volume 55 • number 1 january, february, march 2010 taking

current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

IndexCapitol Challenge . . . . . . . . . . . . . . . . . . . 4NM Board of Nursing Meeting . . . . . . . . . 5State's Financial Situation . . . . . . . . . . . . . 5NMNA Conference & Annual Meeting . . 6Taking Back The Playground . . . . . . . . . . 8NMNA Welcomes New Board of Nursing Executive Director . . . . . . . . . . . . . . . 10Carrie’s Corner . . . . . . . . . . . . . . . . . . . . 11District 1 Legislative Night . . . . . . . . . . . 12ANA Urges Members to Run for Of� ce . 12Continuing Nursing Education Listings . 13New Members . . . . . . . . . . . . . . . . . . . . . 14Membership Application . . . . . . . . . . . . . 14

Inside

A constituent Member Association of the American Nurses AssociationQuarterly circulation approximately 25,000 to all RNs, LPNs, and Student Nurses in New Mexico.

Your New Board

Page 6

District 1 Legislative Night

2

Volume 55 • Number 1 January, February, March 2010

The Offi cialpublication of

capitol challenge 2010 ~ January 28, 2010We Need Your HELp!

For complete information, see page 4.

Anna von Dielingen, MSN, RNDirector, Clinical Teaching Institute

of the NMCNE

A few weeks ago I had a conversation with my best friend who is an expert clinical nurse and a successful CNO, about control over nursing practice. She said, “What does that mean?” This article is written to create dialogue around what control over nursing practice truly is, why we should exercise this control, and how to develop it. Before we embark on this topic, let us review what nursing practice is and what it is not.

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis (nursing diagnosis) and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.1

Nursing is a holistic practice with its own body of knowledge. Nursing is not medical practice, which is based primarily on physiologic data, diagnosis and treatment of diseases. The medical model does impact nursing, we are responsible for knowledge around the medical model. However, we are also responsible for distinguishing and employing nursing practice, nursing measures, and nursing knowledge by assessing and evaluating the human response.

Nursing literature sometimes interchanges control over nursing practice (CONP) with autonomous nursing practice; empowerment is a subtext of the concept. CONP is defined as control over: the content of nursing practice, control over the context of nursing practice, and in some literature, control over competence in nursing practice.2

Control over the content of nursing practice is about preventing or acting upon subtle patient changes and cues. It includes understanding, influencing, and coordinating the plan of care along with the interdisciplinary team. For example:

• Dennis, RN was working in an ED. He started his shift by doing an overview of what was going on with his patients. He saw the diagnosis: spider bite attributed to a young female patient. He thought,

Taking control Over Nursing practice“spider bite is unlikely in the winter in the Pacific NW.” He proceeded to assess what he thought were obvious cues of living a street life along with a gaunt physique, then he assessed her arms, noting needle marks. He approached the Resident MD in charge, questioning the diagnosis. The resident had called the Attending Infection Control MD to evaluate this “interesting spider bite” case. Dennis said, “tracks?” That was all it took to turn this diagnosis around, the power of his nursing assessment prevented a lot of misunderstanding and quickly got this young woman on the path to recovery.

• Sebrina, RN worked as a home health nurse in Alaska. Her male DM patient with venous stasis leg ulcers was being “non-compliant” and refusing appropriate wound dressings and insulin. After much disagreement she finally consented to trying the natural treatment he desired, called “Devil’s Club;” there were improvements in his condition. Sebrina now lives in NM and says that this patient taught her to listen to her patients and advocate with the physician for what they want, even when their desires do not align with the plan of care.

Control over the context of nursing practice relates to the patient care environment, nursing policies/procedures, how nursing is organized and carried out. There are many structures available within the nursing community to support control over the context of practice. Transforming Nursing Care at the Bedside (TCAB), shared governance, and professional practice models are a few of these structures.

• A few hospitals in NM use TCAB. Nurses and the unit, when using this process, have control over how they organize the structure of their workday, they now give report at the bedside and include the patient in the discussion, others make hourly rounds to prevent problems from occurring. Some units using TCAB have created a “quiet zone” around medication delivery to prevent distraction and errors.

Taking Control...continued to page 10

• The New Mexico Nurse January, February, March 2010

NEED INFORMATION?Here’s how to get in touch

Academy of Med-Surg Nurses (AMSN)Rio Grande Chapter, Contact: Steve Ross 505-291-5474 or [email protected]

American Assn. of Critical Care Nurses (AACN)Albuquerque Chapter, P.O. Box 36546Albuquerque, NM 87156-6546Heidi Radke, Chapter PresidentEmail: [email protected]

American Assn. of Nurse Assessment Coordinatorswww.aanac.org a website for members of assn. of Long Term Care MDS Coordinators, offering CNE, on-line discussion, latest news updates.1873 S. Bellaire Street, Suite 800Denver, CO 802221-800-768-1880, Contact: Debbie Hoellen

American Nurses Association600 Maryland Avenue, SW Ste. 100 WestWashington, DC 20024-2571(202) 651-7059

American Society for Pain Management NursingContact: Linda Sorensen4401 Royene Ave. NE, Albuquerque, NM 87110(505) 724-6134 [email protected]

Assn. of PeriOperative RNs,Central NM ChapterContact Claudia Hoff, [email protected]

Association of Women’s Health, Obstetric and Neonatal Nurses (AWOHNN)Contact: Kathleen Matta 505-690-6218

Case Managers Society of American,Rio Grande ChapterContact Carolyn Simon at 505-816-2059, [email protected] OR: Elizabeth Ramos at 505-228-2238, [email protected]

Desert Mountain ChapterAmerican Society for Pain Management NursingContact: Irene Zamora, RN, MSN, CNS505-272-8727 or [email protected]

Legal Nurse Consultants, Greater Albuquerque ChapterContact Maria Scarpelli at 505-352-6562 or [email protected]

New Mexico Association for Home Care3200 Carlisle Blvd. NEAlbuquerque, NM 87110(505) 889-4556

New Mexico Association of Neonatal NursesContact: Raychelle Creech, (505) 839-2625

New Mexico Board of Nursing6301 Indian School, NE, Suite 710Albuquerque, NM 87110(505) 841-8340

New Mexico Developmental Disabilities Nurses AssociationContact Person: Judi Murphy(505) 332-6820 or [email protected]

NM Emergency Nurses AssociationContact Jean Gomez [email protected]

NM Native American Indian Nurses AssociationPO Box 26674, Albuquerque, NM 87125Josephine Waconda, President (505) 869-2134

