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Keynote Speaker<br />

Marla Weston,<br />

RN, PhD,<br />

FAAN CEO,<br />

American Nurses<br />

Association<br />

Save the Date<br />

RISNA Annual Business Meeting<br />

Page 6<br />

4th Annual Nightingale Gala<br />

Page 8<br />

Circulation 19,000 to every Registered Nurse, Licensed Practical Nurse and Student Nurse in Rhode Island<br />

The Official Publication of the Rhode Island State Nurses Association<br />

Volume 10 • No. 3 July 2013<br />

President’s <strong>Message</strong><br />

Christine Gadbois<br />

As I write this first<br />

column as President<br />

of the RI State Nurses’<br />

Association, I am struck<br />

by how fortunate I am to be able to represent<br />

such a strong and influential organization. We are<br />

blessed to have a core group of board members<br />

and staff who represent all of us nurses in RI in<br />

very positive ways. As I have worked more closely<br />

with our leadership team, I have learned firsthand<br />

how important the work of RISNA is to the nursing<br />

profession and to the public’s health. As the<br />

professional organization for the over 18,000 nurses<br />

in our state, RISNA is responsible to ensure that the<br />

public, our legislators and other stakeholders are<br />

knowledgeable regarding both the role of nurses<br />

and issues that affect the public health. With our<br />

leadership and advocacy, public policy can be<br />

shaped accordingly. We count on our executive<br />

director, board members and committee chairs<br />

to engage stakeholders from the community,<br />

health care organizations, the RI State Legislature,<br />

and others, in thoughtful discussion regarding<br />

the issues that are important to us as nurses. As<br />

practicing nurses, we know that we must advocate<br />

for individual patients and families, but we must also<br />

be reminded that we are counted on to advocate<br />

for the public health and for the profession of<br />

nursing. I encourage each of the 18,000 nurses who<br />

receive this publication to consider increasing their<br />

participation in RISNA advocacy and initiatives.<br />

Each nurse can start by logging on to the American<br />

Nurses Association web site today to learn more.<br />

Thank you, Chris.<br />

RI Certified School Nurse Teachers Select<br />

School Nurse Teacher of the Year<br />

Rhode Island Certified<br />

School Nurse Teachers<br />

(RICSNT) announced the<br />

School Nurse Teacher of the<br />

Year at their annual banquet<br />

on May 8, 2013 (National<br />

School Nurse Day) at the<br />

Quidnessett Country Club<br />

in North Kingstown. This<br />

year’s recipient is Marianne<br />

Adams, MEd, BS, RN, NCSN.<br />

She received her nursing<br />

degree from RI College and MEd and Certification<br />

in Guidance and Counseling from Providence<br />

College. Marianne is a nationally board certified<br />

school nurse and has been recognized for her many<br />

achievements and awards; including 2012 Fuel Up to<br />

Play60 Advisor of the Year for RI.<br />

Marianne has been a school nurse teacher at<br />

Narragansett Elementary School since September<br />

2012. Previously Marianne was employed at the<br />

Captain Isaac Paine School in Foster, RI for 16 years.<br />

Marianne is a member of Rhode Island Certified<br />

School Nurse Teachers as well as the National<br />

Association of School Nurses.<br />

Marianne has held many positions on the Board<br />

of Directors of RICSNT (since 1994) and served<br />

as President from 2009-2011. Marianne is also<br />

a member of RISNA, the R.I. School Counselor<br />

Association, and the Sigma Theta Tau International<br />

Honor Society of Nursing.<br />

Marianne is a dedicated professional whose<br />

emphasis is on the children and families that she<br />

serves. She goes above and beyond as a volunteer<br />

for community events such as the Mission of Mercy<br />

(free dental care), Feed 1000 (providing vaccinations)<br />

and Camp Surefire a diabetes summer camp for<br />

children and adolescents. RICSNT is pleased<br />

and proud to be associated with such a devoted<br />

professional!<br />

current resident or<br />

Presort Standard<br />

US Postage<br />

PAID<br />

Permit #14<br />

Princeton, MN<br />

55371<br />

BIG NEWS<br />

ON ITS WAY!<br />

ANA has performed extensive member research over the last year.<br />

We heard what you had to say and plan on making some big changes.<br />

ANA and the Rhode Island State Nurses Association are working together to bring you<br />

very exciting membership news soon. Check our website after August 1st for important<br />

