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The Florida Nurse - June 2015

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OFFICIAL BULLETIN OF THE FLORIDA NURSES FOUNDATION<br />

Volume 63 • No. 2 QUARTERLY PUBLICATION DIRECT MAILED TO 271,000 REGISTERED NURSES IN FLORIDA <strong>June</strong> <strong>2015</strong><br />

Mission Statement<br />

Serve and support all Registered <strong>Nurse</strong>s through professional development,<br />

advocacy and the promotion of excellence at every level of professional<br />

nursing practice.<br />

Tallahassee <strong>2015</strong>:<br />

A Call to Action<br />

for Nursing<br />

Edward Briggs, DNP, ARNP-BC, President<br />

<strong>The</strong> <strong>2015</strong> legislative session in Tallahassee has<br />

now ended and some would interpret the events<br />

as another disappointing year for nursing. Bills<br />

that would have expanded nurse practitioner scope of practice, developed<br />

safe staffing regulations, and expanded access to care failed to progress.<br />

<strong>The</strong> psychiatric nurse bill that did pass included provisions that many<br />

were disappointed to see. It seemed, to many, as status quo for nursing in<br />

Tallahassee.<br />

However, this interpretation fails to recognize the real and dramatic<br />

change that is occurring in Tallahassee and should be seen as a call-to-arms<br />

for nursing.<br />

<strong>The</strong> <strong>2015</strong> legislative session was remarkable for the fact that in all<br />

discussions regarding solving the problems of healthcare in <strong>Florida</strong>, the<br />

profession of nursing was recognized as a large, and integral, part of the<br />

solution. Key legislators now advocated for advancing the profession of<br />

nursing as a means to solve many problems that our state faces. Increasingly,<br />

the input of nursing leaders was sought by legislators regarding healthcare<br />

challenges and proposed solutions. <strong>The</strong>re was clear recognition that the<br />

participation of nursing was essential at every level of the healthcare debate,<br />

including appointments to State Commissions.<br />

With the leadership of Senator Grimsley and Representative Pigman,<br />

nursing bills that would have expanded nursing scope of practice moved<br />

further than they ever have before and would likely have passed had it not<br />

been for the unexpected early end of session by the House of Representatives.<br />

<strong>The</strong> debate regarding expanding Medicaid grew into a larger debate of<br />

how to ensure low-income families have access to adequate healthcare<br />

services. <strong>The</strong> debate ceased being about whether to help individuals’ access<br />

to healthcare, but instead what was the most effective method of improving<br />

access. <strong>The</strong>re was a clear comprehension by legislators that attention to atrisk<br />

and rural communities is essential to resolving <strong>Florida</strong>’s healthcare<br />

challenges, and that nursing was best situated to access these communities.<br />

<strong>The</strong>re was also increased understanding by legislators that health care was<br />

not limited to allopathic medicine, but needed to include both dental, vision,<br />

and mental health services.<br />

It is important that we remember that these advances did not occur<br />

spontaneously, but were the product of years of advocacy and outreach by<br />

the <strong>Florida</strong> <strong>Nurse</strong>s Association - its board, members, and lobbyists. <strong>The</strong><br />

<strong>Florida</strong> <strong>Nurse</strong>s Association has developed relationships with key legislators<br />

and built coalitions with other organizations that share our priorities and<br />

goals. Through these connections, FNA has been able to educate elected<br />

leaders to see the importance of advancing our profession.<br />

<strong>The</strong> record attendance of nurses at the <strong>2015</strong> FNA <strong>Nurse</strong> Advocacy Days<br />

(formerly Lobby Days) did not escape the attention of legislators and<br />

demonstrated a growing commitment by nurses to work towards improving<br />

health policy in our state. Our presence throughout the halls of the capital<br />

sent a clear message to legislators that nursing is a substantive force working<br />

for positive change. <strong>The</strong> dedicated efforts of the attendees influenced many<br />

legislators to reconsider their position on essential nursing issues and even<br />

convinced legislators to become co-sponsors to our Safe Staffing Bill.<br />

<strong>The</strong> <strong>2015</strong> Legislative Session has been a remarkable year for our profession<br />

and has demonstrated that a strong professional association coupled with<br />

dedicated members can advance our agenda in the legislative arena. In the<br />

2016 <strong>Florida</strong> legislative session, there is real potential to pass bills that will<br />

expand nursing practice, improve access to care, ensure safe staffing, and<br />

provide for safe work environments. But to succeed in these efforts, we<br />

need not only a strong professional association, but also, a membership that<br />

ensures its voice is heard.<br />

So, now is your chance to join your colleagues in advocating for your<br />

profession. Become an active participant in steering your association<br />

and guiding health policy in our state. Together, let us build upon the<br />

momentum of <strong>2015</strong> and make 2016 the Year for Nursing.<br />

Because, ultimately, positive change is what nurses do!<br />

current resident or<br />

Non-Profit Org.<br />

U.S. Postage Paid<br />

Princeton, MN<br />

Permit No. 14 President’s Message. . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

Notes from the Executive Director ................2<br />

Student Forum ..............................3<br />

Advocacy Days ..............................4<br />

<strong>2015</strong> Candidate Biographies and Statements .....5-7<br />

Legislative Update ...........................8<br />

Regional News ........................... 9-12<br />

<strong>Florida</strong> <strong>Nurse</strong>s Leadership Academy .............10<br />

LERC/Professional Practice Advocacy ............13<br />

<strong>2015</strong>-2016 Calendar of Events .................14<br />

Partners in Nursing ..........................16<br />

Members in the News ........................18<br />

Where are the <strong>Florida</strong> Clinical <strong>Nurse</strong> Specialists? ...18<br />

Another One of Our Own is Gone Too Soon ........19


Page 2 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

Willa Fuller, RN<br />

Executive Director<br />

As our President<br />

Ed Briggs addresses<br />

in this issue, it is<br />

essential that nurses<br />

are actively involved<br />

in advocacy for our profession and for the future<br />

of healthcare in our nation. One thing we know<br />

for sure is that we cannot continue as a strong<br />

organization without the current students and the<br />

new graduates that are entering our profession.<br />

As we move forward, it is important to carry on<br />

the 106 year legacy of nursing advocacy of <strong>The</strong><br />

<strong>Florida</strong> <strong>Nurse</strong>s Association. In looking back on<br />

the past century, member Jan Hess, compiled a<br />

history of accomplishments of the association in<br />

the political arena. This process was a revelation<br />

of many successes and a contribution<br />

We have worked closely with the <strong>Florida</strong><br />

Nursing Students Association to make sure we<br />

were partners in education and involving students<br />

in our nurse advocacy efforts. We are proud of the<br />

student presence at your Conferences, particularly<br />

Advocacy Days and Membership Assembly.<br />

We have had student liaisons welcome on our<br />

committees and task forces and the FNA Board of<br />

Directors. <strong>The</strong>re is often a difficulty in navigating<br />

this model due to the schedules and demands of<br />

student life, but over the year some outstanding<br />

young leaders have emerged and continue to hold<br />

membership in FNA.<br />

While not a current<br />

new graduate, one of the<br />

long time standouts who<br />

made the transition is<br />

Belita Grassel, who has<br />

been a member since her<br />

graduation from nursing<br />

school. She served as a<br />

district president and<br />

recently she really stepped<br />

out on a limb and ran<br />

for the <strong>Florida</strong> House of<br />

Representatives. We supported her in her efforts<br />

and are proud of the campaign that she ran. She<br />

continues to be available and active in FNA’s<br />

advocacy efforts.<br />

<strong>The</strong> past two chairs of<br />

the Bylaws Committee<br />

have been new graduates<br />

and past FNSA Board<br />

Members. Rosa Yi and Lisa<br />

Fussell have both done<br />

as excellent job as bylaws<br />

chair and showed great<br />

composure and knowledge<br />

when conducting the<br />

A Tribute and a Call to Action to<br />

our New Graduates<br />

bylaws hearings at Membership Assembly. <strong>The</strong>ir<br />

experience as student leaders translated directly<br />

into competence in their performance. Rosa has<br />

moved on to Georgia but Lisa continues as the<br />

current bylaws chair. <strong>The</strong>y were also both selected<br />

in the Inaugural class of the <strong>Florida</strong> <strong>Nurse</strong>s<br />

Leadership Academy for their accomplishments as<br />

student leaders.<br />

C.J. Birge has run for<br />

state office and serves on<br />

the Bylaws committee.<br />

He has been vocal in our<br />

Membership Assembly<br />

contributing to the<br />

discussion appropriately<br />

with sincerity and passion<br />

for the profession.<br />

Murielle Joseph recently<br />

resigned as Chair of the<br />

Nominations Committee to<br />

throw her hat in the ring<br />

for state office. She is cur<br />

rently chair of the New<br />

Graduate Special Interest<br />

Group and is featured<br />

in our Membership<br />

Promotion Video which<br />

can be found on the<br />

homepage of our website<br />

at http//www.floridanurse.<br />

org.<br />

As the current leaders<br />

in the profession age, we are looking to the future<br />

by education young nurses about the importance<br />

of advocacy beyond the bedside. Politics is the<br />

allocation of scare resources and we must be at the<br />

table to get our piece of the pie. <strong>The</strong> value of these<br />

new voices with innovative ideas and boundless<br />

energy is essential to the future strength and<br />

influence of our profession.<br />

<strong>The</strong>re is a lot of discussion around generational<br />

differences and “how we can engage and work<br />

with the “XYZ” generation.” In my personal view,<br />

this is not the best approach. I would like to see<br />

a model where all generations come together to<br />

share what they bring to the table and that all<br />

input is respected and considered. Merging age,<br />

experience and wisdom and creativity with youth,<br />

energy, curiosity, innovation and new ideas can<br />

not only be productive but a fun and enjoyable<br />

way to do important work.<br />

Together, we can create an association that<br />

works for everyone with a menu of resources and<br />

activities that supports nurses and the work that<br />

they do. This is an exciting time for nurses from<br />

all generations our diversity is truly our strength.<br />

To all of our new graduates, join us!<br />

Owned and Published by<br />

<strong>Florida</strong> <strong>Nurse</strong>s Foundation<br />

1235 E. Concord Street,<br />

Orlando, FL 32803-5403<br />

P.O. Box 536985, Orlando, FL 32853-6985<br />

Telephone: (407) 896-3261<br />

FAX: (407) 896-9042<br />

E-mail: info@floridanurse.org<br />

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FNA and the Arthur L. Davis Publishing Agency, Inc. reserve<br />

the right to reject any advertisement. Responsibility for errors in<br />

advertising is limited to corrections in the next issue or refund of<br />

price of advertisement.<br />

Acceptance of advertising does not imply endorsement<br />

or approval by the <strong>Florida</strong> <strong>Nurse</strong>s Foundation of products<br />