New Mexico Nurses AssociationPO Box 29658Santa Fe, NM 87592-9658(505) 471-3324

New Mexico Nurse Practitioner CouncilContact any Board of Directors Member at [email protected]

New Mexico Organization of Nurse ExecutivesPO Box 4491Albuquerque, NM 87196 or their web site:www.nmone.org

NM School Nurses Association (NMSNA)Contact Judith Bauer-Creegan, RN, BSN, MSN, [email protected](575) 882-0036

NM Wound, Ostomy, and Continence NursesContact Pat Collins at 505-473-1544or [email protected]

PeriAnesthesia Nurses Assn. of NMContact Zita Pitcher, President [email protected] Contact, Connie H. Tabet, [email protected]

If you would like your organization’s name and phone # listed in the New Mexico Nurse, forward your information to: NMNA, PO Box 29658 Santa Fe, NM 87592-9658

NMNA Board and Staff President: M. Colleen Campbell, BSN, RN1740 Belvoir Circle Clovis, NM 88101Hm: 575/763-7741 [email protected] term exp. 2011

1st Vice-President: Leigh DeRoos, BSN, RN4644 Sandalwood Drive Las Cruces, NM 88011575/521-4362 [email protected] term exp. 2010 2nd Vice-President: Fran A’Hern-Smith, DNSc, MSN, RN 1332 Wellesley Dr. NE Albuquerque, NM [email protected] term exp. 2011

Secretary: Mary J. Sletten, DM(c), MSN, RN1007 Cedardale Drive Las Cruces, NM 88005-1247Hm: 575/525-2955 [email protected] term exp. 2011

Treasurer: Margaret Onuska, MSN, CNM, CNP3907 Hannett NE Albuquerque, NM 87110Hm: 505/268-0723 [email protected] term exp. 2010

Directors:

1 Jennifer Drexler, MSN, RN, CCRN 5920 Unitas Lane, NW Albuquerque, NM 87114 Hm: 505/975-7035 [email protected] term exp. 2011

2 Gloria Doherty, MSN, RN, ACNP 1905 Rita Court NE Albuquerque, NM 87106 Hm: 505/243-2628 term exp. 2011 [email protected]

3 Stephanie Martin, BSN, RN 2917 Ross Street Clovis, NM 88101 Hm: 575/762-7379 [email protected] term exp. 2010 4 Kimberly Stout, MSN, RN 7 Vuelta dela Tusa Santa Fe, NM 87506 Hm: 505/992-1145 [email protected] term exp. 2010

5 Jane Swanson, MSN, RN 2971 PO Box Mesilla Park, NM 88047-2971 Hm: 575/317-1589 [email protected] term exp. 2011 6 I. Lorraine Goodrich, MSN, RN 841 East 2nd Street Portales, NM 88130-6007 Hm: 575/359-0679 [email protected] term exp. 2010

NMNA Website: www.nmna.orgNMNA general Email: [email protected]

CNE application Email: [email protected] Mailing Address: P.O. Box 29658, Santa Fe, NM 87592-9658

Office Phone: 505/471-3324Office Fax: 877/350-7499 toll free

Executive Director: Carolyn Roberts, MSN, RN3692 State Highway 14 Santa Fe, NM 87508-8063Hm: 505/471-2169 [email protected]: 505/577-0752

Lobbyist: Linda SiegleP.O. Box 720 Cerrillos, NM 87010Wk: 505/471-3563 [email protected]: 505/690-5850

The New Mexico Nurse is published quarterly by the Arthur L. Davis Publishing Agency, Inc. for the New Mexico Nurses Association with offices at 3018 Cielo Court, Ste B, Santa Fe, NM 87507, Phone: (505) 471-3324.

For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. NMNA 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 New Mexico Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. NMNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of NMNA or those of the national or local associations.

January, February, March 2010 The New Mexico Nurse •

DIsTRIcT pREsIDENTs AND cONTAcTs

DNA 1, Albuquerque—Margaret Onuska, 3907 Hanett NE, Albuquerque, NM 87110, Hm: 505/268-0723.

DNA 2, Santa Fe—Kimberly Stout, 7 Vuelta De la Tusa, Santa Fe, NM 87506, [email protected], 505/992-1145.

DNA 4, Clovis—Stephanie Martin, [email protected], 575-765-7379.

DNA 7, Carlsbad—Inactive but contact—Tiffany Baggs, 1313 Doepp Drive, Carlsbad, NM 88220, [email protected], Hm: 505/887-6725.

DNA 10, Raton—Tina Bird, 649 Mora Ave., Raton, NM 87740, [email protected], Hm: 505/445-2821.

DNA 14, Las Cruces—Leigh B. DeRoos, 4644 Sandalwood Dr., Las Cruces, NM 88011, [email protected], Hm: 505/521-4362.

DNA 19, Farmington—Dianne M. Bonebrake, P.O. Box 887, Kirtland, NM 87417, [email protected], Hm: 505/598-0232.

Inactive:DNA 3, Tucumcari; DNA 5, Roswell; DNA 6,

Hobbs; DNA 8, Española; DNA 9, Los Alamos; DNA 11, Taos; DNA 12, Silver City; DNA 13, Las Vegas; DNA 15, Alamogordo; DNA 16, Gallup; DNA 17, Deming

NM Nurses Association: www.nmna.orgInformation on the organization, calendar of

events, legislative update, on line registration for workshops, job listings for all kinds of health care jobs, and Continuing Education applications for workshops for nurses.

NM Board of Nursing: www.bon.state.nm.usLists board meeting dates, download the Nursing

Practice Act, Rules and Regulations, download renewal forms, complaint forms, get information on recent rules and regulation changes, get names of board members.

NM Center for Nursing Excellence: www.nmnursingexcellence.org

Information on NMCNE activities to lessen the nursing shortage, recognize nurses for their accomplishments, Links to nursing organizations, workforce reports and much, much more.

Nursing Information Web sitesNM Nurse Practitioner Council: www.nmnpc.org

Information on the organization, activities, legislative initiatives, and formulary for sale to NPs.

American Nurses Association: www.nursingworld.org

Membership, bookstore to buy standards of various nursing practices, the Code of Ethics for Nurses, Online Journal of Nursing, press releases on various legislative initiatives, connections to state (constituent) nurses associations, American Nurses Credentialing Center, and the American Academy of Nursing.

Exceptional Nurse: www.ExceptionalNurse.comA nonprofit resource for nurses and students with

disabilities. The email address is [email protected].

MIssION sTATEMENTNew Mexico Nurses Association is committed to advocating for all licensed nurses,

improving health care, and promoting life-long learning.

Core Values

• Promote the professional and educational advancement of nurses.