details! www.risna.org


Page 2 • Rhode Island Nurse July, August, September 2013<br />

www.risna.org<br />

Published by:<br />

<strong>Arthur</strong> L. <strong>Davis</strong><br />

<strong>Publishing</strong> Agency, Inc.<br />

Executive Director’s Column<br />

by Donna M. Policastro<br />

On March 1, 2013, the first multistate division of<br />

the American Nurses Association was formed. It is<br />

called the Northeast Multistate Division and consists<br />

of the following states: Maine, New Hampshire,<br />

Vermont, Rhode Island, Connecticut and Maryland.<br />

The formation of the multistate division model was<br />

approved by the ANA board of directors as a two<br />

year “pilot.” The ANA board of directors as well as<br />

the individual state nurses association boards will<br />

re-evaluate the division model in 2 years and will at<br />

that time decide if the model is sustainable. Each<br />

SNA will retain it’s own identity and board structure.<br />

Models for shared services are being explored and<br />

evaluated by the SNA’s. New membership initiatives,<br />

shared association management, group purchasing<br />

and developing a Multistate Division of Professional<br />

Development are examples of the new model.<br />

This writer has been chosen to lead the Northeast<br />

Multistate Division during the “pilot” phase. While<br />

still retaining the title of “Executive Director” of<br />

RISNA; many of the functions that fall under the<br />

Executive Director’s role will be filled by competent<br />

nurse leaders for the next 2 years. These are<br />

exciting times for both the state nurses associations<br />

and the multistate division. This is an era of<br />

transformational change that will insure the viability<br />

of the state associations. Increased membership<br />

and continued nursing advocacy are the key factors<br />

for success. But how do we continue to measure<br />

success? Here are just a few examples of how<br />

Rhode Island State Nurses has been successful this<br />

year.<br />

In 2012 the RISNA board of directors,<br />

approved the formation of an Advanced Practice<br />

Registered Nurse (APRN) Council with the specific<br />

function of bringing nurse practitioners, clinical<br />

nurse specialists and certified registered nurse<br />

anesthetists together to author legislation that would<br />

align, licensure, accreditation, certification and<br />

Medication Evaluations and Management<br />

Nurse Practitioner/CNS:<br />

PT to work in private outpatient psychiatry office,<br />

specializing in psychopharmacology. Duties will<br />

include medication monitoring and supportive<br />

care. Complete initial and ongoing training will<br />

be provided as well as in-depth supervision with<br />

physician backup. Competitive salary.<br />

Please fax or mail resume to: 401-823-9180<br />

Deborah Falco<br />

889 Centerville Rd., Warwick, RI 02886 or email<br />

to deborahfalco@cox.net<br />

Three Convenient Locations:<br />

889 Centerville Rd., Warwick, R.I. 02886<br />

154 Waterman St., Providence, R.I. 02906<br />

35 South County Commons Way, S. Kingstown, R.I. 02879<br />

Ph. 401-821-4100 ext. 19 (new appts)<br />

Fax 401-823-9180<br />

Updates From The Northeast<br />

Multistate Division Leader<br />

education for advanced practice nurses. This is a<br />

national initiative, however each state nurse practice<br />

act would need to be amended to accommodate<br />

this purpose. I am pleased to report that at the time<br />

of writing this column RISNA in collaboration with<br />

RIANA has been successful in passing the APRN<br />

Consensus Model bill in the House and the Senate<br />

and hopefully within the next few weeks will be<br />

heading to the Governor for his signature. Rhode<br />

Island will now become 1 of 15 states to pass this<br />

legislation.<br />

In April, Christine Gadbois, RISNA President<br />

addressed the Student Nurse Association of<br />

RI (SNARI) convention on the importance of<br />

membership in your professional association. On<br />

April 5, RISNA and the Rhode Island Institute for<br />

Nursing again combined their efforts to host the 4th<br />

Annual Nightingale Gala. Dayle Joseph and Sylvia<br />

Weber were inducted into the Nursing Hall of Fame.<br />

(Gala honorees and photos are also in this issue).<br />

RISNA is a co-lead of the Rhode Island Action<br />

Coalition, a partnership of nursing and business<br />

and lead by the Rhode Island Center for Nursing<br />

Excellence at the University of Rhode Island. I am<br />

pleased to announce that the RIAC and “Stepping<br />

Up” received grants from the Robert Wood Johnson<br />

Foundation (RIAC) and the Governor’s Workforce<br />

Board (Stepping Up) to design and implement<br />

a Nurse Residency Program which will begin in<br />

September, 2013.<br />

So, as you can see your professional nursing<br />

association has been very active in transforming<br />

the nursing profession in Rhode Island. Become<br />

part of this transformation: ANA HAS PERFORMED<br />

EXTENSIVE MEMBER RESEARCH OVER THE LAST<br />

YEAR. WE HEARD WHAT YOU HAD TO SAY AND<br />

PLAN ON MAKING SOME BIG CHANGES. ANA<br />

AND RISNA ARE WORKING TOGETHER TO BRING<br />

YOU VERY EXCITING MEMBERSHIP NEWS SOON.<br />

LOOK FOR YOUR NEXT NEWSLETTER FOR MORE<br />

INFORMATION. JOIN RISNA/ANA TODAY!!!!!!<br />

Our Oncology services are expanding and we<br />

have positions available for experienced<br />

Oncology Nurses<br />

Clinical Nurse Manager<br />

Bone Marrow Transplant/Medical Oncology<br />

Registered Nurse<br />

Full Time Positions – 36 hours/week<br />

12 hour shifts available<br />

ONS/Chemotherapy Certification Required.<br />

Please visit www.rwmc.org for a current<br />

list of job openings!<br />

Fax resumes to 401-456-6461<br />

Email resumes to julie.lange@chartercare.org<br />

www.rwmc.org<br />

EOE<br />

Rhode Island Nurse<br />

Mission Statement<br />

The Rhode Island State Nurses Association (RISNA), a constituent<br />

member of the American Nurses Association (ANA), is the authority on<br />

matters concerning the profession of nursing and nursing practice in the<br />

State of Rhode Island. RISNA is dedicated to the promotion, advancement<br />

and protection of nursing thereby improving the quality of and access to<br />

health care in Rhode Island.<br />

We stand united in excellence by:<br />

❖ Providing leadership in defining standards of nursing practice;<br />

❖ Representing the nursing profession in state and local affairs, and;<br />

❖ Providing and coordinating information on nursing and health care<br />

for nurses and the Rhode Island community.<br />

Executive Director<br />

Donna M. Policastro, RNP, ED<br />

President<br />

Christine Gadbois, RNBC, MSN, CDDN, PHCNS-BC<br />

Past President<br />

Cathy E. Duquette, PhD, RN, CPHQ, NEA-BC<br />

Vice President<br />

Linda Damon, RN, MSN, MHA<br />

Secretary<br />

Valerie Ann Martin, MSN, RN, NE-BC, FACHE<br />

Treasurer<br />

Peter J. Fontaine, RN<br />

Board of Directors<br />

Charles Alexandre, PhD, RN Nancy Lancaster, MBA, BSN<br />

Jessica Brier, MS, SPRN, CNS-BC Barbara Riley, RN, MS, NEA-BC<br />

Alicia Curtin, PhD, GNP-BC Anne Neuville, MSN, FNP<br />

Cabinet on Nursing Education (CONE)<br />

Kathleen Bergeron, MS, RN, CNS, CEN Joslin B. Leasca, DNP, RNP-BC<br />

Diane Gerardi, MSN, RN-BC Sandra Phillips, MS, RN,<br />

Eileen Gray, MSN, RN, CPNP CCRN, NE-BC<br />

Karen Haidemenos, MSN, RN<br />

CE Consultant<br />

Denise Henry, RN, BSN, MS, RLNC, CPHQ<br />

Cabinet on Nursing Practice (CONP)<br />

William E. Desmore, BSN, MA, CCHP<br />

Nominating Committee<br />

Diane Martins, PhD, RN<br />

Susan A. Whetstone<br />

Marianne Quinlan, RN, BSN<br />

Delegates<br />

Renee Cacchiotti, BSN, RN Peggy Matteson, PhD, RN<br />

Cathy Duquette, PhD, RN, CPHQ, Kathleen Phillips<br />

NEA-BC<br />

Jessica Wiley, RN, BSN<br />

Alternate Delegates<br />

Donna M. Policastro, RNP, ED Linda Damon, RN, MSN, MHA<br />

Government Affairs<br />

Anne Neuville, MSN, FNP (Chair) Sylvia Weber, MSN, PCNS<br />

Organizational Affiliates<br />

School Nurse: Linda Mendonca, RN, BSN, Med<br />

Nurse Anesthetists: Anne Tierney<br />

Developmental Disability Nurse’s Association:<br />

Christine Gadbois, RNBC, MSN, CDDN<br />

Chinese Nurse Association of America: Irene Qi<br />

Nurse Practitioner Council<br />

Marianne Hurley<br />

Advanced Practice Psych Clinical Nurse Specialists Council<br />

Ginette G. Ferszt<br />

Jill Moretti, PCNS (Co-Chair)<br />

Rhode Island Institute for Nursing<br />

Annette Fonteneau, MSN, RNP, DCNP Mary Dwyer (Past President)<br />

Publisher<br />

Rhode Island Nurse is published quarterly every January, April, July<br />

and October by <strong>Arthur</strong> L. <strong>Davis</strong> <strong>Publishing</strong> Agency, Inc.<br />

For advertising rates and information, please contact <strong>Arthur</strong> L. <strong>Davis</strong><br />

<strong>Publishing</strong> Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls,<br />

Iowa 50613, (800) 626-4081, sales@aldpub.com. RISNA and the <strong>Arthur</strong> L.<br />

<strong>Davis</strong> <strong>Publishing</strong> Agency, Inc. reserve the right to reject any advertisement.<br />

Responsibility for errors in advertising is limited to corrections in the next<br />

issue or refund of price of advertisement.<br />

Acceptance of advertising does not imply endorsement or approval by<br />

the Rhode Island State Nurses Association of products advertised, the<br />

advertisers, or the claims made. Rejection of an advertisement does<br />

not imply a product offered for advertising is without merit, or that the<br />

manufacturer lacks integrity, or that this association disapproves of the<br />

product or its use. RISNA and the <strong>Arthur</strong> L. <strong>Davis</strong> <strong>Publishing</strong> Agency, Inc.<br />

shall not be held liable for any consequences resulting from purchase<br />

or use of an advertiser’s product. Articles appearing in this publication<br />

express the opinions of the authors; they do not necessarily reflect views of<br />

