President's Message - Arthur L Davis Publishing
President's Message - Arthur L Davis Publishing
President's Message - Arthur L Davis Publishing
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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 />
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We are a growing company and always looking for new talent, visit our website and check out our Careers page.<br />
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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 />
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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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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 />
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Registered Nurses<br />
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To learn more about Women & Infants<br />
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We offer the following nursing opportunities:<br />
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Forward resumes to:<br />
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475 Kilvert Street<br />
Warwick, RI 02886<br />
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401-574-4900<br />
RN: Part time and per diem positions for Homecare RN. Per diem<br />
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Page 12 • Rhode Island Nurse July, August, September 2013<br />
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