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Volume 3 • Number 4 • September 2018

T H E F U T U R E O F N U R S I N G I N M I C H I G A N

PRESIDENT’S MESSAGEThe Official Publication of the

American Nurses Association Michigan

The Future of Nursing in Michigan will reach over 4,500 Michigan nurses and State Legislators through direct mail.

As this is my last President’s Message, I’d like to thank all our members for the honor and privilege of serving as your ANA-Michigan President. These past two years have flown by and it’s been an exciting opportunity helping shape our association for the future, while creating a member-centered, relevant, responsive and value-based membership. We’ve grown in strength, influence and numbers, forged new partnerships and nurtured past collaborations, all while continuing to build on the groundwork we’ve laid since becoming ANA-Michigan!

In 2016, the Governance Task Force researched the overall functionality, efficiency and sustainability of the association in the areas of structure, engagement and financials. These findings were presented to the Board of Directors and final reports were shared with the membership at our 2017 ANA-Michigan Annual Assembly. Through action by the membership, our

Board of Directors were charged with exploring restructuring options and to present them at the 2018 ANA-Michigan Annual Assembly. With input from our board, councils, committees, members and staff, we are now poised to complete the restructuring process with the proposed Bylaws Amendments presented to the membership. The proposals have gone out to the membership electronically, with opportunity for comments and feedback. These proposals are also outlined in this publication. Voting on the proposals will occur at our Annual Assembly on Friday, October 26, 2018 at the Royal Park Hotel in Rochester, MI. I hope you will all take the time to review the proposals and attend the Annual Assembly to vote – along with attending our exciting conference, Honoring the Past, Celebrating the Future. An awards dinner is also scheduled for Thursday, October 25.

Why is this important to you, our member? This is a major undertaking in rebuilding from the ground up. In today’s association world, there is an increasing focus on being nimble and responsive

Linda Taft, RN

President’s Message continued on page 2

Page 12

Pages 7-11

Page 13

Nurses Mobilize for Advocacy on Capitol Hill

2018 ANA Membership Assembly Acts on Current Issues and

Looks to a Bold Future

Page 2 The Future of Nursing in Michigan September, October, November 2018

ANA-MICHIGAN BOARD MEMBERSPRESIDENT

Linda Taft

PRESIDENT ELECTCarole Stacy

RECORDING SECRETARYBridget Leonard

TREASURERStacy Slater

IMMEDIATE PAST PRESIDENTMaryLee Pakieser

REGION 2 – NORTHERN MICHIGANLynne Harris

REGION 3 – GRAND RAPIDS/MUSKEGONSuzanne Keep

REGION 4 – SAGINAWPeggy Ursuy

REGION 6 – LANSINGKathy Dontje

REGION 7 – DETROITEdith English

ADMIN AND EDUCATIONNancy Martin

NURSING EXCELLENCEMary Zugcic

PUBLIC POLICYJeanette Klemczak

RESEARCH AND EBP PRACTICELisbeth Votruba

EXECUTIVE DIRECTORTobi Lyon Moore

CONTACT INFORMATIONANA-Michigan

2501 Jolly Road, Suite 110Okemos, MI 48864

517-325-5306nurse@ana-michigan.org

The Future of Nursing in Michigan is published quarterly every January, April, July and October by the Arthur L. Davis Publishing Agency, Inc. Subscriber rates are available, 804-282-1808.

For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613. (800) 626-4081, sales@aldpub.com.

ANA-Michigan 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 American Nurses Association Michigan of the products advertised, the advertisers or the claims made. Rejection of an advertisement does not imply that 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. American Nurses Association Michigan and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of advertisers’ products. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of American Nurses Association Michigan, or those of the American Nurses Association.

REGION NEWSNorthern Michigan Shows Defining Hope

In June, Region 2 took advantage of ANA-Michigan’s purchase of the rights to offer free public screenings of the prize-winning documentary, Defining Hope. The film focuses on eight patients with life-threatening illness and the nurses who guide them to make critical choices along the way as they face death, embrace hope and ultimately redefine what makes life worth living.

It tells the stories of patients making choices about how they want to live, how much medical technology they can accept, what they hope for and how that hope evolves. It is about optimism and helps us define what “quality of life” really means. As nurses we often see that end of life

choices are often avoided, and our hope is that seeing this film will prompt discussions within families at an earlier point and to see that it is not a onetime discussion.

Our audience was composed of a mix of nurses and their potential patients. Following the film, a panel – Stephanie VanSlyke, RN, Roman Barraza, MD and Rev. Bonnie Smith, RN – answered questions and shared their experiences with patients at the end of life. The general responses to the film and panel were positive and there was discussion of showing the film in other venues.

If you are interested in having the film shown in your area, contact Tobi Moore at tobi@ana-michigan.org. Myrna Holland at MyrnaRN@chartermi.net would also be willing to share the Region 2 planning process with you.

President’s Message continued from page 1

to both members and issues, cost efficient with time and resources, and leading “from the outside in” to meet the needs of our members. Our focus in the proposed restructuring changes is to become an association that reflects these goals and values. Our research shows that the outreach to the local level in other associations has many variations and many have found that members are not as focused on “business meetings,” but do desire access to quality educational offerings, networking opportunities and advocacy activities.

We’ve heard from so many of you, you’ve expressed that you’d love to be more involved, but cannot always commit to the large blocks of time or that the opportunities are not available in your membership area. Conversely, it’s been a challenge to fully activate some of our Regions, Councils and Committees due to a lack of volunteers. Council and committee work will continue with restructuring, eliminating many of the barriers and obstacles that allow for more fluid member involvement. We will be able to provide more consistent programming and opportunities for our members as their time, interest, expertise and level of commitment allow. Ample opportunity will still exist to develop leadership skills, mentor others and advocate for Nursing and health care in a variety of ways through development of professional issues panels, special or mutual interest groups and task forces.