the staff, board, or membership of RISNA or those of the national or local<br />

associations.<br />

Rhode Island State Nurses Association<br />

1800D Mineral Spring Avenue, PO Box 299<br />

North Providence, Rhode Island 02904<br />

Tel: 401-331-5644 • Fax: 401-331-5646


July, August, September 2013 Rhode Island Nurse • Page 3<br />

NP Council News<br />

News from the RI Nurse Practitioner Council<br />

Rhode Island<br />

Nurses Institute<br />

News<br />

by Annette Fonteneau<br />

Our main focus for the year will be to increase<br />

the visibility of RINI. We cannot support our nurse<br />

colleagues and advance nursing education if no one<br />

knows who we are. The members of our board will<br />

be focused on strategies to get our message out to<br />

our fellow nurses, the community and raise funds to<br />

make our programs such as scholarship awards a<br />

reality.<br />

RINI is proud to support our fellow nurses by<br />

having several scholarship programs. The Hirst<br />

family has generously established the Nancy Hirst<br />

Memorial Scholarship fund in memory of their late<br />

mother that will benefit students who attend the<br />

RINI Middle College Charter School who wish to<br />

advance their careers in nursing.<br />

The Rhode Nurse Practitioner Council<br />

scholarship fund will be awarding $500 scholarships<br />

through RINI. These scholarships will be awarded to<br />

nurse practitioner students who are in their last year<br />

of a Nurse Practitioner academic program or NP<br />

students enrolled in a DNP or PhD program and who<br />

demonstrate academic achievement. Application<br />

forms will be published in this months’ edition of the<br />

Rhode Island Nurse and will be posted on the RINI<br />

website which is set to launch in June.<br />

The Rhode Island Nursing Institute is pleased to<br />

support our local community by making a donation<br />

to the Welcome Back Center’s Annual Meeting. The<br />

Center serves over 240 medical professionals who<br />

seek to resume their careers in the United States.<br />

They serve health care professionals from all over<br />

Rhode Island and many of their enrollees are nurses.<br />

The Center is a public-private partnership building<br />

bridges between a pool of underemployed health<br />

care professionals living in our community and the<br />

need for a more linguistically and culturally diverse<br />

health care workforce.<br />

RINI has also supported the Student Nurse<br />

Association of RI with a $1000.00 grant for their<br />

scholarship fund.<br />

RINI is a non-profit, charitable organization<br />

devoted exclusively to support and advance the<br />

profession of nursing and promote optimal health<br />

care for the citizens of our state. Because we are a<br />

501C3 organization, your entire donation is 100%<br />

tax deductible. Please consider donating to the<br />

institute and help us support your colleagues in<br />

nursing! Please consider making a donation today.<br />

You may mail your check to Rhode Island Institute<br />

for Nursing; 1800D Mineral Spring Avenue, PO Box<br />

299, North Providence, RI 02904.<br />

Marianne Hurley RNP<br />

Chair RI NP Council<br />

The new year started with elections in February.<br />

Marianne Hurley was re-elected Chair and Carol<br />

Garcia-Benoit was elected Secretary.<br />

Meetings have been held every other month<br />

and approved to start meeting four times a year in<br />

conjunction with educational endeavors at the same<br />

time. This was done to draw more attendees, and<br />

we will be starting this with the fall meeting.<br />

The June meeting was combined as an<br />

Educational/Award Presentation sponsored by<br />

RIMI (Rhode Island Medical Imaging) The topic<br />

was “Common Questions and Issues Related to<br />

Diagnostic Imaging – Update on Best Practices.”<br />

American Academy of Nurse Practitioners Awardees<br />

were recognized for 2012. They were Mary Cabral<br />

RNP/Award for Excellence and Dr. Dayle Joseph/<br />

Advocate Award.<br />

Legislation has been closely followed and<br />

updated by Anne Neuville, our Government Liason.<br />

The APRN Consensus Model has been the focus<br />

of everyone’s attention as each state will define<br />

how their model will define APRN’s in their separate<br />

roles. We are lucky to have such devoted and strong<br />

leaders who have their eyes and ears on every piece<br />

of legislation out there.<br />

NP Scholarships through RINI/RI NP Council<br />

will be awarded in August. A notice will be posted<br />

to the list serve. Applications will be online on the<br />

RISNA website and considered through August 5th.<br />

Applicants must be an NP Student or a DNP/PhD<br />

student, a RISNA member, and a RI resident.<br />

Business meetings are open to RISNA members<br />

– if not a member, you can go the website and<br />

download an application to become one. We need<br />

your input as only you can help make changes that<br />

affect your profession……<br />

RI NP Council is also a group member of the<br />

American Association (formerly Academy) of Nurse<br />

Practitioners – as a group member you receive $10<br />

off the membership fee and access to free online<br />

CE’s among other things….<br />

We hope to see new faces as we move forward in<br />

our ever changing profession. Be on top of things,<br />

network with others, learn something new, and make<br />

a difference!<br />

We are located at:<br />

1800D Mineral Spring Avenue<br />

PO Box 299<br />

North Providence, RI 02904<br />

The above address is only a mailing<br />

address. RISNA is a virtual office with no<br />

physical location.<br />

Tel: (401) 331-5644<br />

Fax: (401) 331-5646<br />

Hours: Mon-Fri 9am-4pm


Page 4 • Rhode Island Nurse July, August, September 2013<br />

Helping Rhode Island’s<br />

Uninsured<br />

The RI Developmental Disabilities Nurses<br />

Association (RIDDNA) is a chapter of the national<br />

Developmental Disabilities Nurses Association.<br />

RIDDNA meets monthly at locations around the<br />

state. We encourage all nurses and health care<br />

professionals working with adults or children with<br />

intellectual/developmental disabilities (I/DD) to<br />

join us. Continuing education units are offered at<br />

monthly meetings (free to members and at nominal<br />

charge to non-members).<br />

Recent in-services include a presentation on<br />

Effective Methods to assist individuals with Autism<br />

in handling and responding to emergencies by Beth<br />

Rimas, an EMT and Trainer for ALEC (Autism Law<br />

Enforcement Education Coalition) since 2006; and<br />

an in-service on Emotion Regulation Skills for those<br />

with DD/ID, presented by Julie F. Brown, LICSW,<br />

author of the ‘The Skills System Instructor’s Guide:<br />

An Emotion Regulation Skills Curriculum for All<br />

Learning Abilities’.<br />

RIDDNA hosted a day long “Ending Life Well”<br />

Conference at Ray Conference Center on Butler<br />

Hospital campus on June 20, 2013 addressing the<br />

needs of End of Life Care for those with Intellectual/<br />

Developmental Disabilities.<br />

RIDDNA is excited to announce its support and<br />

close collaboration with the Living RIte Centers,<br />

a CMS grant funded interdisciplinary care model<br />

which serve adults with I/DD and/or Alzheimer’s<br />

like dementia and chronic health issues. For more<br />

information, please contact Sandra Fournier at 401-<br />

229-9700.<br />

Election of officers and Board members will be<br />

held at September’s meeting.<br />

For more information regarding the RIDDNA,<br />

membership or meeting location, please contact<br />

Sandy Fournier, Chair at sfournier@sevenhills.org or<br />

Sue (Ball) Joinson, Vice Chair at sjoinson@corliss.<br />

org Or visit our web page at http://ddna.org/chapter/<br />

RI<br />

AMHC provides competitive pay and a supportive team environment.<br />

Our mission is to provide comprehensive mental health, substance<br />

abuse treatment services to Aroostook, Washington and Hancock<br />

County communities.<br />

❍ Psychiatric Nurse Practitioners<br />

Recruitment is underway for Master Level Psychiatric Nurses who are<br />

independently licensed in the State of Maine. Primary responsibilities<br />

are to provide psychiatric assessments and medications management,<br />

as well as consultation to multidisciplinary care teams.<br />

This position requires a Masters Degree that represents study in<br />

