeynoteaddressonSaturdaymorning,October15th.
Educational sessions planned include: a Panel on Violence and Bullying in theWorkplace; Self-Care for Nurses; Ethics; Advocacy and Legislation; and a Panel onTransition into Practice. Conference attendees will have the opportunity to submitabstractsforpostersontheirqualityimprovement,educationalorresearchprojects.
OnFridayevening therewillbea receptionwithANAPresidentPamCiprianoandANA\CPresidentCorinneMacEganalongwithnurseleadersfromaroundthestate.AtSaturday’s Awards Luncheon, celebrate ANA\C more than 20 years representing theinterests of all California nurses and celebrate individual nurses whose accomplishments havecontributedenormouslytonursesandnursing.
Registration and hotel information is at www.anacalifornia.org and in the ANA\C Weekly. Looking forward to welcoming you at Redondo Beach. See page 9 formoredetails.
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Page 6 • ANA\C The Nursing Voice July, August, September 2016
Daniel Duron, BSN, RNCNSA Breakthrough to Nursing Director 2015-2016
As nurses, we strive to be a force for good change in theworld.Wewant to be leaders to our community andadvocate forhealthychanges.The leadingcauseofdeathin this nation is heart diseasewith 611,105 people dyingfrom heart disease alone in 2013. As nurses, what can we do in our own communities to raise awareness and give the public tools for this problem?
TheCaliforniaNursingStudents’Association initiatedthe Save a Heart Campaign, which encourages the teaching of hands only CPR across nursing schools inCalifornia. The campaign has already taught nearly 450differentpeoplehandsonlyCPRthroughoutfourdifferentcampuses, with more schools participating in the near future.Thiscampaignisstudentleadandtaughtbystudentnurses with the oversight and support of RNs as mentors and assistive supporters. This campaign continues to grow across the state, and more and more locations are signing
California Nursing Students’ Association Initiated the Save a Heart Campaign
on to provide this lifesaving knowledge to communities statewide. The power of nursing can be shared with health care consumers across the state and the image of nursing isfurtheredintheeyesofthepublicwiththesecampaignsto raise awareness.
Thecampaignisagreatopportunityforstudentnurses;however,itisevenmoresofornurses.Wehavetheuniqueopportunityasnursesattheseeventstoworkdirectlywithstudents outside of the clinical setting. This opportunityfor interactiongives thenurseanopportunity to showcasecommunity leadership,understandtheneedsof thepatientinacommunitysetting,andmentor theeffortsofstudentsto advocate for patient needs. Many times, students havenothadmanyopportunitiestoteachpatientsoutsideofthebedside setting, or may even not have community healthrotations.Thisprovidesthenursetheperfectopportunitytoutilizetheiryearsofexperienceandknowledgeinamannerthat influences the next generation of the profession
As healthcare trends move more and more towards primary prevention in the communities, having
opportunities as nurses to engage within our communities is vital. Participating in campaigns and efforts such asSave a Heart allows nurses to remind the public of our role as leaders in health care, and build upon the image in our communities as the most trusted profession. Withyears of gained experience and knowledge, nurses cantake this knowledge to share with future nurses that are hungry for these invaluable resources. Communitiesalso want to feel empowered to care for their friends and families, even strangers, and we have the charge to provide safe and competent care to all health care consumers of California. As a newly licensed nurse, I look forward tohow I can servemy community in and out of the clinicalsetting. I encourage all nurses throughout the state to look around your community for ways that we can advocateand empower individuals to build a healthier society.Andshouldyouhave theopportunity to influenceanewnurse,remember that we are hungry for the knowledge andexpertise that you have, regardless of your background orclinicalpractice!