In centering our resources at the state level, we can be more responsive to the entire membership around the state. Managing our resources responsibly is critical to our success. Reducing the size of our Board of Directors will be more cost effective, and transition the board to being fully

elected by the membership through election of the Executive Committee and Directors at Large from the state, including a Director position for a nurse in practice with less than five years. This encourages our association to strengthen our relationship with Michigan Nursing Students Association (MNSA) and new to practice nurses as they transition and become proficient in their career.

While growing our membership is always the priority, we’ve also made strides in utilizing electronic communication and virtual meeting capabilities when possible to reduce meeting costs and are actively seeking out non-dues revenue sources of income. Developing best practices and adhering to association standards of excellence is a priority. With our association management team, led by Tobi Moore, Executive Director, we’re able to access many resources we wouldn’t be able to otherwise, and it’s reflected in the work we do and the relationships we’ve formed. Nationally with ANA, we can participate on an expanded level and influence policy and programming to benefit us all personally and professionally.

In the boardroom, classroom, community, clinic, or bedside and beyond, I’m so proud of our accomplishments these past two years. Becoming the “convener of conversations” is integral to the work of our association and we are present at more tables than ever. Our membership continues to grow, and we must now adapt to meet the needs of those members in a meaningful and purposeful way. Join us at our ANA-Michigan Annual Meeting on Friday, October 26, to set our path to the future!

ANA-Michigan: Advancing the nursing profession in Michigan

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Master’s Degree in Nursing required. Doctoral Degree in related field preferred.Military/VA experience preferred.Experience in Primary Care nursing/ Community Health nursing preferred.

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Openings

September, October, November 2018 The Future of Nursing in Michigan Page 3

This article is the third installment in a four part series addressing health professional licensure investigations and administrative actions in Michigan. In the first article in the series, how licensing investigations are initiated and the factors that go into the initiation of a professional licensure investigation were discussed. In the second article, I discussed the health care professional’s rights when being interviewed by an investigator from the Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing. In this third installment in the four part series, I will discuss the important steps a health care professional should take after an investigator’s interview and the internal review the Bureau of Professional Licensing takes after the investigation is completed.

Following the Bureau of Professional Licensing investigator’s interview, it is important the health care professional take steps to ensure the Bureau of Professional Licensing’s file reflects the statements made by the health care professional during the interview. While the investigator will generally take notes during the interview, there are no assurances that the notes taken by the investigator will reflect all of the information provided by the health care professional. Regardless of how good a note taker the investigator is, he/she may not view certain statements by the health care professional with the same weight as were intended. For these reasons, a health care professional is encouraged to provide his/her own written summary so that the summary becomes a permanent part of the Bureau of Professional Licensing’s file.

Providing a summary of the interview, close in time to the interview, will accomplish three goals. First, it will capture all the points the health care professional wants to clarify or emphasize. Second, the summary may also memorialize points made during the interview that could require more investigation and follow up by the investigator, especially if new individuals

need to be interviewed or prior witnesses need to be re-interviewed. Third, and most importantly, the health care professional’s summary can boost his/her credibility. From a credibility standpoint, a health care professional’s memorialized recollection is more believable when done close in time to the interview rather than months later after an administrative complaint is filed by the Bureau of Professional Licensing and the health care professional discovers that his/her recollection is inconsistent with the notes taken by the investigator during the interview.

Once the investigator has completed his/her interviews, gathered appropriate documents and re-interviewed individuals, if applicable, the matter is reviewed by the Bureau of Professional Licensing for a determination as to whether the health care professional’s actions or inactions are a violation of Michigan’s public health code. Michigan law states that the Bureau of Professional Licensing has 90 days in which to complete the investigation. While the Bureau of Licensing may extend that

Could You Be Facing a Professional Licensure Investigation?Part III You’ve Been Interviewed by the Investigator, Now What?

Donna J. Craig, RN, JD

Part III continued on page 15

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ANA-Michigan membership will be electing the office of President-elect, term serving November 2018 through 2020 and then transitioning to President for a two-year term in 2020.

Details on how to access the forum will be emailed to the membership the week of August 13th. All current and valid members will receive their official electronic ballot, by email, on Thursday, August 23, 2018. The email will contain instructions on how to cast your vote. Voting will remain open until 5:00 pm on Tuesday, September 11, 2018.

Election results will be announced during the Annual Membership Meeting on Friday, October 26, 2018 in Rochester, Michigan.

Thank you to everyone who took the time to submit a consent to serve and special thank you to the nominating committee: MaryLee Pakieser (Chair), Jeanine Easterday, Sally Decker, Kris Allen and Joan Bickes.

Margaret M. CalarcoBSN, MSN, Ph.D., NEA-BCPLYMOUTH, MI – Region 8

Current Position: Director for Clinical Innovation, University of Michigan School of Nursing

“The issues facing our profession continue to be the need to create and sustain safe and empowering practice environments which

enable professional nurses to flourish and practice at the top of their license and education. The growing threat of increasing violence in the work setting, the opioid epidemic, and professional bum-out are very real threats to our profession internally. Externally, health care and health care reform have never been more fragmented and tenuous. Our communities are yearning for better ways to prevent illness, maintain health and navigate their health and illness care successfully and in sustainable ways. The prevention of illness, the maintenance of health and the coordination of care have always been the hallmarks of nursing science so there is no better time than now to come together as professional nurses, joining our communities to co-create new models of health care. For much of our history we have practiced in the shadow of others and this is the time to demonstrate the significant impact of nursing care and health care to society.