• Develop alliances with other professional health care organizations on issues affecting nurses and health care.

• Enhance recognition of the contribution of the nurse in health care.

• Promote high standards of nursing practice by upholding the integrity of the New Mexico Nursing Practice Act.

• Improve access to health care services by expanding opportunities for nurses.

• Foster personal and professional self-advocacy.

• Advocate for nurses through legislative, regulatory, and policy making endeavors.

revised 06/03/2008


capitol challenge 2010January 28, 2010

Help us protect our most needy citizens from Medicaid cuts and protect the Board of Nursing budget!

Come to Capitol Challenge on January 28, 2010 at the Santa Fe Community Convention Center (201 W Marcy Street) and the State Capitol in Santa Fe, NM.

• 6.5 contact hours of Continuing Nursing Education for nurses (certificate of attendance for nursing student) when evaluation form is submitted at the end of the day.

• Registration pays for SFCCC underground parking all day, breaks, lunch and CE contact hours.• Discounted hotel rooms at Courtyard by Marriott 505-473-2800 or 1-800-777-3347, ask for NM Nurses

—2010 Capitol Challenge Group Rate. Rate is $59 + tax / night double occupancy. Heated indoor pool, Jacuzzi, fitness center, onsite steakhouse and lounge, complimentary parking and free Wireless Internet.

• Agenda and speakers: 0800 registration, 0830 speakers, 1145-1300 Lunch with speaker, 1300 Walk to Capitol, 1600 turn in evaluations.○Rose Gonzalez (director of American Nurses Association’s, Government Affairs) will speak on health

care reform, achieving legislative goals through political action and lobbying.○Patricia Montoya (former NM Secretary of Health and Deputy Secretary of HHS in Clinton

administration) will speak on local political involvement and how to become more politically active.○Linda Siegle (lobbyist for NMNA and other nursing groups) will review how a bill becomes a law,

how to effectively discuss issues with legislators, and discuss bills NMNA and nursing groups are supporting.

○ Ellen Swartwout (Director of American Nurses Credentialing Center’s Pathway to Excellence program) on how nurses can help facilities to be responsive to patient and nurses’ needs and improve the work environment.

Name ______________________________________________ Phone _________________________________________

Address: Street _______________________________________________________________________________________

City, state, zip ________________________________________________________________________________________

Email address ________________________________________________________________________________________

NMNA member: $40.00 Non-member: $50.00 Student or Faculty with students: $35.00You may go to www.nmna.org ➞ Events ➞ Capitol Challenge 2010 to register online and pay by credit card OR

Mail a check to NMN Foundation: P. O. Box 29658, Santa Fe, NM 87592-9658.More info? Carrie: 505-577-0752

Volunteers needed for a health care mission to Honduras

• Two weeks in Honduras, working in a clinic 2/13-2/27/2010.

• There will be another mission trip in September, 2010.

• Nice hotel with A/C• Must pay own airfare and cost of hotel—

○ Usually approximately $2,500○ Some get their family or church to help

with the cost.For more information,

contact Chuck Murrell, DDS at505-521-7833 or [email protected]


At this board meeting many important issues were discussed, including the report from the Board’s Chief Financial Officer, Daniel Griego, announced that he was concerned about the Board’s being subject to the “state agencies budget reductions” that may be mandated by the Legislature to resolve the $660,000,000 budget short-fall. The percentages bandied about were 1.5%, 3.5% and 16%!

The nursing practice act (available on the board of nursing website: www.bon.state.nm.us) says:

61.3.27 Fund established; disposition; method of payment.

A. There is created a “board of nursing fund.”B. Except as provided in Sections 2 and 3 [61-

3-10.5 (nursing excellence program; license renewal surcharge) and 61-3-10.6 (nursing excellence fund created), all funds received by the board and money collected under the Nursing Practice Act shall be deposited with the state treasurer. The state treasurer shall place the money to the credit of the board of nursing fund. Any income earned on investment of the fund shall remain in the fund.

C. Payments of out the board of nursing fund shall be on vouchers issued and signed by the person designated by the board upon warrants drawn by the department of finance and administration in accordance with the budget approved by the department.

D. All amounts paid into the board of nursing fund shall be subject to the order of the board and shall only be used for the purpose of meeting necessary expenses incurred in the enforcement of the purposes of the Nursing Practice Act, the duties imposed by that act and the promotion of nursing education and standards in this state. All money unused at the end of the fiscal year shall remain in the board of nursing fund for use in accordance with the provisions of the Nursing Practice Act to further the purposes of that act.

E. All funds that may have accumulated to the credit of the board under any previous act shall be continued for use by the board in administration of the Nursing Practice Act.

Yet in the 2009 legislative session, the legislators “swept” $1,000,000 from the Board of Nursing fund to relieve the budget deficit, even though the Nursing Practice Act states that the money belongs to the board of nursing. The board of nursing pays the rent, utilities, phone, payroll and everything else from OUR licensure fees and some fines assessed during disciplinary hearings. So in essence the legislature TAXED NURSES without a specific bill to tax them beyond the already high licensure fees we already pay. The

New Mexico Board of Nursing Meeting October 16, 2009

CFO was also told to be prepared for another weep from the board of nursing fund in the 2010 legislative session.

In combination with this budget reduction (which doesn’t make sense because NONE of the general fund goes into running the board of nursing), the legislature may again essentially steal another million dollars of OUR funds. Mr. Griego is concerned that services may have to be reduced and we already know they don’t have a functioning phone system, they refuse to answer questions about continuing education even though it is a requirement for licensure (they refer all questions to NMNA), and online re-licensure has been pushed back from 2008 to 2010.

So why the fact-dense information to you? Because we need as many nurses as we can reach to call or email their legislators NOW and remind them that the board of nursing receives NO General Funds to protect the public and regulate nursing, nursing programs, medication aides and hemodialysis techs, and thus it is an unfair tax on nurses to reduce the board of nursing budget, when all funds come from licensure fees, and that state law says that all funds in the board of nursing funds come from licensure and we do NOT want any more sweeps of funds from our board.

URGENT Alert from Linda Siegle:HB3 carried by Rep. Ben Lujan sweeps the cash

balances of many funds. The Board of Nursing, Board of Medicine, and several other health care boards are loosing all or part of their cash balances. The language says “notwithstanding statutory restrictions on the use of money in the following funds, the following amounts are transferred to the general fund:” $750,000 is transferred from the board of nursing fund.”

Please email your individual legislator urging them not to transfer the licensing fees of nurses and other health care practitioners to the general fund as indicated in HB3.