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July, August, September 2016 ANA\C The Nursing Voice • Page 7
Phillip Bautista, ANA\C Membership Director
The Nursing Student in Sacramento Internship (NSSI) isa three day long experience fornursing students to experience what it means to be an advocate for patients at a broad level of change. With the assistance andsupport from the Association of California Nurse Leaders (ACNL) and California NursingStudents’ Association (CNSA),ANA\C was able to continue this program to provide four nursing students from CSU Sacramento,CSU Long Beach, and National University San Diegowith this unforgettable experience. In my third year ofworkingwithstudentsinNSSI,Ifindithighlyrewardingtoseethe“click”ofunderstandingthetrulyimportantrolethat nurses have in legislative advocacy. The 2016 NSSIexperiencewasnotunlikepreviousyears,andwasjustasan incredible and rewarding event for the students as it was for the association.
Four studentswere selected from applicants inCNSAand brought to Sacramento. They met with variouslobbyistsfromANA\Candotherhealthcareassociations,learned more about the process of legislation becoming law, and applied that knowledge in the actual process. The interns became intimately familiar with the Capitolbuilding, and understood how the inner workings and interactionsbetweencommittees,analysts,and legislators(aswellastheirstaff)allcometogethertoseelegislationshape and mold the practice of nursing. In specific committees, students even felt empowered to stand up and speak in support or opposition of bills that affected their future career as nurses. Because legislation can be tough to understand, the expert knowledge of ANA\C’s
NSSI Advocacy and Mentoring in Action: A Glimpse of an Experience
Senior Policy Analyst, Marketa Houskova, and lobbyist,Roxanne Gould, was a tremendous benefit for the learning experience.
Nursing is quite a broad field, and not one nurse could ever be expected to know all the intricate details of each field of practice and the current challenges theyrespectivelyface.Inpracticingtheartofdelegationtotheexperts, ANA\C called upon three members to address legislation in their fields of practice. The various aspects of these three bill topics were discussed by nurses inpractice, and I would like to take a moment to thank them for their assistance: Corinne MacEgan for her expertise with palliative care; Rose Miranda with her expertisewithpediatricsupportiveservices;andJimil-AnneLintonfor her expertise with crisis stabilization units in mentalhealth nursing. Being able to reach out to nurses within our association that have a strong command of the bedside practices that affect nurses empowered the interns to understand the bills and how their voices mattered. The
Phillip Bautista, BSN, RN, PHN
interns went forward and discussed these bills, their impact to nurses, and explained their position in supporting these bills to legislators and their staff.
Overall, it was an amazing experience for the internsandalsoformyselfasamemberoftheBoardofDirectorsas I see the bright future of the association and the profession. Each one of the interns had an opportunity,sometimes more than once, to speak in support of a bill theyidentifiedwith,andwereabletodiscusstheoutcomesof the hearings with more than one legislator. The NSSI programistrulyaplacewherethefutureofourprofessionidentifies and equips nursing leaders to become advocates at the bedside and transform their experiences and knowledge as nurses to effect true change at a statewide level.ThankyoutoalloftheindividualswhohaveworkedtomakeNSSIpossibleinthepast,andaspecialthankyoutoACNLandCNSAasourpartnersinthisendeavor!Welook forward to working with the next recipients of the NursingStudentinSacramentoInternshipin2017!
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Page 8 • ANA\C The Nursing Voice July, August, September 2016
By Marketa Houskova, RN, BA, MAIAGovernment Affairs Director
Nursingisaglobaldisciplineasweseeanytimethereisadisasterasnexttophysicians, it isnursesofdifferentspecialties and expertise that run into under-developedareas, flooded or earthquake-devastated regions, or war-torn countries. Nurses are the backbone of any disasterrelief operation.
Why am I speaking of disaster relief? It is becausewhen you arrive on amedicalmission in some far awaylocation in developing countries without running water, electricity, paved roads, other infrastructure or a phonesignal you realizeyou are in a disaster-like setting.Yourteamandyournursesmustdo thebest theycanwith thetools they have in the environment they are in. Case inpoint:SamuelMerrittUniversity,CalStateUniversityEastBay,andmedicalmissioninPanama.