“During the last 20 years of my career, I have focused on bringing thousands of professional nurses together to cocreate a strong and empowered professional practice environment, by engaging our patients, families, and colleagues in all the processes we created. This work was done within our organization and influenced the nursing profession at-large through our nurses’ practice and scholarship. I am now seeking to serve the nursing profession in a much broader and more impactful way by serving as the President-Elect. In this role, I am confident that I can join the other leaders of ANA-Michigan and most importantly the members

to co-create innovative models of caring for and developing each other, as well as, joining the diverse communities we serve to co-create better and more sustainable models of health care.”

What activities are you currently involved with or have been in the past related to ANA or ANA-Michigan? (including Region or Council involvement)

I have been a member of the ANA since I graduated in 1978 but have not been involved in any specific ANA committees. When the Washtenaw-Livingston-Monroe District Nurses Association existed, I was a member of the Board of Directors and was the Chair of the MNA Cabinet on Administration and Education and an MNA delegate in the early to mid-1990’s.

What other professional organizations are you involved in?

I am actively involved in the Rho Chapter of Sigma Theta Tau International, serving as the President-Elect, President, and Past-President from 2013 to 2017. I have also held positions on the Educational Committee for the American Association of Nurse Executives (AONE) from 2013 to 2015. I have held Board positions on the University of Michigan Health System Board, the Washtenaw Community Health Organization (WCHO) Board and the Michigan Visiting Nurses Association’s Board, serving as the Chair from 2003 to 2007.

What other elected or appointed offices and community activities have you been involved in that would be relevant to this position?

My elected positions are noted above. I recently had the privilege of serving as the Chief Nurse Executive of the University of Michigan Health System for the past 17 years, leading a professional community of over 6000 Registered Nurses. I retired from that position in December 2017 and will begin a new role at the University of Michigan, School of Nursing to bring nurses together to co-create innovative models of health care. These experiences provide an important foundation for leading the profession into our future.

Katherine DontjePh.D., RN, FNP-BC, FAANPBATH, MI – Region 6

Current Position: Associate Professor, Michigan State University

“A key issue facing nursing is safe staffing ratios. Solutions including developing flexible staffing ratios based on patient acuity to innovative ideas focused on reimbursement for nursing services. I would work with stakeholders to support the best solution for Michigan. Defining, protecting and advancing the scope of practice for all nurses in Michigan’s restrictive practice environment is another key issue. I would address this through legislative and regulatory means. Membership growth is essential. I would work with the organization to explore ways to engage and grow membership through strategies such as educational offerings and topic focuses task forces.”

“ANA-Michigan’s mission is to advance the nursing profession in Michigan. I am passionate about the role of nursing and the importance of supporting and expanding the scope of nursing practice. Nurses are the key to providing high-quality care for all individuals in Michigan. In order to do that we need a strong nursing organization to support the profession of nursing. My background and experience in health systems, outpatient clinics and academia provide me with the tools necessary to serve and provide leadership to the organization. I

ANA-Michigan Leadership Elections

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September, October, November 2018 The Future of Nursing in Michigan Page 5

hope you will support my candidacy for President-Elect of ANA-Michigan.”

What activities are you currently involved with or have been in the past related to ANA or ANA-Michigan? (including Region or Council involvement)

• Region Six President and Board Liaison• Member of the Evidence-Based Practice Council• Past Treasurer of Region Six

What other professional organizations are you involved in?

• Sigma Theta Tau Alpha Psi Chapter• American Association of Nurse Practitioners• Michigan Council of Nurse Practitioners• National Organization of Nurse Practitioner

Faculty• Midwest Nursing Research Society• American Nurses Association

What other elected or appointed offices and community activities have you been involved in that would be relevant to this position?

• Past President of the Alpha Psi Chapter of Sigma Theta Tau

• I serve on several subcommittees for the NON-PF at the national level

• Past chair of the Shared Decision-Making Sig within MNRS

• Past President of the local chapter of Michigan Council of Nurse Practitioners

Matthew M. McDonellRN, BSN, MSN, FNP-CLANSING, MI – Region 6

Current Position: Lead APP Sparrow Emergency Department, ER Fellowship D i r e c t o r, E m e r g e n c y Physician Medical Group

“I think the greatest issue facing the ANA and Nurse Practitioner Education Programs are exclusive online for-profit NP programs. I feel these programs do not prepare Nurse Practitioners for the working environment and the programs need to be evaluated and critiqued more to ensure we are having properly educated Nurse Practitioner graduates. Today’s Nurse Practitioners must be educated to practice medicine on top of the licensure.”

“I feel I am best suited to serve as President-Elect because I am heavily involved with the

education of Nurses and Nurse Practitioners who rotate through the Emergency Department. I am also a Lead Advanced Practice Provider for EPMG’s Sparrow Campus as well as part of the Leadership and Management Forum. In addition to the Lead APP position, I am also the Fellowship Director for new graduate APPs who wish to pursue a career in Emergency Medicine. I lead the APPs in education and training to practice at the top of the license.”

What activities are you currently involved with or have been in the past related to ANA or ANA-Michigan? (including Region or Council involvement)

I have not had much involvement with the ANA, however, I have had involvement with the ANCC. I have been elected for a volunteer position for an expert panel reviewer for their NP certification exam. I am a reviewer and a question composer for the exam.

What other professional organizations are you involved in?

Michigan Council of Nurse Practitioners

What other elected or appointed offices and community activities have you been involved in that would be relevant to this position?

I have volunteered for the Michigan Special Olympics Medical Team in the past as well as being the APP Medical Education Coordinator for Sparrow Hospital Emergency Department.

Julia Stocker SchneiderPh.D., RN, CNLPinckney, MI – Region 8

Current Position: Associate Professor & Coordinator, Health Systems Management & Clinical Nurse Leader Programs, University of Detroit Mercy

“Continued membership expansion and engagement is important for ANA-

Ml, as the association strive to be more visible and more relevant to nurses throughout Michigan. Strategies to attract nurses of all generations should be continued, and the restructuring plan that will allow new ways for nurses to engage and be active in ANA-Ml should be embraced. It is through member engagement that the work of the association is best accomplished. This will allow us to strengthen our presence as the professional voice for nursing in Michigan and allow us to coordinate that voice with other nursing and interprofessional stakeholders statewide.”