Linda SieglePOB 8602Santa Fe, New Mexico 87504505.690.5850

If you don’t know who your legislators are, go to http://legis.state.nm.us/lcs/, click on Members on the left, then on Find Your Legislator. From there you enter your zip code and it will tell you who your legislator is, and how to contact him or her. Remember you have both a Senator and a State Representative. The emergency session is going on right now, and they are making decisions that could affect how the board of nursing will function in the coming few years. Please help us!

Linda Siegle Lobbyist for NMNA

The Legislature in the Special Session of 2009 held in October was unable to fully address the $650 million deficit in the current fiscal year. Our state budget at $6.2 billion in 2007 has been reduced over the last two legislative sessions to about $5.2 billion. Cuts have impacted all services provided by state government including public and higher education, health services including Medicaid, children and adult services as well as transportation and corrections programs. Though one time only stimulus money has been and will be utilized to fill some of the gap, the Legislature in the 2010 session will consider raising taxes in certain areas. Medicaid alone will need an additional $300 million to maintain services at the current level of benefits and client load. Such an increase will not happen.

Many of the health practitioner licensing boards had portions of their fund balances appropriated in the special session. In fact, the Board of Nursing lost $1 million in the regular session in January- March 2009, and $750,000 of your licensing fees in the special session to be applied to the deficit. Any balances left will be subject to appropriation in 2010, including another possible $1 million from the Board of Nursing. Health insurance reform will also be on the agenda since any federal legislation will not be implemented until 2013.

As health care providers, your jobs will become increasing difficult as Medicaid and Medicare funding is reduced and services provided through the Department of Health are eliminated or decreased. Time will tell if the recession is truly ending, but it will take years for state government and the services it provides to return to normal.

Look forward to a lively 30 day legislative session beginning on January 19, 2010.

state’s Financial situation Will Affect Health care

Access

Linda Siegle


New Mexico Nurses Association conference and Annual Meeting November 7, 2009

Around sixty nurses and nurse students attended the annual conference held on November 7, 2009 in Las Cruces, New Mexico to learn about diversity in our patient populations and in the nursing profession, and how to honor and respect that diversity to improve patient care and outcomes, and our work environments. The evaluations were great, and we appreciate the input and attendance by all.

Planners for the conference included Leigh DeRoos, Ruth Burkhardt, Mary Sletten,Myoung O’Donnell, and many more. Thanks to each and every one for their terrific work!

Ruth Burkhardt NMSU Mariachi’s entertained at lunchWanda Borges, Ruth Burkhardt and Anita Reinhart on panel discussion.

From L: Stephanie Martin, Clovis; Lorraine Goodrich, Portales; Fran A’Hern-Smith, Albuquerque, 2nd VP; Kim Stout, Santa Fe; Jan Swanson, Las Cruces; Leigh DeRoos, Las Cruces, 1st VP; Mary Sletten, Las Cruces, Secretary; Mary Colleen Campbell, Clovis, President. Missing: Gloria Doherty, Albuquerque; Margaret Onuska, Treasurer; Jennifer Drexler, Albuquerque.

Your New Board


Alright, here’s what nobody wants to admit—there’s a little bully in all of us. And while you might not be called Darth Vader behind your back (yet), we all, to some degree, whether we realize it or not, have participated in bully-esque behaviors.

Being able to recognize these behaviors at an early stage can help you fortify all of your relationships and, as an added bonus, it may keep you employed.

To help identify the bully in you, here is a list of common bullying behaviors. We invite you to take an honest look at yourself. If you find that you have any of these red-flag behaviors, realize that these behaviors will never earn you the “Ms/ Mr. Congeniality” sash.

1. Aggressive BehaviorThis in-your-face bully operates from a place

of intimidation. Their motto is “I’m okay, you’re not okay and it’s your fault!” They enjoy heated arguments filled with put-downs. They talk at a volume that can be heard in the next county over and they make comments that are destructive and combative. They in no way make it safe for you to have a conversation with them. They cut you off mid-sentence to put their ten cents in, and if they do let you finish, they find ways to use what you have said against you.

2. Passive-Aggressive BehaviorPassive-Aggressive individuals have perfected

the act of sabotage. This bully behaves stealthy in a way that says I’m okay, you’re not okay, but I’m not going to tell you that to your face. Instead, they do things behind your back that let you know you’re not okay. They say one thing and do another, producing a chaotic environment. They don’t hold themselves to the same set of standards they require of you.

Passive-Aggressive behavior can range from always being late to meetings, making and then breaking promises, saying, “I was just joking,” after sending out a barbed missile-like message intended to stop others dead in their tracks. This is the type of bully who avoids taking any leadership position, letting others take the lead instead, only to sit back and criticize them on all of their decisions. Passive-Aggressive types can also act ridiculously literal. For example, if you ask these bullies to go and pick up a paper, they go pick it up

Taking Back The playground: coming To Terms With The Bully In You

and then stand there looking at you for their next command. Yet another favorite tactic is to ignore you when you ask a question, causing you to feel discomfort when you ask it again. In the hallway, they say hello to everyone else but you. After all, why should they waste their breath?

Another form of Passive-Aggressive behavior is making threats. These can be direct threats such as, “I can’t wait to see what HR thinks about this,” or indirect threats such as, “We’ll just have to see what happens.” Either way the point of a threat is to cause you discomfort, make you question yourself and establish themselves in the one-up position.

3. Blame GameThis bully makes mistakes and you guessed

it—it’s never their fault! Individuals who have perfected this behavior shirk responsibility for any wrongdoing and find a way to direct the blame onto others. Forget about them sharing what they can do, what they are willing to do and what they have done. Rather, they are quick to share what isn’t their job, what they can’t do, and what they haven’t done, which is, of course, no fault of their own. The blame bully makes you believe it is actually your fault for something that did not go their way. They excel at making others personally responsible for their shortcomings.

4. The One-UpperNever wanting you to think you are better,

stronger or smarter, this bully never lets you get the advantage. For this power-monger everything is a life-or-death competition. If you’ve done it, then they have done it bigger and better. No matter how awful your story is, their story is worse. If you’re stressed out, they’re about to blow a gasket. They know more, they knew it earlier than you and they remind you about this often. This bully seeks to maintain or boost their self-esteem and self-confidence by deflating yours.