Nursing Leadership is Global Leadership
I had the opportunity and indeed the privilege tomentor their nursing students on 2 medical missions in a remote mountain region of Panama in Aug 2015 andthen again in Apr 2016. Both groups of nursing students included not only graduating nurses, but also studentnurses midway through the program. The common linkbetween all these volunteers was their interest in global public health service.
Toattend suchamission isnotaneasy task!Studentsmust fundraise for months among family and friends(and on socialmedia) to support the cost of the trip, thecostofthesuppliesandlet’snotforgettheairfare!Andsoafter months of preparation, on April 22nd, 2016, a group consisting of 28 volunteers, students from BSN programs, Master programs for PhysicianAssistants, andDoctorateprogramsinPhysicalTherapydepartedSanFranciscoandembarkedonalife-changingmission.
FromTocumenAirportinPanamaCity,3.5hourslateron the Inter-AmericanHighwaywe turnedontoanarrowroad to the mountains. Another hour later, we stepped outofourair-conditionedbusandstarted loadingallourluggage,backpacks,suitcaseandsupplyboxesontoseveral4x4 opened air trucks that also, for the next 4 hours, served as our mode of transportation, uphill, on a dirt dustypathtoBatata,Veraguas,Panama.
Immediatelyafterarrival,alltrucksmustbeunloaded,4 exam rooms (normally classrooms) prepared and thepharmacy set up. Sleeping quarters consist of another 2large classrooms with inflatable mattresses on the ground with up to 20 people sharing a room. There is a sporadic cold running ‘stream’ in the shower depending on thewater conditions in the mountains. There is no A/C, noelectricity except for few solar panels for the school, andnoInternet.There isnokitchenper-say,unlessyoucountan eco stovewe built last year in a hut as a kitchen andwewerefed3 timesadayandnobodywenthungry.TheClinic started every day at 8 am. Imetwith the nursingstudentsat7:30amtopreparetheTriage/Intakeroom,go
overcharting,reviewthestepsofphysicalassessmentanddiscuss what was happening.
To say the nursing students were trepidatious was anunderstatement. We took American nursing students,brought them far away from civilization, put them inthe middle of dark classrooms and excepted them to do nursing assessments. As if that was not enough, the languagewasanotherbarrier.Whilesomeof thenursingstudents spoke Spanish, the local population spoke in their own dialect and that was no match for school Spanish.
I have tried several times, always unsuccessfully, toprecisely describe the emotions that ensue during theseClinic days; the growth you see from the Day 1 scarednursing student to the Day 3 confident nurse in charge,witnessing the unfolding of nursing empowerment, seeing theflickerintheireyesrecognizingtheimmenselearningcurveandtheenormouspotential theysawin themselvesover the3days, seeing their eyes fullof excitementoverlearnedknowledge and/or diagnosed abnormality, all puttogether with selflessness, willingness to learn, help and serve….Allthatisnursingleadershipatitsbest;allthatisglobal leadership at its best.
We saw nearly 500 people in 3 days. Every personreceived a high level of care and attention, and all the volunteers had 30 minutes for lunch a day. We did notclose our doors until the very last patientwas processedand at the end of each day we assisted with setting uppharmacyforthenextday.Aftersuchday(s),youfeellikeyou cannot deliver the same level of care and attentionthenext day, but youdo.Theyall did, continuously, andI could not be prouder. After watching these amazingnursing,P.A. andP.T. students in action, I rest easy.ThefutureofU.S.healthcareisingoodhands.
Disclosure: Ms. Houskova is a Member of Board of Directors at
Hand for Global Health, 501©3 non-profit organizationaffiliated with Samuel Merritt University organizingmedicalmissionstoPanama.
Samuel Merritt University, BSN students with their mentor.
Classroom-converted Triage/Intake room.Nursing students in action.