advanced clinical practice in a selected area of psychiatric nursing, and<br />

passing of a national certification examination. This position requires<br />

the individual to be independently licensed as an Advanced Practice<br />

Nurse by the Maine State at time of hire. AMHC is also NHSC approved<br />

employer.<br />

Salary commensurate with experience. Assistance also available for<br />

interview, relocation and licensure expense reimbursement.<br />

Please submit a letter of interest, resume to:<br />

Marie Ghazal, RN, MS, CEO<br />

Rhode Island Free Clinic<br />

Imagine you hear the story over and over again.<br />

It’s about a family member, neighbor, friend, or<br />

as I hear it, a desperate Rhode Islander who has<br />

no health care – and really wants to take care of<br />

himself or herself. Like Joe, a 60 year old taxi cab<br />

driver from Pawtucket, who lost his health insurance<br />

in 2004 and came to the Rhode Island Free Clinic<br />

for treatment for his diabetes, high blood pressure<br />

and high cholesterol. I recently met him at the Clinic<br />

during his visit with the diabetes nurse educator and<br />

heard about his challenge taking care of his diet<br />

when his driving schedule requires long hours that<br />

are often unpredictable. Joe is grateful for the Clinic<br />

services and preventive care he receives, and for his<br />

ability to stay healthy and drive his cab.<br />

Fortunately, beginning in 2014 more than half of<br />

the 126,000 uninsured Rhode Islanders like Joe will<br />

have options for purchasing health coverage. The<br />

Affordable Care Act, better known as ObamaCare,<br />

is closing the gap between the insured and<br />

uninsured. Yet, until we have universal healthcare<br />

– meaning that everyone has health care, not just<br />

the ability to purchase or receive health insurance –<br />

the work of the Free Clinic is far from done. We will<br />

still face the challenges of meeting the increasingly<br />

complicated healthcare needs of our uninsured<br />

family, friends, and neighbors like Joe. Conservative<br />

estimates are that at least 40,000 Rhode Islanders<br />

will remain without healthcare after 2014.<br />

Let’s put these 40,000 Rhode Islanders in<br />

context. This number equals the total populations<br />

of Barrington, Tiverton, Jamestown, and<br />

Little Compton combined, or the entire city of<br />

Woonsocket. They are everyday people between<br />

the ages of 27 and 64, too young to have Medicare,<br />

who get up in the morning and go to work, praying<br />

not to get sick or injured. They are wage earners<br />

making too much money to be on Medicaid, but not<br />

enough to buy health insurance. When there is not<br />

a cent to spare, and they are faced with a choice of<br />

paying their rent and feeding their families, or buying<br />

health insurance, the decision is clear. This sad and<br />

unhealthy story is one I hear every day at the Clinic.<br />

Rhode Island Free Clinic is the “safety net of<br />

safety nets” for low-income adults who have no<br />

means to pay for healthcare. By the time they<br />

come to the Clinic, patients are frequently already<br />

sick and many have not seen a doctor for years. If<br />

left untreated, their medical conditions worsen and<br />

consequently, require expensive ER and hospital<br />

admissions, or they die.<br />

As CEO of the Free Clinic, I am truly grateful<br />

that some of our patients will soon be covered by<br />

Medicaid, or will be able to purchase subsidized<br />

insurance after 2014. But the sad truth it that even<br />

with ObamaCare, most of our patients will fall<br />

through the cracks, not because they don’t care<br />

about their health, but because they simply cannot<br />

afford health care.<br />

Psychiatric Nurse Practitioner<br />

Providence Psychology Services (PPS), a well-established group<br />

practice of psychologists, is seeking to add a psychiatric nurse<br />

practitioner to our group in order to better meet the treatment needs<br />

of our clients. The position is part-time to start, but can easily grow<br />

to full-time if desired.<br />

Applicants must be licensed or license-eligible in Rhode Island.<br />

To apply, forward a letter of interest, a CV, and 3 references or<br />

letters of recommendation to Dr. Joseph Trunzo at<br />

jtrunzo@providencepsychology.com. Feel free to call<br />

(401.273.3322 ext. 2) or e-mail with additional questions.<br />

www.providencepsychology.com<br />

Rhode Island Free Clinic is a nationallyrecognized<br />

model based entirely on volunteerism<br />

and philanthropy that receives no state or federal<br />

funding, fee for service or reimbursements of any<br />

kind, and meets a vital community need. It serves<br />

the most vulnerable Rhode Islanders: those who<br />

deserve healthcare just like you and me. They are<br />

the working poor who simply cannot buy health<br />

insurance on top of paying for food, housing,<br />

keeping warm in the winter, and buying gas to go to<br />

work.<br />

The Rhode Island Free Clinic’s model works, and<br />

patients like Joe are able to manage their health<br />

and keep their jobs, because of the generosity<br />

of hundreds of volunteer doctors, nurses, other<br />

health professionals, and charitable donations.<br />

Community partners like Lifespan and Care New<br />

England provide free laboratory, diagnostic, and<br />

specialty services; CVS Caremark fills generic<br />

prescriptions for Clinic patients; and many, many<br />

other medical, academic and charitable supporters<br />

provide donated resources.<br />

While there is growing support for the work we<br />

do, the demand for Clinic services far exceeds<br />

our current capacity. Throughout the years, many<br />

adults who qualify for and need Clinic care were<br />

turned away because of limited funding or too few<br />

volunteer doctors. As a result, the Clinic must use<br />

an equitable, but heart-breaking lottery each month<br />

to accept new patients. Those who are not chosen<br />

usually return for the next month’s lottery, hoping<br />

and praying to get in. They come as they are: sick<br />

and suffering, currently from 35 towns throughout<br />

Rhode Island. They have taken the first step to<br />

taking care of themselves – by coming to the Clinic<br />

in hopes of receiving healthcare. Why can’t we do<br />

more?<br />

Today, Rhode Island Free Clinic is an important<br />

free medical home for the uninsured working poor.<br />

The Clinic is more than urgent care. It’s not a drop<br />

in clinic. Our program, just like your doctors office,<br />

requires an appointment for primary care, but also<br />

offers preventive and wellness care, including<br />

onsite vision and physical therapy as well as many<br />

specialties. On the average, it costs the Clinic<br />

about $500 per patient per year for comprehensive<br />

healthcare. Patients see volunteer providers as often<br />

as needed to manage their health and improve their<br />

lives. The $500 is worth every penny, especially<br />

when the alternative is taxpayer dollars subsidizing<br />

far more expensive ER care, hospitalization for<br />

sicker patients.<br />

Dollars and cents aside, the question remains:<br />

how can responsible, caring people like you and<br />

me ignore sick Rhode Islanders who have no care?<br />

Our inspiring volunteer doctors, nurses, and medical<br />

professionals dedicate their time because it is the<br />

right thing to do. Rhode Island needs the Free Clinic<br />

to remain as an essential lifeline until every Rhode<br />

Islander has health care. We cannot let anyone fall<br />

through the cracks.<br />

SAVE THE DATE<br />

20th Annual Rehabilitation Conference<br />

“Traumatic Brain Injury”<br />

Friday, September 27, 2013<br />

CEUs/Contact Hours Pending<br />

*Special Student Rates*<br />

Register online at: www.snerc.com<br />

For more information call: 401.456.2323<br />

Ronald G. Thibodeau<br />

Assistant Director of Personnel Services<br />

AMHC<br />

P.O. Box 1018<br />

Caribou, Maine 04736<br />

Email to: Rthibodeau@amhc.org<br />

AMHC is a non-profit organization and an Equal Opportunity Employer.<br />

Infusion<br />

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clinically appropriate and cost effective setting.<br />

We are a growing company and always looking for new talent, visit our website and check out our Careers page.<br />