Leadership Elections continued on page 6

Page 6 The Future of Nursing in Michigan September, October, November 2018

Nurses from the Traverse City area recently raised $20,000 for Senator Debbie Stabenow. ANA-Michigan Immediate Past President and ANA Director at Large MaryLee Pakieser presented a $2,000 check on behalf of ANA-PAC, who recently endorsed Senator Stabenow.

Senator Stabenow Fundraiser

“I have gained much from my involvement in ANA-MI and would like other nurses to benefit from the opportunities for networking, advocacy, and leadership development. I would like to use the leadership skills I have gained to help lead ANA-Ml in continued growth, presence, and influence in the state. I have past association leadership experience and have grown over the years in my knowledge of governance and advocacy. I can apply the knowledge and skills that I teach related to quality improvement as we strive together to make our Association stronger. I would be honored to serve as President-Elect of ANA-MI.”

What activities are you currently involved with or have been in the past related to ANA or ANA-Michigan? (including Region or Council involvement)

• ANA MI Membership Representative to ANA (2017-2019)

• Attended ANA Member Assembly 2017 as an Election Observer for Marylee Pakieser in her campaign for ANA Board of Directors

• Appointed Member of Registered Nurse Association in Michigan (RN-AIM) Steering Committee for affiliation with ANA (2011) (RN-AIM became ANA-MI after ANA affiliation when finalized)

• RN-AIM Board Member from Cyber Region (2006-07)

• Steering Committee Member and Founding Member of RN-AIM (2005-06)

What other professional organizations are you

involved in?• Recently appointed by the Commission on

Nurse Certification (CNC) as Item Writer for the Clinical Nurse Leader (CNL) Exam

• Member Clinical Nurse Leader Association (CNLA)

• Reviewer and member of the Editorial Board for Home Healthcare Now (formerly Home Healthcare Nurse)

What other elected or appointed offices and community activities have you been involved in that would be relevant to this position?

I served as delegate to ANA House of Delegates for over 12 years. I served on the Michigan Nurses Association (MNA) Board of Directors as Secretary and Vice-President in the early 2000s. I served as Reference Committee Chair and member for MNA, and served on the Strategic Planning Committee. I was also involved in regions/districts in the Kalamazoo and Ann Arbor areas. I provided testimony for ANA to a Congressional Subcommittee regarding funding for nursing education and research.

Leadership Elections continued from page 5

To access electronic copies of The Future of Nursing in Michigan, please visit

www.nursingald.com/publications

September, October, November 2018 The Future of Nursing in Michigan Page 7

Awards Ceremony: Thursday, October 25, 2018 • Conference: Friday, October 26, 2018Royal Park Hotel • 600 E. University Drive • Rochester, Michigan 48307

2018 NURSE RECOGNITION AWARDS

Deadline: September 7, 2018

Nurse Recognition Awards continued on page 8

Honor a NurseMichigan has many nurses whose outstanding

contributions should be recognized. ANA-Michigan has established several awards to recognize excellence in Michigan nursing. Plan to nominate a nursing colleague. There is no easier way to bring the honor that they deserve.

Award nominations are due to the ANA-Michigan office by Friday, September 7, 2018. The award committee will be reviewing nominations in September and award winners will be notified by Wednesday, September 26, 2018.

The celebration and presenting of awards will be held during an evening awards celebration on Thursday, October 25, 2018 at Royal Park Hotel in Rochester, Michigan. The evening social will begin at 6:00 p.m. followed by the awards program from 7:00 to 8:00 pm. The evening of celebration will conclude with an inspirational message from, Patricia D. Hurn, PhD, RN, FAAN, regarding the opportunities in nursing, what #besideandbeyond means in her world and how you can apply it to yours.

Nomination ProceduresEach nomination and supporting documentation

must be submitted by September 7, 2018.

Nominations should be addressed to:ANA-Michigan Awards Committee2501 Jolly RoadSuite 110Okemos, Michigan 48864

If possible, nominations and documentation should be submitted electronically via email to nurse@ana-michigan.org, “Subject: Award Nomination.”

Nominations may be made of an individual, group or an organization.

Each nomination must include the following:1. Completed nomination form.2. A narrative statement by the nominator

outlining the accomplishments of the nominee and how these meet the established criteria for the award. The statements should describe the nominee’s compliance with the established criteria for the award as explicitly and concisely as possible.

3. At least two letters supporting the nomination, such as a supervisor or colleague.

4. A brief curriculum vitae and any additional pertinent information (not required for the Friend of Nursing award nominations)

5. All nominations must be typed.

All nominations become the property of ANA-Michigan. ANA-Michigan reserves the right to

request further information related to a nomination. Incomplete nominations will not be considered.

2018 RECOGNITION AWARDS

Exceptional PromiseExceptional Promise Award aims to spotlight five

(5) aspiring nursing students for their skills today and promise for tomorrow. ANA-Michigan will recognize five (5) distinguished nursing students who exemplify leadership and achievement in their community and their scholarly efforts. The purpose is intended to celebrate and encourage exemplar dedication to the nursing profession.

Criteria to Include:• Prelicensed nursing student at the time the

nomination is made.• Significantly or uniquely contributes to

leadership within their nursing program.• Demonstrates leadership in community affairs,

nursing professional organizations, and in growth and development of others in these areas.

• Positively promotes the nursing profession.

Celebrating the FutureCelebrating the Future Award aims to recognize

and acknowledge five (5) nurses in Michigan who have demonstrated outstanding achievement in nursing that have been a licensed RN for five years or less. This award is intended to celebrate dedicated service, encourage exemplary commitment to the nursing profession, and promise to grow in leadership in the advancement of nursing in Michigan.