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

advertisement does not imply a product offered for advertising<br />

is without merit, or that the manufacturer lacks integrity, or that<br />

this association disapproves of the product or its use. FNF and<br />

the Arthur L. Davis Publishing Agency, Inc. shall not be held<br />

liable for any consequences resulting from purchase or use of<br />

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

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

reflect views of the staff, board, or membership of FNF or those of<br />

the national or local associations.<br />

Published quarterly, March, <strong>June</strong>, September, and December<br />

by FNF, a constituent member of the American <strong>Nurse</strong>s<br />

Association.<br />

Editor - Vicki Sumagpang, 1235 E. Concord St., Orlando, FL<br />

32803-5403<br />

Subscription available at $20.00 plus tax, per year. Members<br />

of FNA receive the newspaper as a benefit of membership.<br />

COPIES of <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> are available on 35mm<br />

microfilm, 106mm microfilm, article reprints and issue copies<br />

through Bell & Howell, 300 North Zeeb Road, Ann Arbor,<br />

Michigan 48106<br />

Board of Directors<br />

2013-<strong>2015</strong><br />

Officers<br />

Edward Briggs, DNP, ARNP-C, President<br />

Leah Kinnaird, EdD, MSN, RN, President Elect<br />

Barbara Russell, MPH, RN, CIC, Vice President<br />

Monte Beane, MSN, RN, Secretary<br />

Linda Howe, PhD, RN, Treasurer<br />

Directors<br />

Daniel Berman, DBA/HCA, RN, FACHE<br />

Sue Hartranft, PhD, ARNP<br />

Shirley Hill, BSN, RN-BC, CCM<br />

Deborah Hogan, MPH, RN<br />

Marsha Martin, RN<br />

Denise McNulty, DNP, ARNP<br />

Patricia Posey-Goodwin, EdD, RN<br />

Jill Tahmooressi, MSN, RN<br />

FNA Office<br />

Willa Fuller, BSN, RN, Executive Director<br />

Jeanie Demshar, Esq.,<br />

Director of Professional Practice Advocacy<br />

Vicki Sumagpang, MSN, RN<br />

Director of Programs & Member Engagement<br />

Alisa LaPolt, Lobbyist<br />

Robert Levy & Associates, Lobbyist<br />

http://www.floridanurse.org<br />

Special Thanks to these New Graduates who recently renewed!<br />

We are grateful for your continued support!<br />

Published by:<br />

Arthur L. Davis<br />

Publishing Agency, Inc.<br />

Michael Adalia<br />

Lily Azcona<br />

Athena Barco<br />

Kimberly Betz<br />

Jacqueline Cameron<br />

Katrina Dever<br />

Nancy Dingus<br />

Kristin Gardner<br />

Kelsea Gass<br />

Clare Gruneisen<br />

Susan Harrison<br />

Judy Holtz<br />

Alina Huneke<br />

Donna Jackson-Sharpe<br />

Murielle Joseph<br />

Dorothy Lejeantus<br />

Danielle Lesane<br />

Polly Marrero<br />

Alyssa Masud<br />

Gayna Mc Donald<br />

April Montgomery<br />

Abi Jireh Paraon<br />

Rachel Reising<br />

Kathleen Spates<br />

Sofia Thomas<br />

Hector Torres<br />

Tammy Vann<br />

Justin Wilkerson<br />

ATTENTION FNA<br />

MEMBERS!<br />

YOUR EMAIL ADDRESS IS NEEDED. FNA<br />

communicates via email throughout the year. In<br />

order to receive all email updates, please send<br />

your personal email address along with your<br />

name and member number to membership@<br />

floridanurse.org as soon as possible.


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 3<br />

Tiffany Massey, RN<br />

April has been a spectacular<br />

month for FNSA! We attended<br />

the NSNA national convention<br />

in Phoenix, AZ. <strong>The</strong> state of<br />

<strong>Florida</strong> is proud to have passed<br />

6 resolutions on a national<br />

level. All were adopted and<br />

will be in the works over the<br />

next year, being sent out to various<br />

organizations and campaigns, to help<br />

implement them into the nurse world. <strong>Florida</strong><br />

students also presented posters about research that<br />

are currently in the works or have already been completed. Many students<br />

and schools won awards and were recognized throughout the week. FNSA is<br />

very proud with how much <strong>Florida</strong> nursing students have accomplished this<br />

past year with NSNA and we hope that the following year is just as eventful.<br />

In the coming months, FNSA is continuing its partnership with the<br />

<strong>Florida</strong> <strong>Nurse</strong>s Association and putting on our annual Leadership Retreat.<br />

Currently, the FNSA board is in the works of putting some wonderful guest<br />

speakers together for the students, who will talk to them and encourage<br />

them within leadership. This will be a daylong event where students will get<br />

information on leadership within FNSA.<br />

<strong>The</strong> week of April 20th was an incredibly special week for the FNSA.<br />

Along with Sharee Castillo, a nursing student from Broward County,<br />

the FNSA is partnering with the Forget Me Not Campaign, a student led<br />

organization that helps to aide in Alzheimer research, education, support,<br />

and treatment. We were able to have a conference call with those at a<br />

national level of the Alzheimer’s Association to give us ideas on how to move<br />

forward.<br />

Tiffany Massey is an RN-BSN student at <strong>Florida</strong> Atlantic University. She is<br />

currently a Woman’s Health nurse in North <strong>Florida</strong> and is pursuing her longterm<br />

goal of becoming an ARNP. She enjoys helping students with questions<br />

from class to questions about leadership. She enjoys fishing, hiking, and<br />

being in nature in her free time.<br />

FNA WANTS TO SEE YOU BLOOM<br />

Here are some ways that FNA is offering<br />

assistance to new grads:<br />

If you are an FNSA member & graduate after March. 31, 2014,<br />

your first year of FNA membership is FREE! This is only<br />

applicable for 60 days post graduation.<br />

If you were an FNSA member, your second year of<br />

FNA membership is 50% off at $145.50.<br />

<strong>The</strong> ADP option (taking monthly<br />

from your bank account) is also<br />

available for FNSA grads so you<br />

can spread the payment out over<br />

the whole year!<br />

Membership Doesn’t Cost… It Pays!<br />

Questions?<br />

membership@floridanurse.org | 407.896.3261<br />

Join or renew online today at floridanurse.org<br />

Or scan the code below to download a<br />

membership application and learn more about FNA.<br />

Correction<br />

In the <strong>2015</strong> March issue of <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong>, the<br />

author’s name was printed incorrectly for the article<br />

entitled “Residency Programs Aren’t just for New<br />

Graduates.” <strong>The</strong> article was written by Jean Shinners,<br />

PhD, RN-BC.<br />

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Page 4 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

Advocacy Days Sparked Interest in Political Advocacy<br />

Barbara B. Little, DNP, MPH, RN<br />

Senior Teaching Faculty<br />

<strong>Florida</strong> State University<br />

<strong>Florida</strong> State University Doctor of Nursing<br />

Practice (DNP) students attend FNA Advocacy<br />

Days conference as part of their curriculum. As<br />

I read my students’ reflections on attending the<br />

two-day event, I was touched by their enthusiasm,<br />

interest, and appreciation for gaining health policy<br />

experience in our state capitol. Claire Winfree<br />

shared she was “struck by how important it is<br />

for us to share our opinions and meet with the<br />

legislators who make decisions that directly affect<br />

our professional lives. We have many allies and<br />

friends in the legislature, and they are counting on us to speak up, share our<br />

stories, and represent the nurse practitioner profession well.”<br />

FNA staff and lobbyists do a phenomenal job of planning an informative<br />

conference and organizing visits with local legislators. This year, in addition<br />

to meeting with legislators and staff, we were able to observe the House<br />

Health Innovation Subcommittee debate HB547 relating to APRN full<br />

practice authority. Hearing testimony from a variety of constituents and<br />

stakeholders illustrated the challenges of addressing a variety of viewpoints<br />

while negotiating complex policies. DNP student, Hannah Cameron,<br />

described her reaction, “Chills ran across my arms when Chair Roberson<br />

of the House Innovation Subcommittee read the final verdict: 9 yays and 4<br />

nays, HB 547 Advanced Practice Registered <strong>Nurse</strong> Full Practice Authority<br />

passes. To sit in the committee room and watch history unfold in support of<br />

ARNPs was quite emotional.”<br />

In the fall semester, students take the Health Care Policy course that lays<br />

the cognitive foundation on advocacy and the legislative process. <strong>The</strong>n,<br />

in the spring Nursing Leadership course, students research their local<br />

legislators and develop talking points on nursing and healthcare related<br />

bills and issues in preparation for their visit to the capital. Visits with their<br />

legislators and observations of committee meetings is what really brings<br />

the legislative process to life, helps synthesizes their learning, and propels<br />

students to become more politically active.<br />

Prior to attending Advocacy Days, political issues were not of interest<br />

to DNP student Brittany Enders. Now, Enders says she has a new outlook,<br />

“Attending Advocacy Days was definitely an experience that helped me<br />

become more active in political issues in the nurse practitioner field. I have<br />

found myself following the important bills regarding nurse practitioners and<br />

nurses ever since the experience.”<br />

Meeting with their local legislators helps nurses feel comfortable with the<br />

legislative process thus providing a foundation for future advocacy efforts.<br />

Jill Koepke plans to meet with her legislators regularly “to offer my opinions<br />

and experiences now that I understand how much they value the input of<br />

their constituents and how much they need education on issues outside of<br />

their expertise. After this experience, I feel much less intimidated by not<br />

only the process of lawmaking, but the people as well.”<br />

Enders explains the experience well when she said, “This experience<br />

helped me become more knowledgeable in current healthcare issues and<br />

honestly this has sparked my attention to be more active in advocating for<br />

nurse practitioners and nurses for the future. What a great experience!”<br />

Through these experiences, students gain an appreciation and increased<br />

level of competence in their advocate role. What more could an educator<br />

ask for in an experiential learning experience? And, I believe experienced<br />

nurses would also enjoy the conference and leave inspired to educate their<br />

legislators and community members about policy changes to improve<br />

healthcare quality, access and patient outcomes. I hope to see you there next<br />

year!<br />

FSU Doctor of Nursing Practice (DNP) students gained health policy<br />

experience at the <strong>Florida</strong> Capitol during the <strong>Florida</strong> <strong>Nurse</strong>s Association<br />

Advocacy Days Conference in March.<br />

University of West <strong>Florida</strong> Nursing Students and Faculty at the<br />

Legislative Reception<br />

Southeast Region Members on the way to a<br />

legislative appointment<br />

Captive audience at the<br />

Capitol Luncheon<br />

<strong>2015</strong> Advocacy Days at the<br />

FSU Student Union<br />

FNA Would Like to Send Special Thank Yous to our Wonderful <strong>2015</strong><br />

Advocacy Days Sponsors<br />

Robert M. Levy &<br />

Associates, Inc<br />

Government & Public<br />

Relations Specialist


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 5<br />

<strong>2015</strong> Candidate Biographies and Statements<br />

President-Elect<br />

Kappa Chapter (South University) President 2011<br />

to 2012; FNA Treasurer 2011 to 2013; FNA Finance<br />

Committee 2010 to present; GAPNA: President<br />

2012 to 2013; APNA: Treasurer 2009 to 2014;<br />

GAPNA Treasurer 2012 to present; STTI Education<br />

Work Group 2012 to present; Present Office -<br />

GAPNA Treasurer.<br />

Professional Organizational Activities: Core<br />

member South Region Leadership Council since<br />

2013; First South Region Director (2010-2011);<br />

FNA Transition to Regions Taskforce; Certification<br />

Board of Infection Control and Epidemiology<br />

(CBIC): President (2012); Occasionally contacted<br />

by IPN to address Infection Control related issues;<br />

Vice President of FNA (Current); Secretary of<br />

<strong>The</strong> <strong>Nurse</strong>s Charitable Trust; Chair of the Royce<br />