www.careresourcegroup.com


July, August, September 2013 Rhode Island Nurse • Page 5<br />

Green Column<br />

Sylvia Weber, Co-Chair<br />

50 States United for Healthy Air: On May 13-<br />

15 I had the opportunity to attend this meeting for<br />

the second time. Our first meeting was 2 years<br />

ago. 9 organizations come together to address<br />

these issues: climate change, air quality, tail pipe<br />

emissions, unsafe disposal of toxic coal ash. ANA<br />

is one of the supporting organizations. All 50 states,<br />

2 Indian Nations and Puerto Rico was represented<br />

and you can see who attended and get updates<br />

on the web site for Earth Justice. Why the focus on<br />

healthy air? As the campaign post card says: we<br />

have a Left Lung and a Right Lung – our breathing<br />

is bipartisan. If we cannot breathe the air around us<br />

– we are DEAD! Unfortunately, this is happening in<br />

greater numbers. While there I had the opportunity<br />

to talk with people from Wyoming about the new<br />

illnesses, including brain lesions, that are a result<br />

of the combination of the gases escaping from<br />

hydraulic fracturing combining with the toxic fumes<br />

from the diesel trucks. States that are downwind<br />

are quite concerned. We are also very concerned<br />

about the recent White House policy that will allow<br />

hydraulic fracturing on federal land. Please spread<br />

the word to anyone you know in the US to contact<br />

their state and federal legislators to oppose these<br />

practices until there is full disclosure by the industry,<br />

research on risks and regulations formulated that<br />

will protect the health of all. Thank You!<br />

Future Programs: The Environmental Affairs<br />

Committee is planning several educational<br />

programs to bring to the staff of health care<br />

facilities. The programs will address environmental<br />

issues in the work place and in the community the<br />

people they serve live in.<br />

Coalitions: We continue to be involved with<br />

several coalitions that address environmental<br />

issues. Hospitals for a Healthy RI held a conference<br />

on March 21st. Kent Hospital received the<br />

environmental award for a hospital and The Miriam<br />

Hospital received an honorary award. I was honored<br />

to receive the environmental champion award. The<br />

Alliance for a Healthy RI established their goals<br />

for 2013. ECRI continues to be a resource for<br />

environmental programs and issues in RI.<br />

Legislation: We are continuing to work with<br />

Representative Handy and Senator Sosnowski<br />

in developing a resolution addressing hydraulic<br />

fracturing and the current information I learned from<br />

50 States United has been shared with them. This<br />

process for the resolution was started during the<br />

last legislative session. The ANA House of Delegates<br />

passed a similar resolution this past June based on<br />

the Pennsylvania Nurses Association resolution. We<br />

continue to work with a task force on legislation to<br />

address pharmaceutical waste in long term care.<br />

A bill was introduced by Representative Di Simone<br />

and is moving forward.<br />

We are looking for volunteers to assist us with our<br />

ambitious goals and students who would like to join<br />

us for class credit are more than welcome. So far<br />

the committee is having a wonderful and productive<br />

year. Please feel free to call me, 401-461-6508,<br />

and please consider joining us in protecting the<br />

environment we are borrowing from our children and<br />

grandchildren.<br />

Government Relations<br />

Sylvia Weber MSN, PCNS<br />

The Alliance for a Healthy RI continues to meet and<br />

educate policy makers, educators and the public about<br />

the harmful effects of sugar sweetened beverages. A<br />

multi-pronged approach has been established that<br />

includes education, procurement, excise tax and<br />

working with multiple organizations around these<br />

issues. The coalition has been addressing legislation<br />

that impacts the health of Rhode Islanders.<br />

Pam Mc Cue is the lobbyist for the consensus<br />

model legislation that was introduced this session.<br />

She worked with many groups and individuals to<br />

create legislation that is in accord with national<br />

recommendations, standards and scope of practice.<br />

The bill was unanimously voted out of the Senate on<br />

May 8th. The House will be voting on May 23rd.<br />

As the legislative session moves forward we<br />

continue to track bills that are related to health care and<br />

the environment. We have been tracking 73 bills and<br />

have given opinions on 24.<br />

Recently the Department of Health changed the<br />

rules and regulations for the approval of applications<br />

for medical marijuana. We are involved with several<br />

organizations and individual nurses to address these<br />

issues. We are also involved with other health care<br />

professionals to address some of our concerns about<br />

scope of practice.<br />

This scholarship is funded through the Rhode<br />

Island Nursing Institute and is awarded subject to<br />

available funding. Scholarships will be granted to nurse<br />

practitioner students who are in the last year of their<br />

nurse practitioner, DNP or PhD educational programs<br />

and demonstrate academic achievement. Recipients<br />

will be notified by mail in late August.<br />

Deadline for applications is August 5, 2013.<br />

Students interested in applying for scholarship funds<br />

should furnish the following:<br />

1. Curriculum vitae.<br />

2. Two letters of recommendation; one academic<br />

(from nursing faculty member or nurse<br />

leader) and one professional. Letters must be<br />

postmarked no later than August 5th.<br />

3. A short essay to include plan for the future of NP<br />

practice as well as inspiring factors to achieving<br />

NP certification. Please include anticipated date<br />

of graduation (December/May).<br />

4. DNP or PhD students; a short essay to include<br />

the impact of a DNP or PhD on the future of<br />

Colorectal Cancer<br />

Screening Saves Lives<br />

"Now THAT I understand."<br />

If you’re over 50,<br />

get tested for<br />

colorectal cancer.<br />

We continue to work with many coalitions on<br />

the tobacco control program, health care reform;<br />

improvement of access to affordable health care;<br />

insurance re-imbursement for needed services,<br />

especially parity for people with chronic illnesses and<br />

disabilities; non-discrimination for re-imbursement of<br />

qualified health care providers; public health issues;<br />

and environmental health issues including work place<br />

safety.<br />

We also continue to be in contact with<br />

Congressmen Ciciline and Langevin and Senators<br />

Reed and Whitehouse about our local and national<br />

concerns. Last week I was able to meet with their<br />

staff, Senator Whitehouse and Congressman Langevin<br />

on environmental issues and concerns. As I have<br />

mentioned in previous articles, it’s important for us to<br />

be very visible.<br />

Please consider contributing to our RISNA - PAC<br />

and the ANA – PAC and contact us if there is an issue<br />

that you would like to share your opinion on. Being at<br />

the State House and attending committee hearings<br />

is an experience that everyone should have, even if<br />

it’s only once, and I would enjoy showing you around.<br />

Several people have taken me up on the offer and<br />

have enjoyed it. Please feel free to contact me with any<br />

questions, concerns, and/or ideas you may have that<br />

relate to government relations, 401-461-6508. You may<br />

also consider joining our active and fun committee.<br />

Nurse Practitioner Council Scholarship Application<br />

nursing especially that of NP practice and<br />

accountability.<br />

5. Post graduate transcripts.<br />

6. Cover letter with all demographic information.<br />

Guidelines:<br />

• Students must continue to attend classes and<br />

maintain no lower than a 3.0 grade point average.<br />

Educational programs do not have to be located<br />

in Rhode Island.<br />

• Preference will be given to Rhode Island state<br />

residents who are members of RISNA and<br />

working in Rhode Island.<br />

Please forward information to:<br />

Rhode Island Nursing Institute<br />

NP Scholarship Award<br />

1800D Mineral Spring Avenue<br />

PO Box 299<br />

North Providence, RI 02904<br />

500 Waterfront Drive, East Providence<br />

Assisted Living –<br />

Memory Care Assisted Living<br />

Skilled Nursing –<br />

Short-term Rehab and Long-term Care


Page 6 • Rhode Island Nurse July, August, September 2013<br />

Mentorship as a Pathway to Nursing<br />

Mary E. Cloud, Ass’t Clinical Professor,<br />

URI College of Nursing;<br />