Criteria to Include:• Currently licensed as an RN in the state of

Michigan.• Employed in nursing profession for five (5)

years or less.• Significantly or uniquely contributes to

leadership within the nursing profession through clinical practice, education and teaching, administrative leadership, research, writing, publishing, policy involvement, and/or healthcare innovation.

• Demonstrates leadership in community affairs, nursing professional organizations, and in growth and development of others in these areas.

• Positively promotes and advances the nursing profession in the community (local/global) through volunteerism/outreach efforts, legislative work, and policy development.

• Provide examples of how the nominee captures the essence of nursing.

Honoring the PastHonoring the Past Award aims to recognize five

(5) ANA-Michigan members who have demonstrated outstanding achievement in nursing that have been practicing for 30 or more years. This award is intended to celebrate the dedication, exemplary commitment, and significant contribution for a significant period to the nursing profession in Michigan.

Criteria to Include:• This nominee may be active or retired from

nursing.• Demonstrated innovative strategies they have

made over their nursing career.• Consistently surpass expectations of a

professional nurse; thus, enhancing the image of nursing as a profession.

• Demonstrates sustained and substantial contribution to ANA-Michigan.

• Served as a role model of consistent excellence in their area of practice.

• Other professional behaviors, such as mentoring, advocacy, research conduction or utilization, publications and presentations should also be demonstrated throughout his/her career.

• Holds a current membership in ANA-Michigan.

Dorothea Milbrandt Nurse LeaderThe Dorothea Milbrandt Nurse Leader Award

has been created to honor nurses who have demonstrated excellence in building successful mentoring relationships with other nurses and/or nursing students. This award is presented on behalf of the late Dorothea Milbrandt, RN, MPS, MSN, who had an important and lasting impact on nursing in Michigan for nearly 40 years. She served as Interim and Associate Executive Director of the Michigan Nurses Association, Course Director at Lansing Community College, Board member at Ingham County Health Education Coalition, Appraiser ANA Magnet Hospital Recognition Program, Associate Professor at Michigan State University, and Vice President for Nursing at Ingham Medical Center in Lansing, Michigan. In 2005, she was instrumental in the founding of the Registered Nurses Association in Michigan, now known as ANA-Michigan.

Nominees must meet the following criteria:• Exemplifies integrity and fairness.• Participates in professional nursing

organizations.

Page 8 The Future of Nursing in Michigan September, October, November 2018

ATTENDEE REGISTRATION & AGENDA

Visit www.ana-michigan.org for 2018 Nurse Recognition Awards nomination form.

Early bird pricing ends September 28, 2018

Conference and Assembly Attendee Registration & Agenda

American Nurses Association-Michigan (ANA-Michigan) invites nurses and nursing students to participate in a celebration of leadership and human touch by honoring the past and celebrating the future. This year’s conference will have an awards ceremony on Thursday, October 25, 2018 and the conference will be Friday, October 26, 2018 at Royal Park Hotel in Rochester, Michigan.

This meeting follows the theme set by the American Nurses Association of #bedsideandbeyond. As nurses in Michigan, we strive for excellence in all capacities of #bedsideandbeyond and we challenge those who

attend to find what #bedsideandbeyond means to them professionally and personally. We may teach, lead and be at the bedside. We are advocates for our patients and their families, but also for each other to inspire. We look to the innovation of those who lead, at any moment in their career, to be change agents in the field of nursing. This year’s speakers check all the boxes on innovation, including integrative therapies, technology and opportunities in nursing.

DEMOGRAPHICS OF THOSE WHO ATTENDThis innovational and celebratory conference

is designed to support nurses in all stages of their career. The purpose of the conference is to bring together nurses and nursing students, from various specialty and practice settings, to bring light to all aspects of #bedsideandbeyond.

CONFERENCE OBJECTIVESParticipants will recall how entrepreneurship

and business foundations position nurses as leaders in e-health modalities.

Participants will learn focusing upon visualization (making sense of large collections of healthcare data in a way that provides value), human computer interaction, and user-centered design.

Participants will define how to help persons with chronic disease develop better self-care management through improved symptom awareness.

CONTINUING EDUCATION CREDITSThis activity has been submitted to the Ohio

Nurses Association (OBN-001-91) for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Pending approval, participants can receive a maximum of 3.25 contact hours for attending this activity.

For additional information or questions on contact hours contact the ANA-Michigan office at 517.325.5306.

In order to obtain a Certificate of Successful Completion for this activity, the learner must complete the following criteria:

• Sign the Verification of Attendance Form at the registration desk

• Attendance of at least 80% of the event• Complete and submit the online evaluation

for each session attended

Nurse Recognition Awards continued from page 7

• Role models the skills of listening, negotiating, and collaborating within an interdisciplinary team.

• Demonstrates creativity, management skills, and a passion for excellence.

• Demonstrated excellence in building successful mentoring relationships with other nurses and/or nursing students.

• Holds a current membership in ANA-Michigan.

Friend of NursingThe Friend of Nursing Award is conferred on a

non-nurse who has rendered valuable assistance to the nursing profession. Their contributions and assistance are of statewide significance to nursing.

Nominees must meet the following criteria:• Demonstrates a commitment to the ideals

and purposes of nursing.• Demonstrates superior achievement and

leadership in their field of work.• Contributes to the long-term significance to

the nursing profession, and/or to the health of people within Michigan.

Lifetime AchievementThe Lifetime Achievement Award recognizes

an individual’s longstanding commitment to and profound impact on nursing.

Nominees must meet the following criteria:• Has shown a lifelong commitment and

dedication to the nursing profession.• Has been an innovator and developed

programs, new models, or research related to promoting the profession.

• Attained leadership positions of distinction in the academic, government, and/or community arena.

• Holds a current membership in ANA-Michigan.