Foundation (JMH School of Nursing Alumni<br />

Association.<br />

Janegale Boyd<br />

For the position of: President-<br />

Elect and Representative to the<br />

ANA Membership Assembly<br />

I want to work to position<br />

FNA, its members, and the<br />

nursing profession to be seen as Vice President<br />

the statewide leaders for nursing<br />

practice. <strong>Nurse</strong>s have a powerful Murielle Joseph<br />

and knowledgeable voice to<br />

For the position of: Vice<br />

contribute to the changing dynamics of health<br />

President<br />

Secretary<br />

care.<br />

As VP, I would represent FNA<br />

Region: North Central – Jefferson County<br />

if the President or President- Darlene Fritsma<br />

School(s) of Nursing: Tallahassee Community<br />

Elect is not available. Moreover,<br />

For the position of: Secretary<br />

College<br />

the VP also serves as chair of<br />

I served on the FNA Board of<br />

Degree(s): ADN<br />

the Membership Committee, so<br />

Directors, Director of Practice,<br />

Place of Employment and Position: Leading Age<br />

I would use this opportunity<br />

for two terms 1988-92. I desire to<br />

<strong>Florida</strong>, President/CEO – Retired 2014<br />

to facilitate growth in active<br />

devote time and energy to serve<br />

Professional Organizational Activities: FNA FNA membership through this committee and<br />

my professional association.<br />

member since 2000; Big Bend Hospice Board encourage the same via the Special Interest<br />

Over my 28 years at FNA, I have<br />

Member (current); Healthyways, Inc. Board Groups (SIGs) and Regions.<br />

served as District President,<br />

Member; <strong>Florida</strong> Society Assoc. Executives – Region: Southwest – Fort Myers<br />

FNPAC Board of Director, and<br />

Chair (current); North <strong>Florida</strong> Community College School(s) of Nursing: University of <strong>Florida</strong> Secretary HP-SIG.<br />

Foundation Board Member; <strong>Florida</strong> Tax Watch Degree(s): BSN, BA in Spanish<br />

Region: East Central – Winter Park<br />

Board Member (current); Elected Member of the FL Place of Employment and Position: Lee School(s) of Nursing: University of <strong>Florida</strong>;<br />

House of Representatives – State Office, District Memorial Health System, 6 West Progressive Care Rollins College; Brevard Community College<br />

10, for two terms (1996 - 2000); FL-AC Nursing Unit, Staff/Charge <strong>Nurse</strong><br />

Degree(s): MSN, ARNP<br />

Steering Council and Leadership Committee Professional Organizational Activities: FNA Place of Employment and Position: University<br />

member.<br />

member; FNLA scholar (2013); past FNSA Region of Phoenix, Associate Faculty; Current ARNP<br />

2 Director and Communications Chair; FNA Retired<br />

George Byron Peraza-Smith<br />

Nominating Committee Chair (2013 – <strong>2015</strong>), Professional Organizational Activities:<br />

For the position of: President- FNA New Grad SIG Chair; FNA Leadership Member, Central <strong>Florida</strong> Region; FNPAC Board of<br />

Elect and Representative to the Development Committee.<br />

Directors, State.<br />

ANA Membership Assembly<br />

We are at a critical tipping Barbara Russell<br />

Shirley Hill<br />

point. We have an opportunity to<br />

For the position of: Vice<br />

For the position of: Secretary<br />

create our future and the future<br />

President<br />

I have really enjoyed serving<br />

of nursing in <strong>Florida</strong>. I will<br />

I have had the honor of<br />

as a director on the FNA Board.<br />

explore ways to remain relevant<br />

currently serving as Vice<br />

I am ready to move on in a<br />

for our current and future<br />

President and would like to<br />

different capacity and would like<br />

members. We have a rich history from which to<br />

continue and be able to represent<br />

to serve as secretary, bringing<br />

build a strong, thriving Association.<br />

FNA as called upon to do. Now<br />

my experience, knowledge, and<br />

Region: West Central – Tampa<br />

more than ever, we need to<br />

understanding of the working of<br />

School(s) of Nursing: Case Western Reserve<br />

increase membership to be able<br />

the board.<br />

University; Brandmand University; University of to continue all the great things we do.<br />

Region: East Central – Ormond Beach<br />

South <strong>Florida</strong>; <strong>The</strong> University of Texas; Houston Region: South – Miramar<br />

School(s) of Nursing: University of Central<br />

Community College<br />

School(s) of Nursing: University of Miami; <strong>Florida</strong>; Navarro College<br />

Degree(s): DNP; Post-Doctoral Certificate – <strong>Florida</strong> International University; Jackson Degree(s): BSN, RN, BC, CCM<br />

AGPCNP, Post-Graduate Certificate GNP; MSN; Memorial Hospital School of Nursing; Infection Place of Employment and Position: Retired<br />

BSN; ADN<br />

Control courses: Center for Disease Control<br />

Professional Organizational Activities:<br />

Place of Employment and Position: South Degree(s): MPH, BSHSA, RN, CIC<br />

Current East Central Region Director (Served in<br />

University Adjunct Professor<br />

Place of Employment and Position: Director this position for the last 4 years); State of <strong>Florida</strong><br />

Professional Organizational Activities: Tampa Infection Control and Sterilization and Linen, Employee for 20 years.<br />

Bay Advanced Practice <strong>Nurse</strong> Council – President Baptist Hospital of Miami.<br />

2011 to 2012, Secretary 2010 to 2011; STTI Phi Candidate Biographies continued on page 6


Page 6 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

Candidate Biographies continued from page 5<br />

Jill Tahmooressi<br />

For the position of: Secretary<br />

As an FNA Board member,<br />

South Region Director, for nearly<br />

2 terms, I am well exposed and<br />

versed in the secretary role.<br />

I expect to bring my robust<br />

enthusiasm to drive results using<br />

my expert structural process<br />

skills to the role. My goal is<br />

to streamline and improve the communication<br />

process to both members and the Board of<br />

Directors.<br />

Region: South - Weston<br />

School(s) of Nursing: Nova Southeastern<br />

University; St. Petersburg College; Miami Dade<br />

College; Jackson Memorial Hospital School of<br />

Nursing<br />

Degree(s): MBA, BSN, ADN, Diploma<br />

Place of Employment and Position: Nicklaus<br />

Children’s Hospital, Nursing Director<br />

Professional Organizational Activities: South<br />

Region Director (appointed May 2012- present).<br />

Treasurer<br />

Ann-Lynn Denker<br />

For the position of: Treasurer<br />

Nursing is a fundamental/<br />

powerful force. I am a tested<br />

nursing practitioner with<br />

in-depth experience in<br />

practice, research, education,<br />

administration, ethics, health<br />

policy, and regulation. My<br />

contributions endure at local,<br />

state, and national levels. Most importantly, I am<br />

committed to the FNA team in leading the Future<br />

of Healthcare through nursing.<br />

Region: South – Miami<br />

School(s) of Nursing: University of Miami;<br />

University of <strong>Florida</strong><br />

Degree(s): PhD, MN, BSN<br />

Place of Employment and Position: Barry<br />

University; <strong>Florida</strong> Action Coalition SIP Grant;<br />

Consulting<br />

Professional Organizational Activities: Member<br />

of the South Region (Planning group of the annual<br />

conference; Representative to the Annual FNA<br />

State Membership Assembly; <strong>Florida</strong> Board of<br />

Nursing Chair (Member past 5 years); National<br />

Council of State Boards of Nursing; Institute of<br />

Regulatory Excellence Fellowship; At Present:<br />

Board of Directors: Health Council of South<br />

<strong>Florida</strong>; STT (Beta Tau (U of Miami – Board of<br />

Directors; Condominium Board member; Board<br />

member of Temple Emanu-El – Miami Beach.<br />

Join <strong>Florida</strong> <strong>Nurse</strong>s<br />

Association Today!<br />

Visit floridanurse.org<br />

or scan for complete<br />

information.<br />

Linda A. Howe<br />

For the position of: Treasurer<br />

As the current Treasurer<br />

of FNA, I would like the<br />

opportunity to continue to offer<br />

my financial and investment<br />

expertise to the organization. I<br />

have managed to prevent deficit<br />

spending and gave advice on<br />

several issues of investment and<br />

services to be offered members. I also presented a<br />

very transparent presentation to the membership<br />

at the assembly of the financial status and<br />

developed ideas to improve it.<br />

Region: East Central - Oviedo<br />

School(s) of Nursing: Columbia Hospital School;<br />

University of Texas; Texas Woman’s University;<br />

<strong>The</strong> Citadel; and the University of South Carolina.<br />

Degree(s): PhD, MSN, MA, BSN, Nursing<br />

Diploma<br />

Place of Employment and Position: Associate<br />

Professor at the University of Central <strong>Florida</strong><br />

Professional Organizational Activities: Current<br />

FNA Treasurer; FLN Board member (2014 – 2016);<br />

NLN Board of Governors (2008 – 2014).<br />

Directors at Large (Regional)<br />

Northwest Region<br />

Suzanne (Suzie) Farthing<br />

For the position of: Northwest<br />

Region Director<br />

If elected as the FNA’s<br />

Northwest Region’s Director, I’ll<br />

work diligently to support and<br />

promote our beloved profession,<br />

the association, and its causes.<br />

I’ll also work to increase<br />

membership while engaging our<br />

region’s members. I believe every nurse matters,<br />

and the FNA is the way our united voices are<br />

heard.<br />

Region: Northwest – Pensacola<br />

School(s) of Nursing: Walden University<br />

(Graduating <strong>June</strong> <strong>2015</strong>); Pensacola Junior College<br />

Degree(s): RN-MSN, ASN<br />

Place of Employment and Position: I am a<br />

MSN education student (graduating <strong>June</strong> <strong>2015</strong>)<br />

preparing to transition into a nurse educator role<br />

in the next few months. My nursing experience<br />

includes: Emergency department, Step-down/<br />

Critical Care, Medical-Surgical, Cardiac Care.<br />

Professional Organizational Activities: FNA<br />

Northwest Region Member<br />

North Central Region<br />

Marsha Martin<br />

For the position of: North<br />

Central Region Director<br />

I would like to continue to<br />

represent the North Central<br />

Region at the state level. I would<br />

also like to continue to work on<br />

growing the Region.<br />

Region: North Central -<br />

Gainesville<br />

School(s) of Nursing: Albert Einstein School of<br />

Nursing<br />

Degree(s): Nursing Diploma<br />

Place of Employment and Position: Shands<br />

Healthcare, Surgical Trauma ICU, staff nurse and<br />

charge nurse<br />

Professional Organizational Activities: Current<br />

President, Shands Bargaining Unit (executive<br />

committee position) (2012-Present); FNA North<br />

Central Region Director (2013-<strong>2015</strong>), LERC Chair,<br />

FNA Staff <strong>Nurse</strong> SIG Chair (facilitator); Co-chair<br />

FNA Workforce Violence Taskforce; FNA Ebola<br />

Taskforce; <strong>Florida</strong> Center for Nursing Director;<br />

ANA’s Department of Health, Safety and Wellness<br />

Council Representative.<br />

Northeast Region<br />

Doreen Perez<br />

For the position of: Northeast<br />

Region Director<br />

As a registered nurse,<br />

who supports professional<br />

organization membership, I<br />

believe working within an<br />

organization such as <strong>Florida</strong><br />

<strong>Nurse</strong>s Association can make<br />

a difference in the professional<br />

lives of our nurses and our community’s health.<br />

As a nurse, I have always had a voice but being a<br />

member of FNA my voice is louder and stronger.<br />

If elected as Director, I would work to increase<br />

membership and participation both locally and<br />

statewide.<br />

Region: Northeast - Duval<br />

School(s) of Nursing: University of North<br />

<strong>Florida</strong>; University of the State of New York<br />

Degree(s): Masters in Health Promotion; BSN,<br />

ASN<br />

Place of Employment and Position: University<br />

of North <strong>Florida</strong>; Director of Student Health<br />

Services<br />

Professional Organizational Activities: FNA<br />

Northeast Region Leadership Committee; FN<br />

Political Action Committee (FNPAC); American<br />

College Health Association (ACHA): Past<br />

President and annual meeting program planner;<br />

International Society of Travel Medicine Nursing<br />

Interest group; ACHA Chair of Nursing section<br />

(exp. 5/15).<br />

East Central Region<br />

Janice Hess<br />

For the position of: East<br />

Central Region Director<br />

I strongly believe that<br />

professional organization<br />

membership requires member<br />

participation in supporting<br />

the mission and goal of that<br />

organization. <strong>The</strong>refore, if<br />

elected as East Central Regional<br />

Director, I will act as liaison between the board<br />

and members regarding regional activity while<br />

soliciting member input in a manner that offers<br />

them a voice in their professional organization<br />

and its advocacy efforts.<br />

Region: East Central – Volusia<br />

School(s) of Nursing: University of <strong>Florida</strong>;<br />

Southern Missionary College; Brigham Young<br />

University; Orange Memorial School of Nursing<br />

Degree(s): DNP, FNP-BC, ARNP, MSN, BSN,<br />

Adult NP Certificate, RN Diploma Program<br />

Place of Employment and Position: ARNP<br />

Daytona VA Outpatient Clinic; Clinical Director<br />

(Volunteer) Good Samaritan Clinic<br />

Professional Organizational Activities: Chair<br />

of Volusia – Flagler Advanced Nursing Council;<br />

FNPAC Legislative Coordinator (Volusia/East<br />

Central Region); FNA Health Policy SIG member;<br />

FNPAC Board member; Vice Chair FNPAC; <strong>Florida</strong><br />

<strong>Nurse</strong>s Association Foundation Board Member;<br />

<strong>Florida</strong> Coalition for Advanced Practice <strong>Nurse</strong>s;<br />