Elaine [Troub] Parker-Williams, MS, APRN,<br />

FNP-BC, DNP student URI College of Nursing;<br />

& Lynne M. Dunphy, Assoc Dean for External<br />

Affairs, Routhier Chair and Professor,<br />

URI College of Nursing<br />

Low representation of nurses of color in underserved<br />

communities is a persistent manifestation<br />

of health care disparities in RI. The CON at URI is<br />

committed to preparing increased numbers of<br />

under-represented undergraduate students for the<br />

nursing profession to help alleviate these disparities.<br />

In August of 2009, the CON was awarded a subcontract<br />

from Brown Univ to fund Southern RI<br />

Area Health Care Education Center (SRI-AHEC).<br />

AHECs are funded by Human Resources and<br />

Services Admin (HRSA). According the HRSA’s<br />

website, AHEC’s “enhance access to high-quality,<br />

culturally competent health care through academiccommunity<br />

partnerships that ultimately improve the<br />

distribution, diversity, and supply of the primary care<br />

health professions workforce.”<br />

The Pathways to Nursing program was created<br />

by the partnership of SRI AHEC & the CON to<br />

attract and retain students from economically,<br />

socially disadvantaged backgrounds, particularly<br />

from RI’s communities of color. The first cohort of<br />

Pathways students began the program in Sept 2010.<br />

Students were provided equipment support as well<br />

as supplemental instruction in the basic sciences,<br />

and a dedicated faculty member for advisement and<br />

support. Academic skills classes were added in the<br />

second year as a result of the identification of poor<br />

academic skills needed for success on the university<br />

level.<br />

Working with the Pathway students, we identified<br />

a need for role-models who have been successful<br />

in professional nursing and maintain a strong<br />

commitment to underserved populations. The<br />

provision of a mentor would ideally motivate and<br />

support the student to this desired goal. We see the<br />

mentor as being a source of inspiration and giving<br />

the students the opportunity to explore different<br />

paths within the profession. We are looking for<br />

mentors with passion and commitment to enter<br />

into such a relationship with the students. We are<br />

in the process of identifying potential mentors and<br />

establishing a training program for the mentors.<br />

Assisting us with the establishment of the program<br />

this summer is Elaine [Troub] Parker-Williams,<br />

currently a DNP student at URI College of Nursing.<br />

“I give them a story of myself,” says Elaine<br />

Parker-Williams, MS, APRN, FNP-BC, who identifies<br />

mentoring as a core personal commitment,<br />

something she is “called to do.” As Elaine explains<br />

it, she begins with finding out the desires and goals<br />

of the person, how they envision themselves as<br />

a nurse. “Then I find out what level of nursing they<br />

are striving for and how they see their role as a care<br />

provider and as a leader.” Elaine talked about the<br />

need to keep motivating these potential achievers,<br />

and the need to always be there for them. Working<br />

on herself as a positive and high-achieving role<br />

model, while important, is not as important as being<br />

a friend, forging a relationship.<br />

As a faculty member dedicated to working with<br />

Pathways students, I have found that the majority<br />

of under-represented students are first-generation<br />

to higher education students, and the first in their<br />

families to aspire to professional status. They<br />

are often burdened with family responsibilities,<br />

childcare, as well as financial stress. There is<br />

increasing recognition of this in the literature on<br />

working with under-represented populations.<br />

This work requires involvement of the family unit<br />

as well as the community – in other words, “it<br />

takes a village.” We suggest that work with one’s<br />

professional organization – like RISNA – provides<br />

a potential network of support and a window into<br />

the future through the path of professional nursing<br />

practice. A mentor gives meaningful guidance along<br />

this pathway. A mentor-mentee relationship helps<br />

keep the “eye on the prize” so to speak.<br />

We are actively seeking mentors. If this article<br />

strikes a responsive chord in you, consider<br />

becoming a mentor. You are needed to advance<br />

the nursing profession and our future, diverse<br />

workforce. We need a variety of voices, role-models,<br />

community-representation, practice backgrounds,<br />

and vision. If interested, you may contact Mary<br />

Cloud – mcloud@ds.uri.edu, or 401 874-2221.<br />

Formal training and small stipend will be provided.<br />

Now enrolling<br />

Classes Start Tuesday, Sept. 10, 2013<br />

Learn the Skills of Medical Record<br />

Review and Legal Nurse Consulting<br />

Class Size Limited. Classes held<br />

Tuesdays from 6 to 9 pm<br />

for six weeks<br />

To enroll in September<br />

classes call<br />

1-800-583-0088<br />

Case Manager<br />

PCHC seeks an experienced Case Manager for Connect<br />

Care Program to provide screening/assessment and care<br />

coordination for moderate-high risk adults in a community<br />

health setting. The schedule is Monday-Friday (with<br />

occasional evening hours). Qualified candidates require a BSN<br />

and 3-5 years experience in behavioral health and/or case<br />

management.<br />

Staff Nurse<br />

PCHC seeks an experienced OBGYN and Internal Medicine<br />

Nurse. The schedule is Monday/Wednesday/Friday between<br />

8:00am - 5:00pm and Tuesday/Thursday between 11:00am -<br />

8:00pm. Qualified candidates require an ADN or BSN with 2-4<br />

years of hospital and/or ambulatory experience required.<br />

Please forward your resume to:<br />

Diana Christian, Staffing Supervisor<br />

dchristian@providencechc.org<br />

www.providencechc.org


July, August, September 2013 Rhode Island Nurse • Page 7<br />

R.I.’s First Statewide Nurse Residency Program Launched<br />

$600,000 project to assist unemployed/underemployed nurses and<br />

new nursing program graduates to improve patient care<br />

Media Contact: Dave Lavallee, 401-874-5862<br />

PROVIDENCE, R.I. – April 3, 2013 – The Rhode<br />

Island Action Coalition for the Future of Nursing,<br />

along with numerous public and private sector<br />

partners, today launched a more than $600,000<br />

statewide clinical nurse residency and mentoring<br />

program to provide participating nurses with<br />

additional skills and experience. Unemployed and<br />

underemployed nurses and new graduates from the<br />

state’s nursing programs will be eligible to enroll in<br />

the groundbreaking program.<br />

Rhode Island joins Connecticut as one of only<br />

two New England states and 20 nationally to<br />

receive funding from the Robert Wood Johnson<br />

Foundation’s “The Future of Nursing: Campaign for<br />

Action,” a $3 million joint initiative with the AARP,<br />

called the Future of Nursing State Implementation<br />

Program. The Robert Wood Johnson Foundation<br />

(RWJF) is committed to providing states, through<br />

their Action Coalitions, with the support they need<br />

to build a more highly educated, diverse nursing<br />

workforce that will improve health outcomes for<br />

patients, families and communities. The funding<br />

is also designed to help the nursing profession<br />

address the nation’s most pressing health care<br />

challenges — access, quality and cost.<br />

Rhode Island’s residency program is unusual<br />

in the United States, say state leaders, as most<br />

residency programs are affiliated with specific<br />

hospitals or agencies. The Rhode Island project<br />

will place graduates of the state’s nursing programs<br />

in practice settings ranging from nursing homes to<br />

community clinics, as well as traditional hospital<br />

settings across the state. Each nurse accepted into<br />

the program will receive a stipend and will practice<br />

at three different sites during a residency period<br />

lasting up to nine months.<br />

Backed by a $150,000 Robert Wood Johnson<br />

Foundation grant, the coalition also received critical<br />

support from a $247,363 Governor’s Workforce<br />

Board Partnership Grant to Stepping Up, a health<br />

care industry partner of the workforce board. Lynne<br />

Dunphy, professor and interim associate nursing<br />

dean at URI and co-leader of the state’s action<br />

coalition, and the URI Foundation successfully<br />

raised additional funds from the Rhode Island<br />

Foundation, Blue Cross Blue Shield of Rhode Island<br />

and the Routhier Foundation.<br />

Other contributors included Rhode Island Center<br />

for Nursing Excellence (URI center), Rhode Island<br />