Public Policy AdvocatePublic Policy Advocate Award is to recognize

a nurse who has demonstrated success in using public policy and advocacy as strategies in advancing nursing in Michigan.

Nominees must meet the following criteria:• Demonstrated leadership in community affairs.• Impact on public policy.• Has established a political presence in local,

state, or national policies.

• Contributions to social or civic organizations.• Holds a current membership in ANA-Michigan.

ANA-Michigan Past Award Recipients

Lifetime Achievement2016—Jonnie Hamilton

2017—Linda Bond

Dorothea Milbrandt Nurse Leader2007—Carol Frank

2008—Nancy Martin 2010—Kathy Birdsall 2013—Carole Stacy

2016—Karen M. Brown-Fackler 2017—Patricia Thomas

Public Policy Advocate2016—Jeanette Wrona Klemczak

2017—Myrna Holland

Nurse of the Year2016—Katherine Dontje

2017—Tara Neeb

Catch 5—Rising Star Award2017—Anne Kreft

TO BOOK YOUR HOTEL, YOU MUST CONTACTRoyal Park Hotel by September 27, 2018

600 E University Dr. • Rochester, MI 48307 Phone 800.339.2761 or visit www.royalparkhotel.net

Room Rate is $159Group Code:

2018 ANA-Michigan Fall Conference

Awards Ceremony: Thursday, October 25, 2018 • Conference: Friday, October 26, 2018Royal Park Hotel • 600 E. University Drive • Rochester, Michigan 48307

September, October, November 2018 The Future of Nursing in Michigan Page 9

To register, use the fast and secure online form at www.ana-michigan.org

THURSDAY, OCTOBER 256:00 - 7:00p Evening Social with Appetizers & Desserts

7:00 – 8:00p Awards & Recognition Program & Patricia D. Hurn, PhD, RN, FAAN

Be inspired as Dr. Hurn speaks on opportunities in nursing and what #bedsideandbeyond means in her world and how you can apply it to yours.

To learn more about the awards given, please go to www.ana-michigan.org

FRIDAY, OCTOBER 267:30 – 8:30a Breakfast & Registration

8:30 – 9:45a Keynote: Nursing Innovation & Entrepreneurship Rebecca Love, RN, MSN, ANP

Director of Nurse Innovation & Entrepreneurship, Northeastern School of Nursing

Founding 1HireNurses.com in 2013 and passion to empower nurses to innovate, create and collaborate to start businesses or be business-minded to transform healthcare, is what drives Rebecca’s initiative every day. She believes in transforming traditional nursing education to incorporate innovation, entrepreneurship and business foundations to position nurses as the leaders in healthcare.mobile and ubiquitous technologies.

9:45 – 10:15a Morning Break with Exhibitors and Poster Viewing

10:15 – 11:15a Bringing Human Touch to e-HealthPatricia Abbott, PhD, RN, FAAN, FACMI Associate Professor, UM School of Nursing

Focused on e-Health/mHealth applications for low-resource settings and vulnerable populations, particularly in Latin America, with a primary focus on non-communicable diseases and digital education, learn why Dr. Abbott is a strong advocate for Interprofessional Education and Team-based training, particularly in a rapidly digitizing world.

11:15a – 12:15p Integrative Therapies in NursingRoxane Chan, PhD, RN, AHN-BC, LMT Assistant Professor, MSU College of Nursing

While everyone has some level of mindfulness which helps them recover from and perhaps thrive during difficult life experiences, Roxane focuses on identifying respiratory-psycho-physiological mechanisms and measures of meditation as an intervention to increase mindfulness. Effective use of meditation in the healthcare setting will require an understanding of the physiological mechanisms and measures of meditation.

12:15 – 1:15p Lunch with Exhibitors & Poster Viewing

1:15 – 3:00p ANA-Michigan Annual Membership Meeting

Awards Ceremony: Thursday, October 25, 2018 • Conference: Friday, October 26, 2018Royal Park Hotel • 600 E. University Drive • Rochester, Michigan 48307

Page 10 The Future of Nursing in Michigan September, October, November 2018

EXHIBITOR & SPONSOR PROSPECTUS

2018 ANA-Michigan Conference and Assembly Sponsor & Exhibitor Information

American Nurses Association-Michigan (ANA-Michigan) invites nurses and nursing students to participate in a celebration of leadership and human touch by honoring the past and celebrating the future. This year’s conference and annual meeting will take place Thursday, October 25 and Friday, October 26, 2018 at Royal Park Hotel in Rochester, Michigan.

This conference follows the theme set by the American Nurses Association of #bedsideandbeyond. As nurses in Michigan, we strive for excellence in all capacities of #bedsideandbeyond and we challenge those who attend to find what #bedsideandbeyond means to them professionally and personally. We may teach, lead and be at the bedside. We are advocates for our patients and their families, but also for each other to inspire. We look to the innovation of companies and educators to be change agents in the field of nursing and would be honored to have your presence at this one-day event.

All sponsorships over $500 include a FREE exhibit booth (the fee of $300 will be waived)!

We look forward to hearing back from you before the application deadline of October 5, 2018. For more information, visit www.ANA-Michigan.org. If you have any questions, please contact the ANA-Michigan office at kristen@ANA-Michigan.org or 517.325.5306.

Last year we sold out our exhibit hall with 27 exhibitors - reserve your space before we sell out this year!

EXHIBITOR SCHEDULE - FRIDAY, OCTOBER 26, 20186:30 am to 7:30 am Exhibitor and poster set-up7:30 am to 8:30 am Continental breakfast and exhibit area open9:45 am to 10:15 am Attendee break with exhibitors and posters12:15 am to 1:15 pm Lunch with exhibitors1:15 pm to 3:00 pm Exhibitor teardown

*Exhibitors are not permitted to set up on Thursday, October 25

SPECIALTY SPONSORSHIP OPPORTUNITIES

Exhibit level, exclusive signage at reception, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, one exclusive social media post, podium shout outs, one push notification, one banner ad, one minute to speak before the awards presentations on Thursday, October 25, one exhibitor table open during the reception, two complimentary conference registrations and one guest for evening reception.