CCNE Clinical team member for College of<br />

Nursing accreditation visits.<br />

West Central Region<br />

Lisa Fussell<br />

For the position of: West<br />

Central Region Director.<br />

I would like to increase<br />

communication, involvement,<br />

and membership within the West<br />

Central Region. I would also like<br />

to increase collaboration with<br />

other regions within the state.<br />

Region: West Central - Polk<br />

School(s) of Nursing: Polk State College,<br />

University of South <strong>Florida</strong><br />

Degree(s): BSN, ASN<br />

Place of Employment and Position: Lakeland<br />

Regional Health Systems, ICU, Staff RN<br />

Professional Organizational Activities: FNA<br />

Lobby Days 2012 & 2014; FNA Membership<br />

Assembly 2014; FNA Bylaws Committee<br />

Chairperson 2013-2014 and 2014-<strong>2015</strong>; and FNA<br />

member since 2012.<br />

Southeast Region<br />

Deborah Hogan<br />

For the position of: Southeast<br />

Region Director<br />

Having served in this position<br />

for the past two years, I would<br />

like to continue to represent<br />

the nursing members in the<br />

Southeast Region, working with<br />

them to offer local programs and<br />

keeping the members updated on<br />

FNA issues and activities. I hope to build on what<br />

we have done in the past two years.


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 7<br />

Region: Southeast – West Palm Beach<br />

School(s) of Nursing: Mastin School of Nursing;<br />

Medical College of Georgia; Tulane School of<br />

Public Health<br />

Degree(s): MPH, BSN, RN Diploma<br />

Place of Employment and Position: Department<br />

of Health, Palm Beach County – Community<br />

Health Nursing Consultant<br />

Professional Organizational Activities: FNA<br />

Regional Director & Board Member – Southeast<br />

Region (2013-<strong>2015</strong>); FNA Ebola Committee;<br />

President, State Employees Health Care<br />

Professionals Bargaining Unit; President, LERC<br />

(2013-Present).<br />

Southwest Region<br />

<strong>The</strong>resa Morrison<br />

For the position of: Southwest<br />

Region Director<br />

As liaison between the FNA<br />

Board and the Southwest Region,<br />

I will continue our legacy of<br />

offering social events, legislative<br />

events, and address other<br />

important issues of our members.<br />

Together, we can increase FNA<br />

membership, support nurse leaders within the<br />

region, and promote, protect, and grow the nursing<br />

profession.<br />

Region: Southwest – Naples<br />

School(s) of Nursing: Duquesne University;<br />

Vanderbilt University; University of Maryland<br />

Degree(s): PhD, Post Master’s Certification<br />

Education, MSN CNS, BSN<br />

Place of Employment and Position: NCH<br />

Healthcare System Clinical <strong>Nurse</strong> Specialist<br />

Professional Organizational Activities:<br />

Organized Collier County Legislative Forum <strong>2015</strong>;<br />

Co-founder Collier County FNA; SWONE Collier<br />

County Director; TAU Zeta STTI Leadership<br />

Succession (Chairman); FNA Workforce Advocacy<br />

Committee 2014 (Chair); CCRAB <strong>Florida</strong> Cancer<br />

Control & Research Advisory Council; CNS –SIG<br />

co-founder and co-leader; International Society of<br />

<strong>Nurse</strong> Geneticists ANCC Content Reviewer.<br />

South Region<br />

Debra Hain<br />

For the position of: South<br />

Region Director<br />

As an active member of<br />

FNA South Region for 6<br />

years, I realize the value of<br />

strong leadership and team<br />

collaboration as a way to achieve<br />

success. My future goals include<br />

continuing current successful<br />

initiatives and working with members to discover<br />

other opportunities to increase and maintain<br />

membership.<br />

Region: South – Broward<br />

School(s) of Nursing: <strong>Florida</strong> Atlantic<br />

University; <strong>Florida</strong> International University;<br />

Gateway Technical College - Wisconsin<br />

Degree(s): PhD in Nursing, Doctor of Nursing<br />

Science, MS in Nursing Gerontological <strong>Nurse</strong><br />

Practitioner, Post-Master’s for Adult <strong>Nurse</strong><br />

Practitioner, BSN, BA in Management and<br />

Communication, Associate Degree in Nursing<br />

Place of Employment and Position: <strong>Florida</strong><br />

Atlantic University, Christine E. Lynn College<br />

of Nursing, Associate Professor, Lead AGNP<br />

Faculty; Cleveland Clinic <strong>Florida</strong>, Department of<br />

Nephrology, <strong>Nurse</strong> Practitioner<br />

Professional Organizational Activities:<br />

Volunteer leader of FNA South Region Leadership<br />

Council; FNA South Region Legislative Liaison;<br />

<strong>Florida</strong> Chapter President of the Gerontological<br />

Advanced Practice Association; South <strong>Florida</strong><br />

Flamingo Chapter President of the American<br />

Nephrology <strong>Nurse</strong>s Association; Research<br />

Committee Chair for the American <strong>Nurse</strong>s<br />

Nephrology <strong>Nurse</strong>s Association; Member of the<br />

Geriatric Advisory Board, American Society of<br />

Nephrology; Member Renal Standing Committee,<br />

National Quality Forum.<br />

Lolita McCarthy<br />

For the position of: South<br />

Region Director<br />

I have been a member of the<br />

voluntary council for South<br />

Region for the past two years.<br />

I admire and applaud the<br />

leadership of the current South<br />

Region Director and would like<br />

the opportunity to take the South<br />

Region to the next level of service for our nursing<br />

colleagues.<br />

Region: South - Miami<br />

School(s) of Nursing: Barry University,<br />

University of Phoenix, University of South <strong>Florida</strong><br />

Degree(s): PhD in Nursing, MSN, MBA, BSN,<br />

AA<br />

Place of Employment and Position: University<br />

of Southernmost <strong>Florida</strong>, Instructor of Nursing<br />

Professional Organizational Activities: FNA<br />

South Region Volunteer Council; FNA Ethics SIG;<br />

FNA Ebola Taskforce; ANA; STTI-Lambda Chi<br />

Chapter – Treasurer since 2013.<br />

Nominating Committee (Elect 5)<br />

Camille Baldwin<br />

For the position of:<br />

Nominating Committee<br />

This position is an<br />

opportunity to serve and become<br />

more involved in the local and<br />

state nursing community. This<br />

opportunity will allow me<br />

to grow my leadership skills<br />

and pursue my passion for the<br />

nursing profession. I want to see the <strong>Florida</strong> nurse<br />

become a more united and cohesive group to bring<br />

positive change to our profession.<br />

Region: Southwest – Fort Myers<br />

School(s) of Nursing: West Texas A & M<br />

University, <strong>Florida</strong> Atlantic University, Nova<br />

Southeastern (current for EdD)<br />

Degree(s): MSN, BSN,<br />

Place of Employment and Position: Nova<br />

Southeastern University<br />

Professional Organizational Activities: Sigma<br />

<strong>The</strong>ta Tau membership committee and chapter<br />

delegate (Upsilon Chi); FNA; ANA; NLN: Kappa<br />

Delta PI International Education Honor Society.<br />

Mary Lou Brunell<br />

For the position of:<br />

Nominating Committee<br />

It is important to have a full<br />

slate of qualified candidates from<br />

which members may choose<br />

when they submit their votes. My<br />

past experience and positions<br />

held provides a good source of<br />

information for the work of the<br />

nominating committee.<br />

Region: East Central - Orange<br />

School(s) of Nursing: University of<br />

Pennsylvania; Kent State University<br />

Degree(s): MSN, BSN<br />

Place of Employment and Position: <strong>Florida</strong><br />

Center for Nursing; Executive Director<br />

Professional Organizational Activities: FNA<br />

Past Treasurer; FNA Past President; Chair of the<br />

Constituent Assembly; ANA Board Member.<br />

Shannon Hiser<br />

For the position of:<br />

Nominating Committee<br />

Leadership begins with the<br />

Nominating Committee. In<br />

my 25 years of nursing, I have<br />

demonstrated ethical, impartial<br />

judgment. I am a strong advocate<br />

for integrity and ethical behavior<br />

and have served on the facility<br />

Ethics and Compliance Committee and chaired a<br />

bio-ethics committee. I represent a large portion of<br />

nurses that may not necessarily be at the bedside<br />

but still provide strong clinical skills and patientcentered<br />

care.<br />

Region: North Central - Leon<br />

School(s) of Nursing: University of Phoenix; St.<br />

Luke’s Hospital School of Nursing<br />

Degree(s): BSN, Diploma<br />

Place of Employment and Position: HCA<br />

North <strong>Florida</strong> Division; Division Director of Case<br />

Management/Clinical Documentation Integrity/<br />

Denials<br />

Professional Organizational Activities: Case<br />

Management Society of America, American Case<br />

Manager.<br />

Mavra Kear<br />

For the position of: Nominating<br />

Committee<br />

Recognizing future leaders<br />

is essential to the continued<br />

existence and success of any<br />

organization. As a member of the<br />

nominating committee, I will<br />

draw on my experience in various<br />

state offices to help identify FNA<br />

members with leadership potential. I commit to<br />

consider diligently the qualities of all applicants.<br />

Region: West Central<br />

School(s) of Nursing: University of South<br />

<strong>Florida</strong>; University of <strong>Florida</strong><br />

Degree(s): PhD, MSN, BSN<br />

Place of Employment and Position: Peace River<br />

Center, <strong>Nurse</strong> Practitioner<br />

Professional Organizational Activities: FNA<br />

President (2011 – 2013); FNA Treasurer (2009 –<br />

2011); FNA Director at Large (2005-2009); ANA<br />

Delegate (2013, 2012, 2010).<br />

VACANT<br />

For the position of: Nominating Committee<br />

www.frontier.edu/FLnurse


Page 8 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

Considering Mindfulness Practice<br />

as a Primary Intervention for<br />

Bullying and Burnout of <strong>Nurse</strong>s<br />

Alisa LaPolt<br />

Legislation that would more tightly regulate<br />

assisted living facilities and require psychiatric<br />

nurses to be advanced registered nurse<br />

practitioners are among the few bills that passed<br />

during a tumultuous session of the <strong>Florida</strong><br />

Legislature.<br />

<strong>The</strong> bills were among 231 that passed both<br />

the House and Senate before the House abruptly<br />

adjourned its session April 28, three days before<br />

the scheduled end of the session.<br />

HB 1001 provides more oversight for assisted<br />

living facilities and removes language that allows<br />

the Department of Health to limit by rule what functions a registered nurse<br />

can perform in these facilities. <strong>The</strong> legislation was sponsored by Rep. Larry<br />