5. Mr. Know-It-AllNext of kin to the One-Upper is Mr. or Ms.

Know-It-All. This bully knows EVERYTHING about anything. When asked even the simplest of questions the Know-It-All delivers a Shakespearian soliloquy that makes you want to cover your ears say repeatedly, “I can’t hear you. I can’t hear you!” This wastes hours (or what seems like hours) of your precious time. Like a jackhammer they pound away with irrelevant details you don’t want to hear and that you certainly won’t remember. Mr. Know-it-All also relishes in letting you know when you are wrong. They take great pride in letting you

(and everyone else in a 10-mile radius) know that you are, in fact, w-r-o-n-g and therefore well below their Know-It-All status.

6. GossiperBy gossiping just 10 minutes a day, this bully

loses forty-two hours of productivity a year. But why stop there, as most gossipers deliver much more gossip than this. This bully creates verbal viruses that spread like the flu. They infect everyone around them by sharing needless tidbits designed to make them look like they are “in the know.” This type of bully is notorious for baiting people by using questions such as, “So what have you heard about the new hire,” and “So what do you think of what the boss said in the meeting this afternoon.” Like a fisherman they stand with their line in the water waiting for you to bite, only to use your own words to filet you later.

7. “Negator”—The Stupor-hero of NegativityFaster than a speeding bullet! More spirit-

sucking than a red-eyed ravenous vampire. Able to spoil positive conversations in a single bound. This stupor-hero of negativity’s slogan is, “I’ve come to ruin the day!!” Negator’s list of negative phrases includes:

• “It’s not going to work.”• “Where’d you dig that one up?”• “You’re wrong.”• “That’s stupid.”• “Duh”• “Whatever!”Forget maintaining the recommended 3-to-1

ratio of positive-to-negative communication now recommended by experts. Forget boosting anyone’s self-confidence or self-esteem. Forget any good feelings that you had before they entered the room. Negator’s sole mission is to create downward emotional spirals for everyone involved. The drain on energy after even a short visit is palatable. Seeing this bully’s car in the parking lot is quite enough to break even the strongest resolve.

8. …Ist—BehaviorRacist… Sexist… Elitist… Whatever you call

it, this person chooses to demean others in an attempt to elevate him or herself. Quite often, this bully’s attitude has little to do with his or her true thoughts or beliefs. This person just knows that the best way to injure someone, thereby gaining power and control, is to hit them where it hurts. Focusing on personal characteristics such as race, sex, age, religion, national origin or disability is not only abusive, it is actually illegal. The Civil Rights Act of 1964 allows for protection under the law in the workplace for these protected categories.

9. MicromanagerWhether it is a bullying technique or simply bad

management, the Micromanager tends to question the skills and abilities of those reporting to them. This person tends to make those around them uncomfortable with their constant hovering and lack of trust. This person takes credit for the work of others, since they will often swoop in and take over a project in the 11th hour—claiming the glory for a job well done. Most people working for a Micromanager eventually decide they need to go somewhere else where their talents are recognized, or they become apathetic and only do the bare minimum.

10. Electronic BullyingToo cowardly to confront you face-to-face, this

bully hides behind a screen name, sending out flames… or Molotov cocktails, if they see fit. This bully doesn’t just burn a bridge… after all why stop there? Instead, they communicate in a way that torches the whole town. Rarely do they send out an e-mail without copying or blind-copying it to several others. Their other favorite tactic? Hitting ‘Reply to All’. They leave their victims confused and uncertain as how to respond.

If you saw even a little of yourself in these characters, you aren’t alone. Don’t be discouraged because the good news is: behavior is different from personality. Unlike personality, behaviors can be changed at any time, by simply adopting a new behavior!

Susanne Gaddis

Taking Back The Playground continued to page 9


How many good people are you driving out of the workforce? Once you can accept that you are participating in bullying behaviors, the end result is up to you. You can continue on this path, or you can make a change. What will you choose?

BULLYING QUIZ

• Do you find people shooting eye-daggers at you or refuse to make eye contact all together?

• Do others withhold their opinions or are they reluctant to share facts with you?

• Did the productivity in your department drop dramatically when you came onboard?

• Do you have high turn-over in your department and a lack of completed exit interviews?

• Does all talking cease when you walk in the room?

• Do you build yourself up by standing on the bones of those you have cut down?

• Is your theme song for life “I’ve got the power?”

Bullying Cost-Benefit Analysis:

Let’s be honest: There is an upside to being a bully. If there wasn’t, no one would do it!!

~ Being a bully means that you often get your way.

~ It’s a power trip. Watch as the peasants flee before you!

~ People tend to agree with you more (even if your idea STINKS!)

~ You probably have more time (because no one want to talk with you!)

~ Everybody knows your name (and your evil nickname, too).

~ If intimidation is your goal—Um…good job!

On the flip side, the costs of being a bully are plentiful:

~ Nobody wants to talk with you. This lack of feedback causes you to have massive blind spots.

~ You have a shortened career life-span. When there is downsizing, guess whose head will be first on the chopping block?

~ You’ll be overlooked for certain jobs due to your lack of people skills.

~ People will undermine you and go out of their way to go around you to get things done. Informed? Not quite.

~ In meetings you can expect a great deal of eye-rolling behavior whenever you present your ideas/demands (let’s face it they are demands!)

~ Bullying makes it nearly impossible to get a good recommendation.

~ You tend to bring out the worst in people (beware of the angry mob with the pitchforks.)

FUN FACT!: Over pay and over benefits, the number one reason why most people leave their jobs is because of their immediate supervisor.

Susanne Gaddis, Ph.D., CSP, professionally known as The Communications Doctor, is an internationally known interpersonal communications expert. She is one of 615 speakers worldwide to have earned the Certified Speaking Professionals designation. Susanne delivers workshops, seminars, and keynote presentations for hospitals and healthcare organizations. For more information, or to book Dr. Gaddis for an upcoming conference or event, call 919-933-3237 or visit: www.CommunicationsDoctor.com.

Elizabeth Cates, M.A., is an Organization Development Specialist in Houston who has worked with a variety of companies in the greater Houston Metropolitan area in a number of industries, including healthcare, education, government, and transportation. Elizabeth specializes in communications coaching, competency development, training facilitation, and leadership/management development. For more information on programs or services please call 832-465-7196 or email at [email protected].

Taking Back The Playgound continued from page 8


New Mexico Nurses Association

Is delighted to welcomeMs. Deborah Walker, MSN, RNBack to New Mexico and into

her role as the new Executive Director of the

New Mexico Board of Nursing.

Ms. Walker was the lobbyist for NMNA in the 80’s and 90’s, guiding the

Nursing Practice Act through two sunset reviews, helping nurse practitioners to have statutory

prescriptive authority, and then independent practice and independent

prescriptive authority, one of the first states with such

authority.

Welcome Home, Ms. Walker!