Company logo on attendee conference gift, exhibit level, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, podium shout outs, two push notifications and one banner ad. One available.

Exhibit level, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, one banner ad, on push notification and one complimentary conference registration. One available.

Exhibit level, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, one exclusive social media post, your choice of a creative center piece to present your company for the awards reception on Thursday, October 25. We give you creative control! Includes 6 award reception tickets.

Exhibit level, company name on mobile app and ANA-Michigan website with clickable link and social media recognition.One available.

Exhibit level, company name on mobile app and ANA-Michigan website with clickable link and social media recognition.One available.

Exhibit level, exclusive signage in poster area, company name on mobile app and ANA-Michigan website with clickable link and social media recognition. One available.

Clickable banner app on mobile app. Five available.

Awards Reception Sponsorship$3,000

Audio/Visual & Wi-Fi Sponsor$500

Attendee Gift Sponsor$1,500

Mobile App Sponsor$1,000

Table Sponsorship$500

Lanyard Sponsor$500

Poster Sponsor$500

Banner Ads $250

Awards Ceremony: Thursday, October 25, 2018 • Conference: Friday, October 26, 2018Royal Park Hotel • 600 E. University Drive • Rochester, Michigan 48307

Deadline: Friday, October 5, 2018

September, October, November 2018 The Future of Nursing in Michigan Page 11

Exhibit level, exclusive signage at front of general session room, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, podium shout outs, one push notification, one push notification, four customized social media posts in October and one complimentary conference registration. Two available.

EXHIBITOR OPPORTUNITIES

• Company name on mobile app and website with clickable link

• Two company representatives at exhibitor table, extra staff members $50 each

• Continental breakfast, breaks and lunch included

• 8-foot linen-draped exhibitor table with two chairs• Exhibit space centrally located in meeting area where food will be

served• Booth placement will be determined by ANA-Michigan staff with

priority given in order of sponsorship levels

Exhibit Hall Open on Thursday, October 25, 2018

MEAL SPONSORSHIP OPPORTUNITIES

Exhibit level, exclusive signage at lunch, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, podium shout outs, one push notification, one complimentary conference registration. Two available.

Exhibit level, exclusive signage at breakfast, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, podium shout outs, one push notification and literature at each breakfast setting. Two available.

Exhibit level, exclusive signage at breaks, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, podium shout outs and one push notification.*Energy On-the-go break will be available during and after membership meeting. Two available.

EDUCATIONAL SPONSORSHIP OPPORTUNITIES

Exhibit level, exclusive signage at front of general session room, company name on mobile app and ANA-Michigan website with clickable link, social media recognition, podium shout outs, one push notification, one banner ad, six customized social media posts during October/November, one complimentary conference registration. One available.

Education Session Sponsor$1,000

Coffee Break or Energy On-the-go Sponsor$750

Breakfast Connections Sponsor$1,000

Harvest Lunch Sponsor$1,500

Keynote Sponsor$1,500

Exhibitors$300

Visit www.ana-michigan.org for Sponsor and Exhibitor application.

Awards Ceremony: Thursday, October 25, 2018 • Conference: Friday, October 26, 2018Royal Park Hotel • 600 E. University Drive • Rochester, Michigan 48307

Page 12 The Future of Nursing in Michigan September, October, November 2018

Over 300 nurses from forty-five states joined staff and directors of ANA on Capitol Hill June 21, 2018. Included in those nurses were four from Michigan: Linda Taft, MaryLee Pakieser, Julia Stocker Schneider and Tobi Moore.

The day began with an orientation and discussion of the bills ANA is focusing on now. This year and each year the ANA lobbies for funding for Title VIII Nursing Workforce Reauthorization Act. This act provides grants and scholarships for Advanced Education in Nursing, Workforce Diversity, Nurse Education, Practice, and Retention Grants and the National Nurse Service Corps.

ANA supports a Safe Staffing for Nurse and Patient Safety Act (HR 5052/S 2446). This act does not set a ratio of nurse to patients, but seeks to put nurses at the table for decisions regarding staffing issues by creating nurse staffing plans that are unit specific and establishing a committee composed of at least 55 percent direct care nurses in Medicare-participating hospitals.

Addiction Treatment Access Improvement Act of 2017 (S 2317/HR 3692) and HR 6 will increase the number

of practitioners that can provide access to much needed medication-assisted treatment (MAT). The bill extended the option for NP’s and PA’s and added registered nurse midwives (treating drug addicted pregnant woman and mothers),

certified registered nurse anesthetists and clinical nurse specialists. This bill will open access for MAT treatment for many persons suffering from addiction. It passed the House the day after we were at the Capitol.

The last item ANA was looking for assistance with was to give funding for gun research to the CDC. For years the CDC was prohibited from researching gun violence. That was reversed this year, but without funding, they will not be able to complete their task.

Nursing is so much more than advocating for the patient at the bedside. Advocating for the patient and the health of the country through legislation is a duty and an honor. Those interested in becoming more involved with ANA-Michigan to one day join us on “the Hill.” It is an experience of a lifetime!

NURSES MOBILIZE FOR ADVOCACY ON CAPITOL HILL

The Grand Traverse County Health Department has regular opportunities for Public Health Professionals!

Long Term Care Facility in beautifulHarbor Springs, MI.

Looking to hire Michigan licensed Registered Nurses to fill night shifts.