Ahern and Sen. Eleanor Sobel.<br />

HB 335 by Rep. Rene Plasencia and co-sponsored by Sen. Grimsley gives<br />

psychiatric nurses the ability to examine and release individuals who<br />

have been Baker Acted, so long as they have a protocol agreement with a<br />

psychiatrist. Psychiatric nurses under this new law must be a certified<br />

ARNP who has a master’s or doctoral degree in psychiatric nursing, holds<br />

a national advanced practice certification as a psychiatric mental health<br />

advanced practice nurse, and has two years of post-clinical experience<br />

under a psychiatrist.<br />

After much research and conversations with hospitals, universities, ARNP<br />

groups, RNs and others, FNA took a neutral position on this legislation due<br />

to the indeterminate effect on psychiatric registered nurses who would need<br />

new ARNP certification. <strong>The</strong> FNA also recognized that psychiatric ARNPs<br />

would have new authority under this bill.<br />

<strong>The</strong> two bills are on their way to the governor for his consideration.<br />

Meanwhile, the Legislature has called a special session <strong>June</strong> 1-20 to consider<br />

a state budget. Lawmakers failed to pass a budget during their regular 60-<br />

day session due to disagreements over payments to hospitals to offset charity<br />

care and funding to make an additional 800,000 uninsured residents eligible<br />

for Medicaid health plan coverage.<br />

<strong>The</strong> good news is that HB 281, which would allow nurse practitioners to<br />

prescribe controlled substances, made the short list of bills that lawmakers<br />

will address during the special session. HB 281 is sponsored by Rep. Cary<br />

Pigman, and a similar bill was filed in the Senate by Sen. Denise Grimsley.<br />

Other noteworthy actions:<br />

• SB 1252 by Sen. Kelli Stargel attempted to limit four-year degree<br />

programs at community colleges by placing 5 percent cap on the<br />

number of students who could enroll in a baccalaureate program. This<br />

would have adversely affected future nursing programs at a time when<br />

a national movement is underway for 80 percent of RNs to have their<br />

BSNs by 2020. <strong>The</strong> bill was among those that died during the regular<br />

session.<br />

• In the wake of media reports and legislation addressing lax oversight<br />

of inmate health services, the FNA advocated for taking that function<br />

away from contracted providers and putting it back into the hands<br />

of state employees. Lawmakers continued to move forward with<br />

legislation that increased oversight of inmate health services and other<br />

prison activities (HB 7131), but that bill was among the casualties of the<br />

aborted legislative session.<br />

• House Speaker Crisafulli dropped plans to pursue legislation that<br />

would have shifted new state employees from traditional pension<br />

plans into 401k-style plans. This decision came after an actuarial study<br />

showed that the move would be more costly to the state.<br />

• <strong>The</strong> FNA - pursued SB 1342 by Sen. Oscar Braynon would have<br />

established a nurse staffing committee in each hospital; requiring the<br />

hospital to post and publicize the nurse staffing plan and schedule, etc.<br />

This bill did not get off the ground. We anticipate further discussions<br />

about this bill and look forward to continuing this effort.<br />

Jennifer Meighan Hanson-Englis<br />

BSN-RN, LMT, CDT<br />

As voiced in the February and March <strong>2015</strong><br />

publications of <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong>, nurse burnout<br />

and work place bullying continue to plague<br />

nursing. <strong>The</strong> stress of our profession is no<br />

surprise to those of us in practice regardless of<br />

environment. This stress can cause professional<br />

nurses to unintentionally create work<br />

environments less than conducive to professional<br />

health. It is not enough to simply say we need to<br />

stop, or not stand for these maladaptive behaviors.<br />

In patient care, we know we must offer tools to<br />

patients to help themselves. I ask are we formally<br />

embracing tools of self care, and if not, why? I<br />

ask us to consider, could we be violating our own<br />

ethics, in that we are not giving to ourselves what<br />

we give to our patients, proper nursing process (<strong>2015</strong>, ANA).<br />

I began asking myself about interventions for these issues. I believe that<br />

mindfulness training and practice in nurse education has the potential<br />

to elevate our practice through intentional development of critical<br />

thinking (CT), empathy for patients, each other, and ourselves, resulting<br />

in sustainable conscientious nursing practice. Recent research shows that<br />

healthcare professionals trained in mindfulness practices and strategies<br />

experienced improved empathy, reduction in burnout, improved attitude,<br />

and better patient relationships (Asuero, 2014). Cognitive based compassion<br />

training (CBCT) with the Emory-Tibet Partnership in 2014 (Emory-Tibet,<br />

<strong>2015</strong>), has aided students and professionals alike in learning how to<br />

create and maintain stable nervous systems, more conducive empathy<br />

development, and exercising critical thinking.<br />

In nurse education, these holistic health management techniques such as<br />

meditation are touched on, but the underlying principles, which cultivate<br />

CT and its many gifts, are not consistently required by nursing curriculum<br />

to be practiced or demonstrated as students proceed through clinical or<br />

theory experiences. Consequently, when stress presents, colleagues resort<br />

to old coping mechanisms including bullying, blaming, or group mind<br />

biases. But, why? I assert it is because the behavior was never changed in<br />

the formation of the graduate nurse. We failed in our own process of Assess,<br />

Diagnose, Plan, Implement, and Evaluate.<br />

We can now take this opportunity to cultivate, teach, and exemplify<br />

behaviors of awareness, reflection, perspective taking, and collaboration,<br />

and to self-assess before we criticize. Until we address the causes of<br />

bullying and burnout, the symptoms will persist. By utilizing therapeutic<br />

behaviors with each other, including empathy development, perspective<br />

taking, and assertive communication, we can see our practice environments<br />

transform. Burnout and bullying can become part of our past.<br />

Jennifer is a graduate of UCF and SSC with a practice background in<br />

Home Health. She also teaches LPN and RN students at Med Tech Institute,<br />

Orlando, and plans to begin her MSN with UCF in the Spring of 2016.<br />

Jennifer enjoys engaging her students and inspiring them to know the power<br />

of nursing, by understanding their role as nurses and to keep their vision<br />

fresh regarding why nursing has chosen them as members of our profession.<br />

References<br />

American <strong>Nurse</strong>s Association (<strong>2015</strong>). Code of Ethics for <strong>Nurse</strong>s with Interpretive<br />

Statements. Retrieved from: http://www.nursingworld.org/MainMenuCategories/<br />

EthicsStandards/CodeofEthicsfor<strong>Nurse</strong>s/Code-of-Ethics-For-<strong>Nurse</strong>s.html.<br />

Asuero, A. Q.-R.-B. (2014). Effectiveness of a Mindfulness Education Program in<br />

Primary Health Care Professionals: A Pragmatic Controlled Trial. Journal of<br />

Continuing Education In <strong>The</strong> Health Professions, 4-12.<br />

Emory-Tibet Partnership (<strong>2015</strong>). Cognitive Based Compassion Training. Retrieved<br />

from: http://tibet.emory.edu/cognitively-based-compassion-training/history/<br />

index.html,<br />

RN to BSN Program<br />

Our BSN program is nationally accredited by the Commission<br />

on Collegiate Nursing Education (CCNE) and is predominantly<br />

online. 10 three-credit hour courses taught in 7 weeks<br />

semesters. Clinical experiences are conveniently scheduled.<br />

On-campus experiences are published a year in advance so<br />

students can easily schedule work/personal activities.<br />

<strong>The</strong> coursework content includes transitioning to<br />

professional practice, culture, advanced health assessment,<br />

pharmacology, research, ethics, leadership and management,<br />

global finance, community health, and population-based<br />

nursing across the lifespan.<br />

www.sfcollege.edu/healthsciences/


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 9<br />

Shirley Hill<br />

Regional Director<br />

hillshirley313@gmail.<br />

com<br />

Volusia, Lake, Seminole,<br />

Orange, Osceola, Brevard,<br />

Flagler, Sumter Counties<br />

East Central Region Update<br />

Marsha Martin<br />

Regional Director<br />

mamartin74@aol.<br />

com<br />

Leon, Wakulla, Jefferson,<br />

Madison, Taylor, Hamilton,<br />

Suwannee, Lafayette,<br />

Dixie, Columbia, Union,<br />

Gilchrist, Alachua, Levy,<br />

Marion, Gadsen, Citrus,<br />

Bradford Counties<br />

A full room at the <strong>2015</strong> North Central Region<br />

Conference: Survival Tools for the Passionate <strong>Nurse</strong>.<br />

<strong>The</strong> past few months have been busy with<br />

members preparing to participate in activities at<br />

the capital for the legislative session. Reports are<br />

that we had good representation and members<br />

were enthusiastic about the meetings.<br />

<strong>The</strong>re was a good turnout at the Orlando Magic<br />

game and the CE offering on March 22, <strong>2015</strong>.<br />

Linda Henning, UCF Adjunct Professor, got the<br />

attendees out of their chairs and “Shaking It Off”<br />

to Taylor Swift’s video. She stressed that dance<br />

can improve mental and physical health.<br />

We continue to have meetings quarterly at the<br />

FNA office in Orlando, at which we have good<br />

participation, and members are appreciative of<br />

the CE offerings. I would like to thank Marti<br />

Hanushick for serving as the event coordinator<br />

for the Orlando area and appreciate the time and<br />

preparation for each meeting. She has done an<br />

outstanding job!<br />

In celebration of <strong>Nurse</strong>s Week, on May 6, <strong>2015</strong>,<br />

we had a dinner meeting at Stonewood Grill and<br />

Tavern in Ormond Beach, FL. This was sponsored<br />

by Grand Canyon University, and we appreciate<br />

their support for our organization.<br />

As always, I encourage members in different<br />

areas of the Region to plan meetings in order<br />

to network with other members. If you have an<br />

idea and are interested, please contact me at<br />

hillshirley313@gmail.com. I would be glad to<br />

assist you.<br />

Please watch the calendar on the FNA website<br />

for upcoming events.<br />

I hope everyone has a great summer! Be safe.<br />

North Central Region Update<br />

Over seventy persons attended the Fourth<br />

Annual FNA North Central Region Conference<br />

at Advent Christian Village Conference Center<br />

in Suwannee County on April 11, <strong>2015</strong>. <strong>The</strong><br />

conference topic was Survival Tools for the<br />

Passionate <strong>Nurse</strong>. Four outstanding speakers,<br />

Cynthia Mikos, Alisa LaPolt, Paula Johns, and<br />

Rose Rivers, shared their time and expertise with<br />

the group. Attendees were allotted dedicated time<br />

for speaking to fifteen poster presenters. Posters<br />

were presented by faculty from the North Central<br />

Region, senior honors students, and graduate<br />

students. Regional leaders are grateful to all<br />

who assisted and attended this conference and<br />

especially to FNA staff who provided invaluable<br />

office support.<br />

Attendees allotted time to visit 15<br />

poster presenters.<br />

Regional News continued on page 10<br />

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Page 10 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