Northern Valley Indian HealthNorthern California’s paramount provider for a multi-county service area has immediate full-time openings for:
• Dentist• Pedodontist• Physician• PediatricNursePractitioner• Pediatrician• RegisteredNurse• LicensedVocationalNurse• LCSW/LMFT
Part-timepositionsmayalso be available for
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July, August, September 2016 ANA\C The Nursing Voice • Page 9
We would like to honor anANA member who worked tirelessly in the community.The following is from a tribute publishedbyherfamily:
Helen Miramontes, MS, RN, FAAN, was a brightCalifornia nurse leader who livedherlastyearsof life inNevadawithfamily.
Helen worked as a critical care nurse and, later, supervisor at KaiserSanta Clara and ValleyMedical Center, San Jose. SheservedasCNAPresidentatthestartoftheHIV/AIDS epidemic. She was a fearless and at times fierce advocate for thedignity and rightsofpersons,communities andcountries affectedby theepidemic.Helenalsochaired theANATaskForceonAIDS inthemid-to-late1980’s.
Our thoughts go out to Helen’s family, friends, andcolleagues.
ANA\C Honors Helen Miramontes
Common Financial Mistakes
Permission to reprint granted by Ms. Harrell.
No emergency fund. Most expertssuggestthatyouhavecashfor 3 months’ living expenses.You can always count on theunexpected. The car repair, the broken AC or unexpected job loss cancreatea financialemergency.Maybe you think 3months’ cashis impossible. OK, then make 2weeks expenses the goal. If yourplan is to save 2 weeks after tax income in 6 months, how much would you have to save everypayday? Do a payroll deductionfor that amount and reach yourgoal! Ifyouhavecash tocover2weeks’expenses,youhavemovedoutof thepaycheck topaycheckneighborhood.Goodforyou!
Plastic living. Are you charging routine livingexpenses like gasoline, groceries, clothes, but not payingoff the total credit card debt at the end of the month? If you charge everything to get points or airmiles and paythecardinfulleverymonth,congratulations.Buttherealriskis,ifyoudon’tpayoffthetotalbalancemonthly,youare paying interest on credit card debt for routine livingexpenses. You’re living above your means on borrowedmoneyanddiggingyourselfafinancialholeeverymonththatwillbehardtoclimboutof.Thecreditcardcompanyisgamblingthatyouwillleaveabalancedueeverymonthandpaythemhighinterest.Don’tdoit.Startpayingcashfor routine living expenses.
“No need” spending. Subscriptions, video games, cable, premium channels, a stop the coffee shop, pay forviewmovies,buyinglunch,areallwaysformoneytoslipthroughyourfingerswithouteverrealizingit.Whatexcessspendingcouldyoudowithout?Ifyoudecreaseyour“noneed”spendingbyjust$25aweek,thatwouldamountto$1,300ayear.Whatcouldyoudowith$1,300?
Likeanyproject,don’ttrytodoitallatonce.Pickonefinancial area to correct and then move on to the next. Soonyou’llbeonyourwaytomistakefreefinances!
Shawn Harrell, MS, RN
Editor, Arizona Nurse
ANA\C
Making Waves: EmpowEring California nursEs
October 14-15, 2016Redondo Beach, CA
Keynote Address October 14ANAPresident
PamelaCipriano,PhD,RN,NEA-BC,FAANFromBedsidetoBoardroom
Keynote Address October 15AwardWinningAuthor
BeatriceKalisch,PhD,RN,FAANErrors of Omission:
HowMissedNursingCareImperilsPatients
Panels and Presentations:TransitionstoPractice
EthicsAdvocacyandLegislativeUpdateWorkplaceViolenceandBullying
TheProfoundPowerofNurseWellness(bonus:earlymorningyogasession)
PosterSession
Business Meetings:Open ANA\C Board Meeting
BylawsHearingANA\CGeneralAssembly
Celebration20th Year Celebration
Awards Luncheon
Registration open: www.anacalifornia.org
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Publications: New publicationsand articles added weekly!