• Another hospital in northern NM has implemented shared governance, which allows the nursing staff to govern nursing practice and processes. The CNO there has noted higher nursing satisfaction scores and improved patient outcomes.

Control over competence in nursing practice relates to using evidence-based information to guide our practice, to enhance our critical thinking skills, and attain nursing specialty certification. It is about keeping current in knowledge and using that knowledge in our practice. It should be noted that experience does not equate to expertise.

Nursing literature suggests that when nurses take control over their practice they have increased satisfaction in their work, less burnout, less depersonalization, and patient outcomes are improved. Nursing brings valuable contributions to the lives of patients and to organizations, not just when they are there following MD orders, but especially when they are utilizing professional nursing knowledge. Nurses have a lot of face time with patients and can identify problems first hand. When we connect and engage using our nursing knowledge we can profoundly impact the result.

I recently heard David Vedera, President of the Peloton Group, speak at the annual NM Association for Home and Hospice Care conference. He referenced the Herzberg Theory of motivating job forces. Three of the top five forces are: 1) responsibility—making an impact, 2) recognition—peers’, management, and one self’s acknowledgement of one’s valuable contribution, and 3) the importance of the work at hand. These top motivating job forces are present in nursing, but nurses must engage their passions in these forces to receive the benefit. When we take control over our nursing practice, our practice is more

Taking Control...continued from page 1 relevant and more satisfying. As a result, patients get the benefit.

So how do we develop a consistent, continuous, and ubiquitous control over nursing practice in New Mexico? It takes a joint effort between individual responsibility and a supportive organizational culture. Nurses have to act using their nursing knowledge, use best practices, search the literature, and maintain competence. Nurses must not be afraid to speak up when patient advocacy is necessary. Organizations must support a strong nursing voice by implementing structures to facilitate best practices, by adopting suggestions for nursing care improvement, by creating a non-punitive environment (a “Just Culture”), by teaching leadership and decision making skills to all levels of staff.

If we, as nursing direct providers and nursing leadership (though we are all leaders), rally around and focus on exercising control over nursing practice we could greatly impact recruitment and retention of nurses, impact satisfaction in nursing, and could most definitely impact the outcomes of care of those patients and families that we serve.

References:1. American Nurses Association (2004). Nursing:

Scope & Standard of Practice. Washington, D.C.: American Nursing Association.

2. Majojilovich, M. ((2007). Power and Empowerment in Nursing: Looking Backward to Inform the Future. Online Journal of Issues in Nursing, 3/15/2007.

3. Weston, M (2008). Defining Control Over Nursing Practice and Autonomy. JONA, 38(9), 404-408.

4. Kramer, M, Schmalenberg, C. (2003). Magnet Hospital Nurses Describe Control Over Nursing Practice. Western Journal of Nursing Research, 25(4), 434-452. Abstract.


carrie’s corner

Carrie Roberts

It is mid-November as I write this, contemplating all the things I need to start, and finish, before December 31st, and wondering how I am going to get it all done. And know I am not alone in this “year-end/ prep for next year” anxiety. New Mexico Nurses Association has a big year coming up,

• Capitol Challenge, 2010—the annual legislative workshop for nurses/nursing students is 1/28/2010 at the gorgeous Santa Fe Community Convention Center and the State Capitol.Rose Gonzalez, (director of American

Nurses Association’s, Government Affairs) will speak on health care reform, achieving legislative goals through political action and lobbying.

Patricia Montoya (former NM Secretary of Health and Deputy Secretary of HHS in Clinton administration) will speak on local political involvement and how to become more politically active.

Linda Siegle (lobbyist for NMNA and other nursing groups) will review how a bill becomes a law, how to effectively discuss issues with legislators, and discuss bills NMNA and nursing groups are supporting.

Ellen Swartwout (Director of American Nurses Credentialing Center’s Pathway to Excellence program) on how nurses can help facilities to be responsive to patient and nurses’ needs and improve the work environment.

We will provide SFCCC parking (underground under the convention center), breaks, lunch. After lunch we will be going to the state Capitol to observe the legislature at work, both on the floor of the House or Senate and in committee hearings. Because the state budget is in serious trouble, most of the hearings will be on budget items, although some of you MAY be able to see health care-related bills being discussed and voted on in committee.

Nurses will receive 6.5 contact hours of continuing nursing education (students will receive a certificate of attendance) upon submission of an evaluation form at the end

of the day.• The legislative session will be a very, very

busy one. It starts on Tuesday, January 19, and ends Saturday, February 20th. The legislature will be discussing the budget, where to find $365 million more to continue to provide services to its citizens, whether taxes on food, health care, sugary soft drinks, cigarettes and other tobacco products, alcohol and more will be increased. In addition there are legislators discussing taxing big businesses headquartered outside of New Mexico (think Wal-Mart, Target, Best Buy, Lowes, Home Depot, Sam’s, Costco, Kohls, Dillards and others for the first time). All the money that these businesses make selling things in New Mexico are not, and have not been, taxed by the state—the funds generated could be huge, and make a significant impact on the state’s deficit.

• Although we’d had the “Sunset Clause” removed from the Nursing Practice Act (NPA) in 2003, we found that a state agency had inserted expiration dates on all sections of the act, so we thought we were going to have to have the NPA reauthorized anyway or the Board of Nursing would close on 6/30/2010. We’ve just been informed that putting the expiration date in our act was an error, and we may not have to get the act reauthorized after all. Perhaps we can spend our time at Capitol Challenge talking with legislators about the serious Medicaid cuts that will severely limit the care provided to our most frail, dependent elderly folks, and trying to keep them from taking more money from the Board of Nursing coffers, which come from OUR licensure fees, not from the General Fund and state budget.

• We had a wonderful conference in Las Cruces learning about Diversity of our patients and our profession. Terrific, thought-provoking speakers made the day a great hit. Our new board has been installed and can’t wait to get started on projects for 2010!

• We, like so many of you, have been watching all the Tea parties, congressional break hearings, the ups and downs of health care/health insurance reform… sometimes thinking it will never get through the US House and Senate, other times almost euphoric over new votes, new speeches, and

hope springs up again like crocuses and lilac blooms in March and April. Many of you have written or called your congressman or Senator about your concerns about the process, and ANA has been at the White House numerous times, our lobbyists talking with representatives and senators often to keep them on track. We still do not know the final outcome, but once again we are hopeful.

• We’re planning a Career Expo on April 17th in Las Cruces. We don’t expect that nurses from Raton, Farmington, Taos will attend, but ‘Cruces is only 3 hours from Santa Fe, and we plan on having facilities, schools, and jobs, jobs, jobs from all over the Southwest, so plan today to make the trip and join us for free CE contact hours and an opportunity to find the job you’ve been looking for! Ask for the weekend off now—we’ll have more info in the April 1 newsletter.