<strong>Florida</strong> <strong>Nurse</strong>s<br />

Leadership<br />

Academy<br />

Regional News continued from page 9<br />

Denise McNulty, RN<br />

<strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong>s Leadership<br />

Academy (FNLA) is a partnership<br />

program of the <strong>Florida</strong> <strong>Nurse</strong>s<br />

Association (FNA) and the <strong>Florida</strong><br />

<strong>Nurse</strong>s Foundation (FNF) with the<br />

purpose of developing future nursing<br />

leaders. <strong>The</strong> goal is to provide tools,<br />

education, and opportunities to<br />

registered nurses to assist them<br />

in becoming active members and<br />

skillful leaders in the <strong>Florida</strong> <strong>Nurse</strong>s<br />

Association.<br />

<strong>The</strong> FNA Leadership Development<br />

Committee was restructured and<br />

charged with the task for revamping the<br />

FNLA. <strong>The</strong> Committee Members are:<br />

Denise McNulty, Murielle Joseph, Rose<br />

Rivers, and Palma Iacovitti.<br />

<strong>The</strong> Committee revised the FNLA<br />

application, eligibility criteria, and<br />

expectations at the end of 2014 and are<br />

pleased and proud to announce that we<br />

have six <strong>Florida</strong> Registered <strong>Nurse</strong>s who<br />

have been selected for the <strong>2015</strong> <strong>Florida</strong><br />

<strong>Nurse</strong>s Leadership Academy!<br />

<strong>The</strong> six FNLA <strong>Nurse</strong>s are: Jennifer<br />

Avros (Southwest Region), Marlene<br />

Brennen (Southeast Region), Pamela<br />

Delano (Northeast Region), Carmen<br />

“Vicky” Framil (South Region), Marc<br />

Rupp (West Central Region), and<br />

Debra Stiffler (Northeast Region).<br />

Congratulations to our six FNLA<br />

<strong>Nurse</strong>s! We are all very proud of you!<br />

We would also like to thank six<br />

Nursing Leaders who have agreed to<br />

serve as Mentors for the six FNLA<br />

<strong>Nurse</strong>s:<br />

• Patricia Posey-Goodwin (Mentor for<br />

Jennifer Avros)<br />

• Linda Howe (Mentor for Marlene<br />

Brennen)<br />

• Leah Kinnaird (Mentor for Pamela<br />

Delano)<br />

• Sue Hartranft (Mentor for Carmen<br />

“Vicky” Framil)<br />

• Ed Briggs (Mentor for Marc Rupp)<br />

• Marsha Martin (Mentor for Debra<br />

Stiffler)<br />

As part of the enhancements for the<br />

FNLA, each Leadership Development<br />

Committee Member has adopted a<br />

Mentor/Mentee to serve as additional<br />

support if needed throughout the year.<br />

We wish our FNLA <strong>Nurse</strong>s all the<br />

very best as you embark on this new<br />

journey!<br />

Doreen Perez<br />

Regional Director<br />

doreen4910@<br />

gmail.com<br />

Patricia Posey-<br />

Goodwin<br />

Regional Director<br />

ppgoodwin@uwf.<br />

edu<br />

Baker, Bradford, Clay,<br />

Duval, Nassau, Putnam,<br />

St. Johns Counties<br />

Northeast Region Update<br />

<strong>The</strong> Northeast Region nurses of FNA would like<br />

to thank Doreen Perez for stepping up and filling<br />

the Director’s position left vacant when Dr. Dan<br />

Berman resigned. We would also like to wish Dan<br />

well in his future endeavors.<br />

<strong>The</strong> Leadership team met on April 30 and<br />

developed new goals for the next year. <strong>The</strong><br />

main goal discussed was to encourage greater<br />

participation from the nurses in the Northeast<br />

Region.<br />

<strong>The</strong> leadership team would like to wish all<br />

nurses in our region a very special “<strong>Nurse</strong>s day”<br />

and to encourage them to get involved in some of<br />

the opportunities we are planning to increase our<br />

networking events.<br />

Our next educational event which was<br />

scheduled for <strong>June</strong> 13 has been postponed to<br />

the end of July to give the team more time for<br />

planning.<br />

Guest speakers will address nursing ethics,<br />

evidence based practice, and preparation for the<br />

FNA Assembly in September <strong>2015</strong>.<br />

Please log on to FNA‘s Region website for<br />

updates and announcements of local meetings.<br />

Escambia, Santa Rosa,<br />

Okaloosa, Walton,<br />

Holmes, Washington,<br />

Jackson, Calhoun, Gulf,<br />

Liberty, Franklin, Bay<br />

Counties<br />

Northwest Region Update<br />

Things are happening in Northwest Region. <strong>The</strong><br />

2nd annual NW FL FNA Region mini conference,<br />

featuring Nontraditional Nursing in Northwest<br />

<strong>Florida</strong>, was a success. Members want to keep<br />

it going, making it an annual event. Conference<br />

planners are already looking for speakers for next<br />

year. If you are interested in presenting, please<br />

let Patricia know at ppgoodwin@uwf.edu. Plans<br />

are on the table for region activities beginning<br />

September <strong>2015</strong> for the region. We hope to have<br />

a group attend the Membership conference in<br />

September and have several activities during<br />

the year in the various regions. Please let Suzie<br />

Farthing know (suzie.onelovefornursing@gmail.<br />

com) if you are interested in hosting a FNA region<br />

activity. We plan to have a NW FNA Facebook<br />

and Twitter account up soon. Welcome, Jacquelyn<br />

Stalnaker, as the new NW FL FNA Legislative<br />

liaison. She is already busy planning an activity<br />

to help the legislators in the panhandle become<br />

acquainted with issues related to nursing practice<br />

and the needs of those we serve.<br />

Jill Tahmooressi<br />

Regional Director<br />

Jill.Tahmooressi@<br />

mch.com<br />

Broward, Monroe, Miami-<br />

Dade Counties<br />

South Region<br />

<strong>The</strong> South Region conducted the 5th Annual<br />

South Region <strong>Florida</strong> <strong>Nurse</strong>s Association<br />

Symposium and Awards Ceremony on April<br />

11, <strong>2015</strong> in Davie <strong>Florida</strong> with 300+ registered<br />

nurses and nursing students. <strong>The</strong> Symposium<br />

offered a value packed experience with 25<br />

vendors in attendance; 35 peer-reviewed<br />

scientific research, evidence based practice and<br />

review of the literature posters; net-working;<br />

scholarships; awards; and a two hour content<br />

hour presentation. <strong>The</strong> Key note address<br />

“Translating Magnet Standards into Practice:<br />

Enhancing the Work Environment through<br />

Service-Academic Partnerships” by Mary Jo Assi,<br />

DNP, RN, NEA-BC, FNP- BC; Director of Nursing<br />

Practice and Work Environment, American<br />

<strong>Nurse</strong>s Association; was followed by a panel<br />

contribution by Lynne M. Dunphy, PhD, APRN,<br />

FAAN; <strong>The</strong> Christine E. Lynn College of Nursing<br />

<strong>Florida</strong> Atlantic University; Beverly M. Fray, RN,<br />

MSN, PHCNS-BC, Jackson Health System; Amy<br />

Pettigrew, PhD, RN, CNE, ANEF, Dean, Benjamin<br />

Leon School of Nursing Miami Dade College; &<br />

Leah Kinnaird, EdD, RN, President Elect, <strong>Florida</strong><br />

<strong>Nurse</strong>s Association.<br />

<strong>Florida</strong> <strong>Nurse</strong>s Association President,<br />

Edward Briggs, DNP, MS, ARNP, FNP, addressed<br />

the participants as well as the voluntary<br />

South Region Leadership Council served in<br />

contributing roles resulting in an extraordinary<br />

day of nursing pride and professionalism:<br />

South Region FNA<br />

Voluntary Leadership Council<br />

Alina Diaz-Cruz, MSN, RN, Member of South<br />

Region FNA Awards Selection Committee<br />

Peggy Davis, DHSc, MSN, MEd, RN, Member<br />

of South Region FNA Awards Selection, Poster &<br />

Scholarship Committees<br />

Ann-Lynn Denker, PhD, ARNP, Chair South<br />

Region FNA autumn Advocacy- Health Policy<br />

event<br />

Marie Etienne, DNP, ARNP, PLNC, Member of<br />

South Region FNA Program Selection Committee<br />

Sheree Mundy, MSN, BSc, ARNP, Member of<br />

South Region FNA Awards Selection Committee<br />

Steadley Foster, MSN/Ed., FNP, Chair of South<br />

Region FNA Program Selection Committee<br />

Debra Hain, PhD, ARNP, AGNP-BC, FAANP,<br />

South Region FNA Legislative Liaison & Chair of<br />

South Region FNA Poster Selection Committee<br />

Leah Kinnaird, EdD, RN President Elect FNA,<br />

Chair South Region FNA Vendor Committee<br />

Lolita McCarthy, PhD, MBA-HCM, RN,<br />

Member of South Region FNA Awards Selection<br />

Committee<br />

Patricia R. Messmer, PhD, RN-BC, FAAN,<br />

Chair <strong>The</strong> <strong>Nurse</strong>s Charitable Trust, Chair <strong>Florida</strong><br />

<strong>Nurse</strong>s Foundation & Member of South Region<br />

FNA Scholarship Selection Committee<br />

Elizabeth Olafson, MSN, MSEd, RN-BC, Chair<br />

of South Region FNA Scholarship Selection<br />

Committee<br />

Carol Petrozella, MSN, MSEd, EdD, RN, Chair<br />

Contact Hour Program award<br />

Barbara Russell, BSHSA, MPH, RN, CIC Vice<br />

President FNA, Member of South Region FNA<br />

Scholarship Selection Committee<br />

Karen Sinclair, MSN, MBA, RN, South Region<br />

FNA Activity Manager, Member of South Region<br />

FNA Awards Selection Committee


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 11<br />

Jill Tahmooressi, MBA, BSN, RN-BC, NCSN,<br />

South Region Director<br />

Maxine Jacobowitz, BSN, RN, CPN, Chair of<br />

South Region Gifts Committee<br />

Gene Majka, MS, ARNP, Retired Honorary,<br />

Photographer<br />

<strong>The</strong> keynote address was sponsored by <strong>The</strong><br />

<strong>Nurse</strong>s Charitable Trust. New this year was<br />

the announcement of a five year exclusive Gold<br />

Level Sponsorship of the South Region, <strong>Florida</strong><br />

<strong>Nurse</strong>s Association Annual<br />

Symposium and Award<br />

Ceremony by:<br />

Rotation Manager makes<br />

clinical rotations easy and<br />

compliant by bringing<br />

students, hospitals and colleges<br />

to one unified platform. Schools cut down on<br />

operational costs, hospitals increase compliance<br />

with Joint Commission standards, and students<br />

are provided with a portfolio to manage their<br />

clinical experience.<br />

“If you have clinical rotations, you need<br />

Rotation Manager.”<br />

Max Cacchione, President and CEO<br />

6850 Coral Way, Suite 405 • Miami, FL, 33155<br />

Phone: (888) 670-2234 • Rotationmanager.com<br />

Key note presenter Mary Jo Assi, ANA, pictured with Miami Dade College Benjamin Leon School of<br />

Nursing symposium participants.<br />

<strong>The</strong> scholarship awards presentation was<br />

funded by the following, Royce Foundation<br />

Academic Nursing Scholarships, <strong>Nurse</strong>s<br />

Charitable Trust Academic Nursing Scholarship,<br />

and the Dr. Sarah Fishman Memorial<br />

Scholarships with five fortunate student<br />

recipients. <strong>The</strong> program culminated in the South<br />

Region <strong>Florida</strong> <strong>Nurse</strong>s Association <strong>2015</strong> Nursing<br />