State Nurses Association, Rhode Island Nursing<br />

Institute, Lifespan, and Care New England. Each of<br />

the state’s nursing programs also contributed to the<br />

initiative.<br />

Officials from the University of Rhode Island,<br />

Governor’s Workforce Board, the Rhode Island<br />

Foundation, Routhier Foundation, URI Foundation,<br />

Blue Cross Blue Shield Rhode Island, Care<br />

New England, the Rhode Island State Nurses<br />

Association, and the nursing programs at the<br />

University of Rhode Island, Rhode Island College,<br />

the Community College of Rhode Island, Salve<br />

Regina University and St. Joseph’s Hospital<br />

announced the innovative collaboration at the Rhode<br />

Island Foundation headquarters this morning.<br />

Graduates of the five nursing programs (URI, RIC,<br />

CCRI, Salve Regina, and St. Joseph’s) will have a<br />

vehicle to enhance their practice skills so they can<br />

apply for positions that are in demand in Rhode<br />

Island.<br />

The program will begin recruiting in June and<br />

have its first residency placements by late Augustearly<br />

September. It is expected to accept 20<br />

students in the first year and 40 students in the<br />

second year.<br />

“In Rhode Island, health care is an important<br />

industry sector, and nursing is projected to be an<br />

in-demand occupation over the coming years,” said<br />

Governor Lincoln D. Chafee. “Initiatives such as<br />

the nurse residency project should help us better<br />

prepare our workforce for high-growth economic<br />

opportunities in our state.”<br />

Coalition members include most hospitals and<br />

their chief nursing officers, including the Veterans<br />

Affairs Hospital of Providence, the Rhode Island<br />

Department of Health, the Rhode Island Board<br />

of Nurse Registration and Nurse Education, the<br />

Hospital Association of Rhode Island and the AARP<br />

of Rhode Island.<br />

“Nurses play a vital role in the delivery of highquality<br />

health care in hospitals, long-term care<br />

settings, and community health centers,” said URI<br />

President David M. Dooley. “URI is committed to<br />

working with a wide array of partners, as evidenced<br />

here, to ensure Rhode Island’s nursing students and<br />

professionals have access to the best educators,<br />

tools, and resources. Working together, this venture<br />

will assist statewide efforts to make high-quality<br />

health care accessible and affordable for Rhode<br />

Islanders.”<br />

“Rhode Island College and its School of Nursing<br />

looks forward to working collaboratively with our<br />

partners in this initiative, which will provide an<br />

enhanced level of education and mentoring for our<br />

graduating nurses, “ said Nancy Carriuolo, president<br />

of Rhode Island College. “This new clinical nurse<br />

residency and mentoring program will also increase<br />

the opportunities available to our new and recent<br />

graduates, while also helping to improve the overall<br />

quality of care at health care facilities throughout<br />

Rhode Island.”<br />

“As Rhode Island and the rest of the nation<br />

begin to implement health care reform, there will<br />

be an emphasis on the continuum of care, which<br />

places tremendous importance on primary care,<br />

community care and long-term care,” said Dunphy,<br />

who also holds the Routhier Chair of Practice at URI.<br />

“We are going to be able to provide even more<br />

advanced training for our new nurses, individuals<br />

who possess fresh ideas and the latest in nursing<br />

practice education to improve health care in<br />

all venues, including visiting nurse programs,<br />

community health clinics, assisted living and longterm<br />

care facilities and hospitals.”<br />

In addition to Dunphy and Jay Spitulnik,<br />

organizational consultant for the Lifespan Learning<br />

Institute, the Action Coalition is also led by Donna<br />

Policastro, executive director of the Rhode Island<br />

State Nurses Association; Michael Paruta, director<br />

of Workforce Development for Care New England;<br />

and Sandra S. Phillips, director of education at Kent<br />

Hospital.<br />

Rhode Island Action Coalition for the Future<br />

of Nursing<br />

R.I. Governor Lincoln D. Chafee<br />

“In Rhode Island, health care is an important<br />

industry sector, and nursing is projected to be an<br />

in-demand occupation over the coming years.<br />

Initiatives such as the nurse residency project<br />

should help us better prepare our workforce for<br />

high-growth economic opportunities in our state.”<br />

David M. Dooley, president, University of Rhode<br />

Island<br />

“Nurses play a vital role in the delivery of highquality<br />

health care in hospitals, long-term care<br />

settings, and community health centers. URI is<br />

committed to working with a wide array of partners,<br />

as evidenced here, to ensure Rhode Island’s nursing<br />

students and professionals have access to the best<br />

educators, tools, and resources. Working together,<br />

this venture will assist statewide efforts to make<br />

high-quality health care accessible and affordable<br />

for Rhode Islanders.”<br />

Susan B. Hassmiller, Robert Wood Johnson<br />

Foundation senior advisor for nursing and director of<br />

the Campaign for Action<br />

“The Robert Wood Johnson Foundation applauds<br />

the Governor’s Workforce Board RI for recognizing<br />

the importance of nursing education and training.<br />

This significant award increases the impact of our<br />

existing investment in Rhode Island.”<br />

Nancy Carriuolo, president, Rhode Island College<br />

“Rhode Island College and its School of Nursing<br />

looks forward to working collaboratively with our<br />

partners in this initiative, which will provide an<br />

enhanced level of education and mentoring for<br />

our graduating nurses. This new clinical nurse<br />

residency and mentoring program will also increase<br />

the opportunities available to our new and recent<br />

graduates, while also helping to improve the overall<br />

quality of care at health care facilities throughout<br />

Rhode Island.”<br />

Peter Andruszkiewicz, president and chief executive<br />

officer for BCBSRI<br />

“We are grateful for the opportunity to support<br />

Rhode Island’s first statewide nurse residency<br />

program. Nurses play a critical role in the delivery<br />

of high-quality care and in facilitating effective<br />

transitions in care. One of the wonderful things<br />

about this initiative is that nurses will have the<br />

opportunity to hone their skills at training sites in<br />

community health centers and nursing homes as<br />

well as traditional hospital settings.”
<br />

Neil D. Steinberg, president and chief executive<br />

officer of the Rhode Island Foundation<br />

“Investing in this first-of-its-kind program shows<br />

that together, we are investing in the future of<br />

our state’s health care professionals and quality<br />

heath care for all Rhode Islanders. The Rhode<br />

Island Foundation is proud to have supported this<br />

innovative program from its start and help leverage<br />

additional partners and funding.<br />

Pictured above, left to right, Michael Paruta, CNE, Governor Chafee, Donna Policastro,<br />

RI Nurse Association, Sandra Phillips, Education Kent Hospital, Jay Spitulnick, Lifespan,<br />

Neil Stienberg, RI Foundation, President David Dooley, URI, Peter Andruszkiewicz, BC/BS,<br />

Rick Brooks, Gov. Workforce Board, Dr. Lynne Dunphy, URI Interium Associate Dean and RWJ Fellow<br />

I’m not just a nurse.<br />

I’m inventing a new model of health care.<br />

Arlette, VA RN<br />

Apply Today: VAcareers.va.gov/nursing<br />

Follow VA Careers


Page 8 • Rhode Island Nurse July, August, September 2013<br />

April 5, 2013<br />

And the Honorees Are...<br />

Advanced Practice Nurse of the Year. . . . . . . . Rebecca Carley<br />

Clinical Nurse Educator of the Year . . . . . . . . . . Nancy Robin<br />

Clinical Practice Nurse of the Year . . . . . . . . Suzanne Roberts<br />

Nurse in a Non-Traditional Setting . . . . . . Mary Ella Dubreuil<br />

Nurse of the Year in Academic Setting . . . . . . . .Diane Martins<br />

Nursing Hall of Fame:<br />

. . . . . . . . . . . . . . . . . . . . . . . . . Sylvia Weber, RN, MSN<br />

. . . . . . . . . . . . . . . . . . . . . . . . . .Dayle Joseph, RN, DsC<br />

The link below is for the viewing and purchase of pictures.<br />

http://beyondthebutterflybush.smugmug.com/Events/RISNA-Gala-2013/29032227_9qfsgc#!i=2469630434&k=F69TtgZ


July, August, September 2013 Rhode Island Nurse • Page 9<br />

American Nurses Association<br />

Registered Nurse Safe Staffing Bill Introduced In Congress<br />

Nurse staffing directly impacts patient safety; direct care nurses to drive staffing plans<br />