• There is always the end of the year round of employee parties, shopping, cooking, preparing gifts for family members and volunteering to help those in need. Hope your Holidays were warm, loving, and memorable, and that you, too, are ready to re-engage in the day to day work of caring for our patients, caring for ourselves, our communities, and those who are unable to care for themselves.


One state representatives and three senators attended the legislative night, listening to nurses’ concerns and issues. Thirty nurses from the Albuquerque area attended the evening, coming from UNMH, UNM College of Nursing, Presbyterian, public health, school nurses, Itt-Tech nursing program, and two from a DME company. The food was great, and the nurses felt they had helped to educate the legislators about nursing, health care and funding issues.

District 1 Legislative Night

Fran A’Hern-Smith and Linda Siegle at Legislative night.

ANA Urges Members To Run For Office

Have you ever considered running for an ANA office and answering the call of your professional organization? ANA needs committed individuals (both new and seasoned) to help the organization grow.

The ANA Nominating Committee encourages each member of ANA to consider becoming part of the ANA leadership team. The newly revised ANA Elections Manual provides potential nominees with an easy, step-by-step process for becoming a nominee. In it, you will find a description of the duties, responsibilities, and terms of office for each position, as well as a section on the campaign and elections process.

By serving in an ANA leadership position, you will have direct opportunities to impact the organization and the profession. Ernest J. Grant, MSN, RN, President of the North Carolina Nurses Association and former member of the ANA board of directors, recounted the benefits of his service this way:

“ ‘If you consider yourself a professional nurse, then you need to belong…you need to have your voice heard…you need to have a say in how your profession is governed and practiced.’ With those words, spoken to me as a new graduate nurse by a very dear friend and colleague who also was a great mentor to me, I began my 23-year membership in ANA and the North Carolina Nurses Association. It wasn’t long after that I was being asked to serve on committees or to help mentor a student in the local student nurses association.”

“At first I began thinking, ‘I can’t do this…I’m not a leader,’” Grant said. “But others saw something in me that I did not see in myself…they saw leadership potential, they saw a person who was well organized, thoughtful, and a proactive thinker. After serving on a few committees, I begin to see what others saw first. I wanted to be able to do more for my association and profession. I began running for office at the state level, serving as chair of membership and marketing, nominations chair, legislative chair (district level), and vice president.”

Still, Grant wanted to make a difference at the national level. “I ran for and was elected to the ANA board of directors. I must admit, this was one of the most challenging opportunities I have ever done,” he said. “I got the opportunity to work with other colleagues across the United States on national health care issues, professional practice issues, and the politics that may affect the profession.”

Grant urged all nurses to take up the cause that he knows is so important. “Why am I telling you all of this? Because it is time for you, too, to pick up that mantra that spoken to me. If you consider yourself a professional nurse, then you need to belong. You need to have your voice heard. You need to have a say in how your profession is governed and practiced,” Grant said.

To be considered for initial slate of candidates prepared by the Nominating Committee, submit your nomination packet by February 1, 2010. Please feel free to contact any member of the nominating committee if you have any questions. For committee names and more details go to: http://nursingworld.org/MemberCenterCategories/ANAGovernance/Elections.aspx.


continuing Nursing Education ListingsNMNA is now an ANcc-accredited approver—all cNE is ANcc approved!

A: = Alternative Therapies

Date Location Title CE Sponsor Contact

1/28/2010 Sante Fe Capitol Challenge 2010 and 6.5 NM Nurses Association [email protected] Nurses’s Day at the Capitol www.nmna.org

any time at your home multiple titles various National Council of State www.learningext.com computer Boards of Nursing

anytime at your home multiple titles—all free! various Medscape website www.medscape.com computer

anytime at your home multiple titles various Nursing Education of www.nursingeducation.com computer or by America 1-800-234-8706 book & mail

anytime at your home multiple titles various Western Schools www.westernschools.com computer or by 1-800-438-8888 book & mail

anytime at your home multiple titles various National Center of Continuing www.nursece.com computer or by Education 1-800-824-1254 book & mail

any time at your home multiple titles various American Nurses Association http://nursingworld.org/ce/cehome.cfm computer

any time at your home Diabetes: The Disease State and 2.0 Diabetes Network, Inc. www.LibraryRiver.com computer the State of the Disease Carol 505-363-9191 [email protected]

TBA New Mexico Understanding Infant Adoption 7.5 La Familia Inc. Jessica 505-766-9361 http://iaatp.com/home.asp

TBA Santa Fe Trauma First Aide 19.5 Trauma First Aide Associates Email: [email protected]

TBA San Diego, CA Trauma First Aide 19.5 Trauma First Aide Associates Email: [email protected]

TBA NYC, NY Trauma First Aide 19.5 Trauma First Aide Associates Email: [email protected]

TBA Northern NM Homeopathy—Medicine for the 7.5 Mirus Foundation [email protected] Whole Family

look at the NM and Various CE activities—all ANCC various HEALTH EDucation Network http://www.health-ed.com/website elsewhere approved via Wisconsin Nurses Association

TBA Albuquerque Introduction to IV Procedures for 8.3 Central New Mexico Alicia West at 505-224-5204 Nurses and Non-nurse Professionals Community College

Any time on home computer School Nurse Emergency Preparedness 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Any time on home computer School Nurse & EMS Continuum of Care 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Any time on home School Emergency Preparation & 1.0 UNM Dept. of Emergency Rob Elgie computer MedicalResponse Plans Medicine [email protected]

Any time on home computer School Nurse Assessment & Triage 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Any time on home computer Special Emergencies & Gadgets 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Any time on home computer Emergency Care of the Airway 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Any time on home Emergency Care of Musculoskeletal 1.0 UNM Dept. of Emergency Rob Elgie computer Injuries Part 1 Medicine [email protected]

Any time on home Emergency Care of Musculoskeletal 1.0 UNM Dept. of Emergency Rob Elgie computer Injuries Part 2 Medicine [email protected]

Any time on home computer Emergency Care of Spine Injuries Part 1 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Any time on home computer Emergency Care of Spine Injuries Part 2 1.0 UNM Dept. of Emergency Medicine Rob Elgie [email protected]

Anytime on home computer Scenarios #1 for School Health Nurses 1.5 UNM Dept. of Emergency Medicine Rob Elgie [email protected]