Excellence Awards:<br />

Community Action Award<br />

Recipient, Yolanda Niti, Miami Dade College<br />

Benjamin Leon School of Nursing, Finalists:<br />

Maxine Jacobowitz, Nicklaus Children’s Hospital<br />

formally Miami Children’s Hospital & Mureen L.<br />

Shaw, Barry University College of Nursing and<br />

Health Sciences.<br />

Registered <strong>Nurse</strong> Practice Award<br />

Recipient, Emily Zubiria, Nicklaus Children’s<br />

Hospital formally Miami Children’s Hospital,<br />

Finalists: Marlene Cuellar, Nicklaus Children’s<br />

Hospital formally Miami Children’s Hospital,<br />

Melissa Gomez, Doctors Hospital Baptist Health<br />

South <strong>Florida</strong> and Marjorie Lozama, Coventry<br />

Worker’s Compensation Services.<br />

Nursing Leader Administration/ Academia<br />

Award<br />

Recipient, Deborah Hill-Rodriguez, Nicklaus<br />

Children’s Hospital formally Miami Children’s<br />

Hospital<br />

Advanced Practice Nursing Award<br />

Recipients, Katty Guevara, Doctors Hospital<br />

Baptist Health South <strong>Florida</strong> and Debra Hain,<br />

Cleveland Clinic <strong>Florida</strong> Consultant/ <strong>Florida</strong><br />

Atlantic University, Finalist, Mutessa Murra,<br />

West Kendall Baptist Hospital Baptist Health<br />

South <strong>Florida</strong><br />

<strong>Nurse</strong> Educator Award<br />

Recipients, Claudette Chin, Barry University<br />

College of Nursing and Health Sciences and<br />

Andres Caiaffa, Miami Dade College Benjamin<br />

Leon School of Nursing, Finalists, Triffina Brown,<br />

Broward Health Medical Center, Anne Dahnke,<br />

<strong>Florida</strong> Atlantic University, Elena Ortega,<br />

Nicklaus Children’s Hospital formally Miami<br />

Children’s Hospital<br />

<strong>Nurse</strong> Researcher Award<br />

Recipient, Tanya Cohn, West Kendall Baptist<br />

Hospital Baptist Health South <strong>Florida</strong><br />

Promoting Environment for Excellence in<br />

Nursing Award<br />

Recipients, Victoria McCue, West Kendall<br />

Baptist Hospital Baptist Health South <strong>Florida</strong>,<br />

Chest Pain Clinical Decision Unit, Broward<br />

Center Left: Mary Jo Assi, ANA Keynote Presenter; Center Right: Jill Tahmooressi, <strong>2015</strong> South Region<br />

<strong>Nurse</strong> of the Year with South Region Voluntary Leadership Council Members.<br />

Health Medical Center, Finalist, Eva Mirtra, West<br />

Kendall Baptist Hospital Baptist Health South<br />

<strong>Florida</strong><br />

<strong>2015</strong> Outstanding <strong>Nurse</strong> of Year Award<br />

Jill Tahmooressi, Nicklaus Children’s Hospital<br />

formally Miami Children’s Hospital.<br />

SAVE THE DATE:<br />

South Region <strong>Florida</strong> <strong>Nurse</strong>s Legislative<br />

and Healthcare Advocacy Event<br />

Columbus Day Nursing Advocacy &<br />

Legislative Action Meeting.<br />

Time: 6-8 pm light dinner.<br />

No charge.<br />

Monday October 12, <strong>2015</strong><br />

Nicklaus Children’s Hospital formally<br />

Miami Children’s Hospital Auditorium<br />

3100 SW 62nd Avenue<br />

Miami, FL 33155<br />

Deborah Hogan<br />

Regional Director<br />

capitallass@<br />

hotmail.com<br />

Indian River, Okeechobee,<br />

St. Lucie, Martin, Palm<br />

Beach Counties<br />

Southeast Region Update<br />

We invite all of our nurse colleagues who live in<br />

the Southeast Region, who belong to FNA, to join<br />

us on our monthly call on the first Tuesday of each<br />

month. During these calls, we plan activities for<br />

our Region, like our Legislative Forum in January,<br />

and our <strong>Nurse</strong>s Day Program on Nursing Ethics<br />

that was held on May 7 at FAU with our guest<br />

speaker, Jill Winland-Brown.<br />

We also discuss all the activities that FNA<br />

has planned, so you can be involved on both<br />

the Regional and State level. For example, our<br />

Membership Assembly is coming up in September<br />

<strong>2015</strong>. We look forward to talking with you and<br />

having you join our FNA Nursing family!<br />

Regional News continued on page 12


Page 12 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

Regional News continued from page 11<br />

Denise McNulty<br />

Regional Director<br />

dmcnultyrn@<br />

cs.com<br />

Hendry, Glades, Lee,<br />

Collier, Charlotte Counties<br />

Southwest Region<br />

Hope everyone had a great <strong>Nurse</strong>s Week <strong>2015</strong>!<br />

<strong>The</strong> Southwest Region hosted a special Dinner<br />

Meeting in honor of National <strong>Nurse</strong>s Week on May<br />

6, <strong>2015</strong> at Moorings Park in Naples. Over 100 FNA<br />

Members and their Guests attended the Dinner!<br />

Currently Hiring for PRN shifts and local contracts:<br />

RN: $33-$40 per hour • Case Managers $50 per Visit<br />

Elite offers FREE Health Insurance, PTO, voluntary dental,<br />

vision, life and disability insurance and many other benefits.<br />

Apply online at www.elitemedicalstaffing.net<br />

or call 407-865-7999 for more information.<br />

For information regarding Case Manager positions,<br />

please call 800-381-1458.<br />

*Interested in a Travel Assignment? Call our Travel Department at 580-336-2200<br />

<strong>The</strong> evening began with an opportunity for<br />

networking followed by a brief meeting and<br />

dinner. Nancy Dion, RN shared inspiring words<br />

to remind our Southwest <strong>Florida</strong> nurses of the<br />

importance of giving tribute to our local nurses<br />

who leave this world and the wonderful legacy<br />

that they leave behind for all of us to reflect on.<br />

In paying respect to our colleagues, we have an<br />

opportunity to reflect on our own legacy and<br />

the legacy we aspire to leave the world and our<br />

profession. Our Community is fortunate to have<br />

the Nightingale Tribute <strong>Nurse</strong>s Society to remind<br />

us of the need to remember those nurses who have<br />

passed.<br />

Our Keynote Speaker for the evening, Dr.<br />

Victoria Rich, PhD, RN, FAAN, former Chief <strong>Nurse</strong><br />

Executive for the University of Pennsylvania<br />

Health System and current Faculty Member at the<br />

University of South <strong>Florida</strong>, presented “A Tribute<br />

to our <strong>Nurse</strong>s from one of our Country’s Great<br />

Nursing Leaders.” Dr. Rich shared her wisdom<br />

and insight about our profession and a promising<br />

future! Dr. Rich is nationally recognized for her<br />

leadership in healthcare, business, and nursing<br />

education. We were truly honored to have Dr. Rich<br />

join us for this great celebration of our profession.<br />

Thank you Dr. Rich for all that you do for Nursing!<br />

If you live or work in Lee, Collier, Charlotte,<br />

Hendry, or Glades Counties, please consider<br />

joining FNA Southwest Region. We have a great<br />

group of nurses who support one another and<br />

our profession. Our focus is on networking,<br />

professional development, and celebrating<br />

with our Members! Enjoying time together and<br />

learning with nursing colleagues outside of the<br />

work environment can be very motivating and<br />

inspiring. Giving back to our profession in the<br />

spirit of service can be very rewarding!<br />

Sue Hartranft<br />

Regional Director<br />

suehartranft@<br />

yahoo.com<br />

Hernando, Pasco, Pinellas,<br />

Hillsbourough, Polk, Manatee,<br />

Sarasota, Highlands, Citrus,<br />

DeSoto Counties<br />

West Central Region<br />

<strong>The</strong> West Central Region celebrated <strong>Nurse</strong>s Week<br />

with a new and a traditional activity. <strong>The</strong> new<br />

event was a repeat showing of the documentary <strong>The</strong><br />

American <strong>Nurse</strong> at Sundial <strong>The</strong>atres in St Petersburg<br />

on May 6. Approximately, 15 people attended to view<br />

this documentary, which follows 5 nurses as they go<br />

about their daily work. This was my second viewing<br />

of the film, and I found myself moved once again by<br />

this marvelous profession of nursing.<br />

Our traditional activity was a night with the<br />

Tampa Bay Rays, held May 11. Although I do not<br />

know the final count of health care attendees, I will<br />

say we were outnumbered by the Pinellas County<br />

Teachers group. Let’s see if we can beat the Teachers<br />

in attendance in 2016!<br />

On Friday May 8, I had the privilege of representing<br />

FNA at the pinning and hooding ceremony at the<br />

University of Tampa. I spoke briefly with the graduates<br />

about FNA, their professional organization, and urged<br />

them to join now and make it a life time commitment.<br />

I do hope one and all had a Happy <strong>Nurse</strong>s Week.


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 13<br />

Dealing with Mean Girls in Your Office?<br />

You’re Not Alone.<br />

Jeanie Demshar, Esq.<br />

I receive numerous<br />

calls from nurses<br />

and other health care<br />

professionals who are<br />

being bullied by their<br />

“mean girl” coworkers<br />

and/or supervisors. Do you sometimes feel like<br />

your workplace has converted to the hallways of<br />

your old middle school or high school? Maybe<br />

it’s a coworker who ignores you or won’t look you<br />

in the eyes. Maybe you aren’t invited to lunch or<br />

after-work gatherings. One thing is clear – some<br />

mean girls have grown up and left high school,<br />

but they have never changed.<br />

Woman-on-woman harassment is on the rise.<br />

Thirty-five percent of Americans reported being<br />

bullied at work, according to a 2010 survey by<br />

the Workplace Bullying Institute (WBI). Both<br />

men and women are very capable of unkind<br />

behavior. Men can be nasty to each other – and<br />

women, but their meanness is usually expressed<br />

overtly – by lashing out verbally or even<br />

physically. Female bullies, on the other hand,<br />

more frequently engage in covert, subtle, and<br />

indirect behaviors such as sabotage, abuse of<br />

authority, neglect, boycotting another employee’s<br />

ideas or projects, etc. A female coworker may<br />

be nice to a coworker but then cut her out of a<br />

project or roll her eyes when the person speaks.<br />

“A mean girl at work is a woman who<br />

practices some form of covert competition or<br />

indirect aggression toward another woman,”<br />

says Katherine Crowley, psychotherapist and<br />

co-author of “Mean Girls at Work: How to Stay<br />

Professional When Things Get Personal.<br />

Why do women pick women as their targets?<br />

Probably because we are our own worst enemies.<br />

One reason may be because we think we “can<br />

find a less confrontational person or someone<br />

less likely to respond to aggression with<br />

aggression,” says Gary Namie, research director<br />

for the WBI.<br />

Despite the different forms of meanness,<br />

consider the following strategies before you<br />

respond:<br />

Never counterattack. No matter what your<br />

coworker does or says, don’t roll your eyes at her<br />

or snap at her. Counter-attacking exacerbates the<br />

situation and locks you in a power struggle.<br />

Let your anger go. Find a way to neutralize<br />

your experience and let go of the toxins. Perhaps<br />

you need to release your negative feelings by<br />

exercising or by talking about the issue with a<br />

trusted friend or advisor outside of work.<br />

Do not make it personal. Respond in a way<br />

that addresses only the work issue. If a coworker<br />

doesn’t invite you to an important meeting,<br />

instead of yelling at her or ignoring her, try<br />

saying “It may not have been your intention to<br />

leave me out of this meeting, but in the future,<br />

please remember to include me.”<br />

<strong>The</strong> goal in handling any “mean girl” situation<br />

is to address the situation, which keeps you<br />

out of a power struggle. When in doubt, always<br />

take the high road. This takes some rehearsal or<br />

a study of good communication techniques. It<br />

might be helpful for you to take the time to write<br />

down some appropriate responses to negative<br />

behaviors and actual “practice” them aloud in<br />

exercises that can be called cognitive rehearsal.<br />

This has been shown to be helpful to nurses in<br />

some work environments.<br />

While researching this topic, I recognized<br />

that there are types of women who bring out my<br />

own mean girl. When women are rude to me, I<br />

have a tendency to be respond in kind. I learned<br />

that, while I consider myself to be a pleasant<br />

and reasonable person, there are women who<br />

bring out the darker side of my behavior, and my<br />

challenge is to respond in a professional manner.<br />

In order to be more effective, I encourage you<br />

to do the same. It is well documented in the<br />

nursing and in the human resources literature<br />

that this behavior not only affects the persons<br />

involved but can have a devastating impact on<br />

the safety and quality of care.<br />

If you have been a victim of a “mean girl”<br />

(or anyone inappropriate for that matter) in<br />

the workplace and would like to share your<br />

experience and stories with me, I can be reached<br />

at 407-896-3261 or by email at jdemshar@<br />

floridanurse.org.