SILVER SPRING, MD – The American Nurses<br />

Association (ANA) applauds the introduction of federal<br />

legislation that empowers registered nurses (RNs) to<br />

drive staffing decisions in hospitals and, consequently,<br />

protect patients and improve the quality of care.<br />

The Registered Nurse Safe Staffing Act of 2013 (H.R.<br />

1821), crafted with input from ANA, has sponsors from<br />

both political parties who co-chair the House Nursing<br />

Caucus – Reps. David Joyce (R-OH) and Lois Capps<br />

(D-CA), a nurse.<br />

“Nurse staffing has a direct impact on patient<br />

safety. We know that when there are appropriate nurse<br />

staffing levels, patient outcomes improve. Determining<br />

the appropriate number and mix of nursing staff is<br />

critical to the delivery of quality patient care,” said ANA<br />

President Karen A. Daley, PhD, RN, FAAN. “Federal<br />

legislation is necessary to increase protections for<br />

patients and ensure fair working conditions for nurses.”<br />

Research has shown that higher staffing levels by<br />

experienced RNs are linked to lower rates of patient<br />

falls, infections, medication errors, and even death.<br />

And when unanticipated events happen in a hospital<br />

resulting in patient death, injury, or permanent loss of<br />

function, inadequate nurse staffing often is cited as a<br />

contributing factor.<br />

The bill would require hospitals to establish<br />

committees that would create unit-by-unit nurse<br />

staffing plans based on multiple factors, such as<br />

the number of patients on the unit, severity of the<br />

patients’ conditions, experience and skill level of the<br />

RNs, availability of support staff, and technological<br />

resources.<br />

The safe staffing bill also would require hospitals<br />

that participate in Medicare to publicly report nurse<br />

staffing plans for each unit. It would place limits on the<br />

practice of “floating” nurses by ensuring that RNs are<br />

not forced to work on units if they lack the education<br />

and experience in that specialty. It also would hold<br />

hospitals accountable for safe nurse staffing by<br />

requiring the development of procedures for receiving<br />

and investigating complaints; allowing imposition of<br />

civil monetary penalties for knowing violations; and<br />

providing whistle-blower protections for those who file<br />

a complaint about staffing.<br />

ANA backed a similar staffing bill in the last<br />

Congress. This version includes requirements that a<br />

hospital’s staffing committee be comprised of at least<br />

55 percent direct care nurses or their representatives,<br />

and that the staffing plans must establish adjustable<br />

minimum nurse-to-patient ratios.<br />

Additionally, ANA has advocated for safe<br />

staffing conditions for the nation’s RNs through the<br />

development and updating of ANA’s Principles for<br />

Nurse Staffing, and implementation of a national<br />

nursing quality database program that correlates<br />

staffing to patient outcomes.<br />

To date, seven states have passed nurse safe<br />

staffing legislation that closely resembles ANA’s<br />

recommended approach to ensure safe staffing,<br />

utilizing a hospital-wide staffing committee in<br />

which direct care nurses have a voice in creating<br />

the appropriate staffing levels. Those states are<br />

Connecticut, Illinois, Nevada, Ohio, Oregon, Texas, and<br />

Washington.<br />

For more information on ANA’s safe staffing<br />

legislative efforts, please visit www.RNAction.org.<br />

American Nurses Association to Release Safe Patient Handling and<br />

Mobility Interprofessional National Standards on June 26<br />

SILVER SPRING, MD – ANA’s latest breakthrough<br />

guide, Safe Patient Handling and Mobility<br />

Interprofessional National Standards, is expected<br />

to help reduce health care worker injuries and<br />

musculoskeletal disorders (MSDs). These injuries,<br />

common among nurses and other healthcare workers,<br />

are often life-altering and career-ending. What’s<br />

more, improper handling of patients is expensive,<br />

costing the United States over $7 billion each year in<br />

worker compensation costs, medical bills, and staff<br />

replacements.<br />

ANA spearheaded the effort to develop national<br />

interdisciplinary safe patient handling and mobility<br />

(SPHM) standards to be applicable across the care<br />

continuum. The resulting document contains eight<br />

overarching SPHM standards of care organized into<br />

two parts: one addresses the responsibilities of the<br />

employer or health care organization, the other those<br />

of healthcare workers and ancillary/support staff, with<br />

descriptive comments accompanying each set.<br />

Suzy Harrington, PhD, RN, CCRN-CSC, Director of<br />

Health, Safety and Wellness at ANA noted, “ANA works<br />

to prevent injury and protect the health and safety<br />

of patients, nurses, and other health care workers<br />

through SPHM programs, resources, and advocacy.<br />

The programs, if properly implemented, can drastically<br />

reduce healthcare worker injuries, while improving<br />

quality of care.”<br />

The standards begin by establishing a culture of<br />

safety though establishing a comprehensive evaluation<br />

program. The expectation is the language in the<br />

standards can support organizational policy, regulation,<br />

and state and federal legislation.<br />

“Since ANA’s Handle with Care Campaign began<br />

in 2003, many health care facilities have adopted<br />

‘safe patient handling’ policies, and more than ten<br />

states have enacted laws or promulgated rules and<br />

regulations on safe patient handling. However, a lack<br />

consistency remains, and facilities have experienced<br />

challenges with implementing and sustaining these<br />

programs,” Harrington added.<br />

The inter-professional national standards are<br />

intended for nurses and health care workers in any<br />

clinical setting, level of practice, or specialty. To order<br />

this publication, go to www.nursesbooks.org. Press<br />

copies are available upon request by contacting:<br />

francine.bennett@ana.org. Please include name of<br />

publication, organization, reviewer name, and address<br />

information, including phone and e-mail address.<br />

Tools You Can Use and Upcoming SPHM Webinars<br />

For more information on ANA’s SPHM efforts and<br />

to find tools you can use to start your own SPHM<br />

program at your hospital or facility click here. ANA<br />

is hosting a Navigate Nurse webinar on June 19, in<br />

collaboration with the Association of Safe Patient<br />

Handling Professionals (ASPHP) and the American<br />

Association of Safe Patient Handling and Movement<br />

(AASPHM). Click here for more information on<br />

upcoming webinars.<br />

ABOUT THIS BOOK<br />

Release Date: 06/26/13<br />

Page #: 100 pages<br />

ISBN: 978-155810-519-5<br />

Member $21.95/List $29.95<br />

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We are currently accepting applications<br />

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contact us: 401.254.6200 • 888.674.8479<br />

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Page 10 • Rhode Island Nurse July, August, September 2013<br />

American Nurses Association<br />

American Nurses Association Empowers Nurses to Create<br />

Solutions to Staffing Challenges<br />

Inaugural conference co-sponsored by the American Nurses Foundation<br />

SILVER SPRING, MD – Today’s complex, fastpaced<br />

health care system demands innovative<br />

thinking and fresh approaches to address longstanding<br />

nurse staffing issues. That’s why the<br />

American Nurses Association (ANA) is convening<br />

a unique staffing conference, Fostering Innovative<br />

Staffing Solutions, to empower nurses to discover,<br />

learn, and create inventive solutions to the complex<br />

challenge of determining and delivering appropriate<br />

nurse staffing.<br />

Co-hosted by the American Nurses Foundation<br />

(ANF), the conference will be grounded in the latest<br />

research and provide attendees with new tools,<br />

strategies, approaches, and other practical solutions<br />

to help nurses develop staffing plans that will elevate<br />

patient care and foster more efficient, affirming work<br />

environments.<br />

“We know that when there are appropriate nurse<br />

staffing levels, patient outcomes improve,” said<br />

ANA President Karen A. Daley, PhD, RN, FAAN.<br />

“Nurse staffing has long been a priority for ANA,<br />

and this conference will facilitate new conversations<br />

around these issues and arm nurses with the tools<br />

necessary to deliver exceptional patient care and<br />

develop more supportive work environments.”<br />

The day and a half conference takes place<br />

November 8-9, 2013 at the Washington Hilton in<br />

Washington, D.C. Conference attendees can expect<br />

engaging multimedia presentations from dynamic<br />

nurse staffing experts, idea generation activities,<br />

and stimulating discussions focused on real-life<br />

examples of specific staffing solutions. Attendees<br />

will also learn about the latest technological<br />

advances in staffing designed to optimize staff,<br />

reduce costs, and improve patient outcomes.<br />

In addition to engaging nurses around best<br />

practices and innovative staffing strategies and<br />

tools, ANA will solicit attendees’ input for an outline<br />

of the elements of a business case for staffing. This<br />

input will shape the final product.<br />

specialist at the Center for Innovation in Care<br />

Delivery in the Institute for Patient Care at<br />

Massachusetts General Hospital in Boston<br />

TOPIC: Building Leading Practices Through<br />

Leadership and Innovation<br />

• Sean Clarke, RN, PhD, FAAN, director of the<br />

McGill Nursing Collaborative<br />

TOPIC: Organizational Climate: Impact on<br />

Nurse Staffing and Patient Outcomes<br />

• Jennifer Mensik, PhD, RN, NEA-BC,<br />

FACHE, administrator for Nursing and Patient<br />

Care at St. Luke’s Health System, ANA board<br />

member, and author of “The Nurse Manager’s<br />

Guide to Innovative Staffing”<br />

TOPIC: Care Delivery Models: How and Why<br />

They Impact Care Delivery<br />

The 2013 ANA Staffing Conference is targeted<br />

to nurses involved in staffing decisions and nurses<br />

who may influence staffing decisions, such as<br />

CNOs, nurse managers, staff nurses on staffing<br />

committees, staffing coordinators, risk managers,<br />

and quality assurance managers. To register, please<br />

visit www.anastaffingconference.org. For additional<br />

information, please contact ANA by calling 800-274-<br />

4ANA (4262) or via email at meetings@ana.org.<br />

Featured conference speakers and topics include:<br />

• Barbara A. Blakeney, MS, RN, FNAP, past<br />

president of ANA and the current innovations<br />

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July, August, September 2013 Rhode Island Nurse • Page 11<br />

Women & Infants Hospital welcomes you to<br />

join our caring, professional nursing team at<br />

the seventh largest obstetric service in the<br />

country with more than 9200 deliveries<br />

last year.<br />

Registered Nurses<br />

Neonatal Nurse Practitioner<br />

Care Coordination Manager<br />

Quality Management Nurse<br />

Abstractor<br />

Clinical Staff Instructors<br />

Patient Family & Community<br />

Center Care Manager<br />

To learn more about Women & Infants<br />

philosophy, culture, and these exciting<br />

career opportunities, apply online at:<br />

www.womenandinfants.org<br />

Equal Opportunity Employer<br />

Providence, RI<br />

We Touch Your Life<br />

Like No One Else.<br />

Celebrating 125 Years<br />

Caring Through The Ages<br />

The VNA of Rhode Island,<br />

a recognized leader in<br />

home health services for<br />

over 100 years.<br />

We offer the following nursing opportunities:<br />

Per Diem Home Care RNs<br />

F/T Cardiac/IV Home Care RN<br />

F/T Hospice Home Care RN<br />

Weekend Home Care RNs<br />

* Home care experience required *<br />

Forward resumes to:<br />

VNA of Rhode Island<br />

475 Kilvert Street<br />

Warwick, RI 02886<br />

Email: recruiting@vnari.org<br />

401-574-4900<br />

RN: Part time and per diem positions for Homecare RN. Per diem<br />

positions also available for Homecare and Community Wellness<br />

Clinics.<br />

RN/LPN Hospice: Part time and per diem positions for Hospice<br />

RNs. Also per diem on call evening RN/LPN positions available.<br />

VNS offers competitive rates, family friendly schedules and in-service training<br />

for all positions. Professionally licensed positions require licensure and<br />

minimum 1 year of experience. Resumes to: Human Resources, Visiting Nurse<br />

Services of Newport & Bristol Counties, 1184 East Main Rd., Portsmouth, RI<br />

02871. Fax: 401-682-7562. To apply for any of these positions or for more<br />

information on the Visiting Nurse Services of Newport & Bristol Counties,<br />

please visit our website @ www.vnsri.org.<br />

EOE<br />

RN<br />

Day and Evening<br />

Per Diem positions available<br />

Join an innovative team committed to providing<br />

high quality care. Saint Elizabeth Manor, a leader<br />

in providing long term and rehabilitation care is<br />

looking to hire for per diem positions.<br />

Current RI nursing license required.<br />

We offer excellent wages and benefits including health,<br />

dental, on-site subsidized day care, pension, etc.<br />

If you are interested please come in to complete an<br />

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Manor, One Dawn Hill, Bristol, RI 02809,<br />

Attn: Kim Amaral, or email resume to<br />

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Page 12 • Rhode Island Nurse July, August, September 2013<br />

Become a Foster Care Parent...<br />

A Child will thank you!<br />

You will receive:<br />

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Contact Greg Wright<br />

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Visit our website at www.familyserviceri.org<br />

Through compassion and teamwork,<br />

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We are always seeking talented<br />

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AA/EOE M/F/D/V encouraged to apply<br />

Children’s Friend is a leading non-profit social service<br />

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openings for Bachelor’s prepared Registered<br />

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programs including the national renowned Nurse<br />

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nurses and nursing supervisors with maternal child<br />

health, obstetric, or pediatric experience required and<br />

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Children’s Friend offers a competitive salary and an<br />

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life, and long term disability insurance, a pension plan,<br />

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resume to Human Resources, Children’s Friend, 153<br />

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Children’s Friend is an Equal Opportunity Employer.

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