Events: Find events for nursing professionals in your area.
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Stay up-to-date and find your dream job!
Page 10 • ANA\C The Nursing Voice July, August, September 2016
Jessica Curtis, SN
I was one of four students chosen to attend the Nursing Student in Sacramento Internship April 13-15th at theStateCapitol. I cannot tell you inwords how privilegedand honored I felt the first morning of the internship as Iapproachedthedoorwithshinygoldletteringthatread“AmericanNursesAssociation\California.”Ifeltenergeticandexcited (andalsoa littlenervous) to learn firsthandhow the legislative process works and the actions I could take, as a student nurse, to make a difference in the lives of others.
As interns, we were welcomed with open arms bythe most wonderful group of people I could ever hope to meet.MarketaHouskova,ANA\CSenior PolicyAnalystand Philip Bautista, ANA\C Membership Director andNSSI Lead, among many others, were what made this experience so impactful to me. Not only do they havevast and immeasurable first hand experience with nursing legislation, their passion for advocacy and proactivenaturewere the driving force tomy learning experienceof this internship.
NSSI Experience
I am in debt to Phillip, who is a wonderful teacherand role model, for all of his diligent work to ensure our 3 short days at the capitol were an impactful andmeaningful learning experience. Hemade it his priorityto expose us to asmuch of the process as possible.Weattended the Senate Floor Session, Assembly FloorSession, theSenateCommittee onHealth, theAssemblyCommitteeonPrivacyandConsumerProtection,aswellasmetwithourSenatorsandAssemblyMembersintheirCapitol Offices.
The greatest experience for me was leading a meeting with my Senator and Assembly Member in theirrespective offices. I was incredibly nervous, but Phillipgave me the guidance and tools I needed to be a confident nursing advocate by addressing issues that I, as a futurenurse, have the expert opinionon.Prior tomeetingwithmy representatives, we discussed current Senate andAssembly Bills that were important to us as nurses. IchoseSB-1273,whichaddressestheneedforfundingforCrisis Stabilization Units, preventing psychiatric crisisthat too often escalate to legal holds.
IbroughtmyknowledgeoftheBillandexperienceasanursingstudenttomySenatorandAssemblyMember’sattention, and asked for their support with a yes voteon this bill.My Senator, Ricardo Lara, toldme that hehad not yet heard of this bill butwas very interested inlearning more about it, then leaned towards his assistant and instructed him to write the bill number down in order to follow it. This was absolutely the best experience oftheinternshipforme.ItwasthefirsttimeIrealizedhowmuchpowerIpersonallyhaveasanursetoinfluencethelegislationthatbecomelaws,andthereforehownecessaryit is for me to be involved at the legislative level as a nurse advocate.
I am incredibly proud of myself for what Iaccomplished in3 shortdaysduring theNSSIandhopeotherswill realizehowimportantandeasy it is tomakeyour expert nursing opinion heard. We are nurses andour legislators rely on our expertise to guide them increating legislation. We are advocates and this is themost importantwaynurses can exerciseourduty toourpatients.
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July, August, September 2016 ANA\C The Nursing Voice • Page 11
By Ryan Robertson, 2016 NSSI InternCalifornia State University Sacramento
Before I even went to the CA State Capitol in Sacramento, I understood that all nurses are advocates for their patients. Now I believe that to be an effective patient advocate, registered nurses also need to advocate for their profession! We have a unique perspective andvoices that can and should affect laws and policies. To mysurprise, the amountof time required toget involvedin nursing policy can actually be very small. Even acouple hours in a committee hearing or a letter expressing your positionwritten to your Legislator can help stop orredirect the course of a bill that could become a law that woulddirectly impactyournursingscopeofpracticeandthereforeyourpatients.