• Excellent benefits • 8% Retirement• Competitive wages • Generous paid time off

Apply online at www.baybluffs.org Email: sthurston@baybluffs.org | Fax: 231-526-8467

September, October, November 2018 The Future of Nursing in Michigan Page 13

Breaking news and down-to-the-minute updates on major health care and humanitarian issues added urgency and even greater purpose to the final day of the American Nurses Association’s 2018 Membership Assembly, held June 22-23 in Washington, DC. Eligible Assembly representatives adopted recommendations from the Professional Policy Committee and elected ANA board and committee members.

Representatives approved recommendations that were developed following three separate dialogue forums held the previous day. The three forums focused on: secondary opioid exposure considerations in caring for patients with overdose; the ANA presidential endorsement process; and the ANA position statement Euthanasia, Assisted Suicide, and Aid in Dying.

The recommendations call on ANA to:• Identify informational tools to inform

students and nurses about responding to patients who have potential opioid overdose, and advocate for funding and other support for research and development of evidence-based protocols regarding opioid overdose.

• Refer consideration of the ANA presidential endorsement procedure back to the ANA Board of Directors for development of a revised proposal following further input from ANA members and stakeholders.

• Incorporate the following into a revised position statement on aid in dying: Nurses must respect patients’ right to request aid

in dying; nurses must be knowledgeable of the law regarding aid in dying in the state or territory in which they practice; while nurses are ethically permitted to participate in aid in dying, in states or territories where it is legal, they retain the right to conscientiously object; nurses must be able to provide information on aid in dying and provide emotional support to patients and families who face this decision at the end of life.

New leadershipEligible voting representatives elected Ernest

Grant, PhD, RN, FAAN, of the North Carolina Nurses Association as the association’s next president.

ANA’s Membership Assembly also elected four other members to serve on the nine-member board of directors. The newly-elected board members are: Secretary Stephanie Pierce, PhD, MN, RN, CNE, of the Louisiana State Nurses Association; Director-at-Large Tonisha Melvin, DNP, CRRN, NP-C, of the Georgia Nurses Association; Director-at-Large Varsha Singh, MSN, APN, of the New Jersey State Nurses Association; Director-at-Large Staff Nurse Jennifer Gil, BSN, RN, of ANA Massachusetts. Additionally, three members were elected to the Nominations and Elections Committee.

Terms of service for the newly elected members begin Jan. 1, 2019.

New ANA Enterprise Chief Executive Officer Loressa Cole, DNP, MBA, RN, NEA-BC, FACHE,

addressed the Assembly, expressing gratitude for the opportunity. Cole offered her vision of a future where nurses lead. “Our nation and our patients are counting on us to show up and speak up,” she said. “We must not fail them. ANA will be there, and I know you will join us.”

Celebrating a victoryANA joined other nursing organizations

commending the passage of H.R. 6, the SUPPORT

2018 ANA Membership Assembly Acts on Current Issues and Looks to a Bold Future

ANA-Michigan Membership Assembly Attendees

Representing Michigan in DC at ANA Membership Assembly pictured left to right:Tobi Moore, Executive Director; Linda Taft, President; MaryLee Pakieser, ANA Board of

Directors; Julia Stocker Schneider, Membership Representative; and Carole Stacy,

President Elect.

Membership Assembly continued on page 14

Page 14 The Future of Nursing in Michigan September, October, November 2018

Membership Assembly continued from page 13

for Patients and Communities Act, which will extend prescribing authority to nurses and help combat the opioid crisis. The bill has moved to the Senate.

By acclamation, the Membership Assembly endorsed an updated ANA board statement on the Administration’s practice of separating children from families at the United States border.

A reflection—and a look aheadANA President Pamela F. Cipriano, PhD, RN,

NEA-BC, FAAN, also gave her final Membership Assembly address. Her term will end at the close of 2018.

Cipriano, who has been an ANA member since she graduated from nursing school, said that she will continue to support ANA “from the sidelines,” and called nurses “the most intelligent and dedicated individuals who are strong and smart and brave and bold.”

September, October, November 2018 The Future of Nursing in Michigan Page 15

In the fourth and final article in this series, I will discuss the impact on the health care professional when the Bureau of Professional Licensing issues an administrative complaint, as well as the health care professional’s rights in defending against an administrative complaint. The last article will also discuss the public reporting of any sanctions taken against a health care professional.

Donna J. Craig, RN, JD is legal counsel to the ANA-Michigan Chapter. She practiced as a cardiac care nurse for several years before a chance opportunity to audit a graduate course

in health care law and ethics which changed her career path. That course propelled her to earn her law degree. After law school Ms. Craig joined a medical malpractice defense law firm before transitioning her focus to health care corporate and administrative law matters. For over 20 years she has maintained her private health care law practice, representing health care providers and facilities in business, licensure and compliance matters. For her expertise and accomplishments, Detroit’s dbusiness Magazine awarded Ms. Craig its Top Lawyer in Health Care Law award for three consecutive years.

Part III continued from page 3

90 day period by 30 days, courts have consistently ruled that the 90 day deadline is not enforceable against the Bureau of Professional Licensing. It has been my experience that an investigation can remain open for as long as two years. Regardless of how long the investigation takes, the Bureau of Professional Licensing will eventually take one or more of the following actions:

• Issuance of a formal administrative complaint against the health care professional;

• Conduct a compliance conference, which allows the health care professional to show his/her compliance with the public health code;

• Summarily suspend the health care professional’s license if the Bureau of Professional Licensing has determined the public’s health, safety, or welfare requires emergency action. Before a summary suspension is issued against a health care professional, the Bureau of Professional Licensing is required to consult with the chair of the respective professional board;

• Issue a cease and desist order, giving notice to the health care professional that a particular conduct should cease; or

• Dismiss the allegations being investigated, in which case the health care professional will be advised by the Bureau of Professional Licensing that it has not found a violation of the public health code and such matter will be closed. If the allegations are dismissed, all the information collected through documents, interviews and other means will remain in a closed, confidential file with the Bureau of Professional Licensing.