Various at your home Various titles, subjects Gerontology; various Clovis Community College/ www.ed2go.com/cloviscc/times computer Complementary & Alternative Medicine; ALLEGRA Learning Solutions then click on Health Care Spirituality, Health and Healing; Continuing Education End of Life; and many more.

any time at your home School Nurse Emergency 1.0 UNM Emergency Medicine [email protected] computer Preparedness 505-272-1209


❏ Trilevel: ANA/ NMNA/ District membership Active District “District 50”

❏ Full (employed fulltime or part time) $208.00 $17.84 $196.00 $16.84 a year a month a year a month

❏ Reduced 50% reduction in dues $104.00 $9.16 $98.00 $8.66❏ Not employed ❏ FT student ❏ New grad within 6 mo. of graduation a year a month a year a month ❏ 62 y/o and not earning more than Social Security allows

❏ Special—75% reduction in dues $52.00 $4.83 $49.00 $4.58❏ > 62 y./o and not employed or 0 Totally disabled a year a month a year a month

Choice of payment:❏ Full Annual Payment ( submit application with a check payable to ANA for the yearly amount)

❏ Online (www.nursingworld.org—credit card only)

❏ E-Pay (This is to authorize monthly electronic payments to American Nurses Association, Inc. (ANA)). By signing on the line, I authorize my Constituent Member Association (CMA)/ ANA to withdraw of 1/12 of my annual dues plus bank fees from my account.

❏ Checking—Please enclose a check for the first month’s payment; the account designated by the enclosed check will be drafted on or after the 15th of each month.

_________________________________________________Monthly Electronic Deduction Authorization Signature

❏ Automated Annual Credit Card Payment This is to authorize annual credit card payments to American Nurses Association, Inc., (ANA). By signing on the line, I authorize my Constituent Member Association (CMA)/ ANA to charge the credit card listed in the credit card information below for the annual dues on the 1st day of the month when the annual renewal is due.

❏ Monthly Electronic Payment through Credit Card Please complete the credit card information below and this credit card will be debited on or after the 1st day of each month.

CREDIT CARD INFORMATION ❏ VISA ❏ Mastercard

Bank Card Number and Expiration Date ________________________________________________________________

Authorization Signature _______________________________________________________________________________

Printed Name on Card ___________________________________________________ Amount __________________

Please mail your completed application to: New Mexico Nurses Association, P. O. Box 29658, Santa Fe, NM 87592 or American Nurses Association Customer and Member Billing, P. O. Box 17026, Baltimore, MD 21297-0405

By signing the Monthly Electronic Deduction Authorization or the Automatic Credit Card Payment Authorization, you are authorizing ANA to change the amount by giving the above-signed thirty (30) days advance written notice. Above signed may cancel this authorization upon receipt by ANA of written notification of termination twenty (20) days prior to deduction date designated above. Membership will continue unless this notification is received. ANA will charge a $5 fee for any returned drafts or chargebacks.

❏ NMNA-only or NMNA/ District- ONLY membership (Not ANA)

Membership Category (check 1)

❏ NMNA only ❏ NMNA & active district only

$128.00/ yr. $140.00/ year Active districts: 1—Albuquerque, 2—Santa Fe, 9—Los Alamos, 10—Raton, 14—Las Cruces, 19—Farmington All other “districts” are subsumed into “District 50”—At Large members—no dues. _________________________________________________________________________________________________________

❏ LPN Affiliate membership (Not ANA)

Membership Category (check 1)

❏NMNA only ❏ NMNA & active district only $50.00/ year $62.00/ year Active districts: 1—Albuquerque, 2—Santa Fe, 9—Los Alamos, 10—Raton,14—Las Cruces, 19—Farmington All other “districts” are subsumed into “District 50”—At Large members- no dues.

District Dues—All 3 Types of Members

Check Active Dues/ yeardistrict Districts if any

01—Albuquerque $12.00

02—Santa Fe $12.00

04—Clovis/Portales $12.00

07—Carlsbad $12.00

09—Los Alamos $12.00

10—Raton $12.00

14—Las Cruces $12.00

19—Farmington $12.00

50—“At Large” $12.00

A constituent member association of the American Nurses Association P. O. Box 29658, Santa Fe, NM 87592-9658 www.nmna.org 505-471-3324 Fax: 505-471-3314

Combined Membership Application

____________________________________________________ for ANA/NMNA/ District membership, NMNA or NMNA/ District ONLY, and LPN Affiliate membership

Last name ___________________________________ First name ____________________________________MI_______ DOB: __________________________________

Check preferred contact❏ Home Address _________________________________________________________________ City _________________________________________________________

County ____________________ State _______Zipcode________________________________ Hm. Phone (________) _________- _____________________________ Fax (_________)-___________-______________ Email: ________________________________________________________________________________________________

OR ❏ Employer name __________________________________________________________________________________________________________________________________ Street/POB___________________________________________________________________ City __________________________________________________________

County ___________________ State _______ Zipcode ______________________________ Wk Phone (________) -_________- ________________________________ Fax (_________)-___________-______________ Email: _________________________________________________________________________________________________

Basic nursing program/ City/ State ______________________________________ License #_____________________________ License State _____________________

Graduation month/ year ______________________________________________ Highest degree held _________________________________________________________

Member of a collective bargaining unit? ❏ YES - specify what unit_____________________________________________________❏ NO

_______________________________________________________________________________________________________________________________________________________

Office Use Only

CMA____________________________ DNA________________________

Exp date ___________________________

Approved by ________________________ Date ________________________

Amt. enclosed _____________________________ Ck # __________________

New MembersDistrict 1- Albuquerque area

Marlene Yamileth AvilaCatherine Anne Baum

Gaye Ellen CalvertSally S. Cohen

Katherine M. CordovaRoberta Elizabeth Dillon

Gaboka DovgerdaiteSharranna FriedmanTheresa M. Goldman

Nancy A. MorrisRose I. Okah

Gintaras RazaitisTheodore Roger RoybalLynne Marie Thompson

Debra A. Werner

District 2- Santa Fe areaMary Elizabeth Erard

Siri GuruNam Kaur KhalsaLynne D. Moore

District 4- Clovis/ PortalesJanice Grace Brown

BethAnn Fuller

District 14- Las Cruces areaRandee Greenwald

Margaret J. HansenVicky Kingsbury

District 15- Alamogordo areaJacqueline Sue Collins

Suzanne L DennehyChristine Stapleton

Jason R. Wong

District 16 Gallup areaAllison Kozeliski

District 50- At Large (no active district in area)Sarah E. Hinnant—District 11—near Taos

Maria D. Hobbs—Anthony

volume 55 • number 1 january, february, march 2010 taking

Documents