I excitedly joined the long line of people, listenedto each of them speak in turn and anxiously awaitedmychancetoaddresstheAssemblyBusinessandProfessionsCommittee deliberatingAB (AssemblyBill) 2231.Whenit finally cameup, Iwalkedup to themicrophone,madeeyecontactwiththebill’sAuthor,AssemblymanCalderon,and said, “My name is Ryan Robertson. I am a nursing student from California State University Sacramento and I stand in opposition to this bill unless amended.”I had done it! With those few simple words I directlyparticipatedinCalifornia’slegislativeprocessforthefirst
My Nursing Students in Sacramento Internship (NSSI) Experience
Miranda Dreyer, 2016 NSSI InternNational University, San Diego
NSSI was an absolute highlight of my entire nursingschool experience. I was so thrilled to be selected as a recipient of this internship, and the experience did not disappoint. I feel as though I was taken under the wing ofANA-California and taughtwhat itmeans to truly beaprofessionalnurseadvocate.Ilearnedfromtheamazingstaff therewhat it reallymeans to advocate for both thepatient’s and the profession on a new level. I know nowthatmyvoicemattersandhowtoeffectivelyusethatvoicetomake a difference. I can honestly say that the senate,assembly and congress has not heard the last from thisfuture RN. I have a goal to write one email per week. This is something IknowIcandonomatterhowbusy Ibecome as a new graduate. I will never forget the feeling I had when I caught Marty Block between sessions andhad to think on my feet about what meaningful thing Icould say in30seconds. I look forward to joiningANA-California upon graduation and I definitely plan oncontinuedinvolvementwiththeorganization.
I will never forget sitting in the ANA office when Phillip Bautista made a conference call to a fellow RNto ask her advice on a bill we planned to support at the Health Committee Hearing. On the other end of the phone wasnoneother thanagraduate frommyschool,NationalUniversity. She was actually the student who got meinterested in running for the legislative director position in mystudentnursesassociation. Iwasreallyshockedasweare from the San Diego campus and she was now working inaCrisisStabilizationUnitinSantaBarbara,andheresheis on the phone as a new graduate giving her opinion to the ANA-Californiaoffice.Notonlythat,buttheycalledher!Ireallycouldnotbelieveit.Iamsoinspiredtostayinvolvedand I hope to serve on the legislative board as well. Thank youANA-Californiaforcreatingthisamazingopportunityavailable to students. It has been very meaningful to myfutureandyouhavenotseenthelastofme!
Reflecting on the Intern Experience
time in my life! My voice had been heard in perhaps asmallbutveryimportantway.
I had many other experiences during the NSSI 2016Internship that helped openmy eyes to the important rolethat registered nurses play in the legislative process. Oneexperienceinvolvedayoung,homelessmanwhogoesbythename ofMiami. This gentlemanwas actively participatingin the political process trying to improve the situation forall homeless people in Sacramento and California. It struck me that if someone of so few means could get involved, I probablydidn’thavemanygoodexcusesnotto.
I hope that my experiences can help motivate otherCA nursing students to become more engaged in the legislative process. Registered nurses, more than anyother professionals, have a close connection to patients and deeper understanding of their needswhich iswhy itissoimportantforustogetinvolved!Themorenursesgetinvolved inpolicy, themorepowerwewillhave toaffectchange and advocate for our patients. I look forward to joining the ranks of nurses advocates and I am excited to notonlydosoatthebedsidebutalsoattheCapitol.
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Weareseekingtalentedindividualstojoinourenergetic,compassionateteamofbehavioralhealthprofessionalsinprovidingclinicalexcellencetoourpatientsastheystrivetomeettheirtreatmentgoalsandworktowardsanimprovedqualityoflife.We are currently considering candidates for the following positions:
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Heritage Oaks Hospital is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at HOH via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of HOH. No fee will be paid in the event the candidate is hired by HOH as a result of the referral or through other means.
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United Indian Health Services
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Page 12 • ANA\C The Nursing Voice July, August, September 2016