Page 14 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

<strong>2015</strong>–2016<br />

Calendar of<br />

Events<br />

August 20, <strong>2015</strong><br />

East Central Region Meeting<br />

FNA Headquaters<br />

1235 E. Concord Street<br />

Orlando, FL 32830<br />

SEPTEMBER 11 - 12, <strong>2015</strong><br />

<strong>2015</strong> FNA Membership Assembly<br />

World Golf Village Renaissance<br />

500 South Legacy Trail<br />

St. Augustine, FL 32092<br />

SEPTEMBER 30 - OCTOBER 1, <strong>2015</strong><br />

LERC Labor Institute<br />

B Resort & Spa<br />

1905 Hotel Plaza Blvd.<br />

Lake Buena Vista, FL 32830<br />

October 12, <strong>2015</strong><br />

South Region FL <strong>Nurse</strong>s Legislative &<br />

Healthcare Advocacy Event<br />

Nicklaus Children’s Hospital<br />

3100 SW 62nd Ave.<br />

Miami, FL 33155<br />

OCTOBER 22 - 24, <strong>2015</strong><br />

<strong>2015</strong> FNSA Convention<br />

Hilton Resort Oceanwalk Village<br />

100 N. Atlantic Ave.<br />

Daytona Beach, FL 32118<br />

JANUARY 19 - 20, 2016<br />

2016 FNA Advocacy Days<br />

Location TBD<br />

Tallahassee, FL<br />

BEING INVESTIGATED? ACCUSED OF DRUG DIVERSION? IPN?<br />

EMPLOYER ACCUSATION? LEGAL PROBLEMS? NEED ADVICE?<br />

Carole C. Schriefer, R.N. (Colo.), J.D.<br />

Member: <strong>The</strong> American Association of <strong>Nurse</strong> Attorneys ( TAANA)<br />

Carole’s practice concentrates on<br />

litigation in state and federal court<br />

as well as administrative agencies.<br />

Her nursing background and legal<br />

experience encompass health law,<br />

nursing law, professional licensing<br />

and credentialing matters, Board of<br />

Nursing representation, administrative<br />

hearings, contracts, licensure issues,<br />

corporate matters, transactional<br />

matters, Medicare and Medicaid<br />

audits, products liability litigation and criminal defense litigation.<br />

Statewide Task Force on Prescription<br />

Drug Abuse and Newborns Update:<br />

Neonatal Abstinence Syndrome<br />

Data Summary<br />

Neonatal abstinence syndrome (NAS) is a<br />

condition experienced by neonates exposed to<br />

opioid prescription or illicit drugs during the<br />

prenatal period. Withdrawal symptoms usually<br />

occur 1-3 days post-delivery. With the increase<br />

in prescription drug abuse, the diagnosis of NAS<br />

statistically increased in prevalence across the<br />

state. In 2011, Governor Rick Scott signed the<br />

“anti-pill mill” bill (HB 7095) to put in place<br />

tougher criminal and administrative penalties for<br />

doctors and clinics distributing opioids. With the<br />

new law in place, the efforts of law enforcement<br />

and health care professional regulations reduced<br />

the rate of <strong>Florida</strong> doctors dispensing high<br />

quantities of oxycodone.<br />

In 2013, the <strong>Florida</strong> Legislature convened the<br />

Statewide Task Force on Prescription Drug Abuse<br />

and Newborns to better understand this problem.<br />

<strong>The</strong> task force was assigned to better understand<br />

the magnitude of the NAS epidemic, evaluate<br />

strategies, and develop policies to curtail the<br />

problem. Recommendations were to add NAS<br />

to the List of Reportable Diseases/Conditions in<br />

<strong>Florida</strong> and initiate a passive surveillance system<br />

of NAS. <strong>The</strong> purpose of the surveillance system<br />

was to investigate and document prevalence rates<br />

from 2011 through 2013 by selected maternal<br />

demographics. While these actions did not show<br />

drastic reductions, a stabilization of PRs was<br />

observed from 2011 through 2013. Results showed<br />

that infants born to white non-Hispanic women<br />

have the highest PR of NAS, as well as, births to<br />

women with less than high school education. NAS<br />

PRs by county revealed three areas of very high<br />

concern: north central to northeastern <strong>Florida</strong>,<br />

western panhandle, and southwest <strong>Florida</strong>. PRs<br />

in central, south, and eastern panhandle are<br />

low. Despite limitations, such as missing data<br />

report fields, the use of existing regulations<br />

allows community leaders to respond to local<br />

concerns and provides insight into the epidemic of<br />

prescription drug abuse and its effects on babies,<br />

especially those in high maternal risk populations.<br />

More investigation is needed to determine<br />

why high concern areas have such elevated<br />

rates of NAS and what can be implemented to<br />

reduce the prevalence. Future steps include<br />

exploring sensitivity, specificity, and bias that<br />

are potentially related to the use of a surveillance<br />

system for the identification of infants born with<br />

NAS in <strong>Florida</strong> (Neonatal Abstinence Syndrome<br />

Data Summary, <strong>2015</strong>). For the full report, visit<br />

http://tinyurl.com/cwst9bu.<br />

<strong>2015</strong> FNA Proposed Bylaws Changes<br />

Current Bylaw Proposed Change Rationale<br />

Article IV: Officers and Directors<br />

Section 2. Directors<br />

A. <strong>The</strong>re shall be eight<br />

Directors representing each<br />

of eight Regions.<br />

B. <strong>The</strong> directors are elected<br />

by members and are<br />

accountable to the<br />

membership.<br />

Section 2. Directors<br />

A. <strong>The</strong>re shall be eight<br />

Directors representing each<br />

of eight Regions and one<br />

additional Director who is<br />

a recent graduate.<br />

C. <strong>The</strong> directors are elected<br />

by members and are<br />

accountable to the<br />

membership.<br />

Article IV: Officers and Directors<br />

Section 5. Duties<br />

H. <strong>The</strong> Directors shall<br />

Article IV: Officers and Directors<br />

Section 5. Duties<br />

No current bylaw exists.<br />

Add section I.<br />

Section 5. Duties<br />

H. <strong>The</strong> Region Directors shall<br />

Article IV: Officers and Directors<br />

Section 5. Duties<br />

I. <strong>The</strong> Director - Recent<br />

Graduate shall:<br />

1. Be a recent graduate of a<br />

generic nursing program<br />

within five years or less.<br />

2. Serve as facilitator of the<br />

New Graduate Special<br />

Interest Group (SIG).<br />

3. Serve as liaison between<br />

the new graduates<br />

and the FNA Board of<br />

Directors.<br />

4. Coordinate activities for<br />

members who are recent<br />

graduates of their initial<br />

nursing program.<br />

5. Serve as a member of the<br />

Membership Committee.<br />

This mirrors ANA and provides<br />

an opportunity for new graduate<br />

participation and input.<br />

To delineate the recent graduate<br />

position from the existing<br />

directors.<br />

To add a position that<br />

specifically addresses the new<br />

graduate and creates function<br />

and involvement for this sector<br />

of the membership with specific<br />

needs. <strong>The</strong> five year span gives<br />

time for the graduate to have<br />

acclimated to work life.<br />

River Point<br />

Behavioral Health/<br />

Wekiva Springs Center<br />

Are You Interested<br />

in Working in<br />

Psychiatric Nursing?<br />

FT, PT and PRN positions are available.<br />

Check out our openings at<br />

www.riverpointbehavioral.com or www.wekivacenter.com<br />

or contact Cathy Calhoun at 904-724-9202 ext. 3945<br />

By Appointment<br />

37 N. Orange Ave., Suite 500<br />

Orlando, FL 32801<br />

(407) 331-6620<br />

MAIN OFFICE<br />

1101 Douglas Avenue<br />

Altamonte Springs, FL 32714<br />

(407) 331-6620<br />

By Appointment<br />

201 E. Government St.<br />

Pensacola, FL 32502<br />

(850) 439-1001<br />

We look forward to talking with you about starting an<br />

exciting career with us!<br />

EOE/DFWP


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 15<br />

Janice Hess, DNP, FNP-BC<br />

When Nursing<br />

Ethics is considered,<br />

nurses generally think<br />

of ethical practices<br />

related to working with<br />

patients and families.<br />

<strong>The</strong> revised Code of<br />

Nursing Ethics was<br />

recently published by<br />

the American <strong>Nurse</strong>s<br />

Association (<strong>2015</strong>).<br />

<strong>The</strong> first provision of<br />

the revised Nursing<br />

Code of Ethics relates<br />

to the importance of maintaining compassion<br />

and respect for the dignity and unique attributes<br />

of every person (p. 8). <strong>The</strong> summary of the Code<br />

of Ethics provision is explained and defined<br />

well within the publication. However, it is<br />

not this writers intention to dwell so much on<br />

the individual components of nursing ethics<br />

rather, the purpose of this article is to generate<br />

a discussion regarding nursing ethics from a<br />

different perspective-that of how nurses treat<br />

each other. Do nurses practice an ethical approach<br />

to working with other nurses? Is there compassion<br />

and respect for our colleagues as we work<br />

together? Do our actions communicate the basic<br />

caring values of our profession to each other?<br />

Curtin (<strong>2015</strong>) raises an interesting question<br />

regarding what nurses owe each other, pointing<br />

out that often little attention is paid by nurses<br />

to the need for maintaining compassion and<br />

respect for each other. She comments “As a<br />

caring profession, nursing involves not only<br />

care for and of patients, but also care of and<br />

for nurses...although challenging, nurses<br />

professional interdependence demands a special<br />

relationship among them: one worthy of ethical<br />

reflection” (p. 50). Curtin’s discussion on this<br />

important component of nursing ethics, led<br />

this writer to reconsider an age old question<br />

Ethics and Nursing<br />

regarding the nursing profession being an<br />

oppressed profession undervalued by outside<br />

entities such as other healthcare professionals<br />

(doctors), organization, legislators and at times<br />

the public. Is the oppression externally generated<br />

or are we overlooking the importance of internal<br />

factors related to nurses actions toward each<br />

other? Devaluation and lack of respect by nurses<br />

regarding other nurses and at times the nursing<br />

profession can become evident when you take<br />

the time to listen to conversations of nursing<br />

colleagues. <strong>The</strong> divisions within the nursing<br />

profession can be subtle while at other times<br />

extremely obvious as you observe interactions<br />

of nurses. How nurses relate to one another is<br />

based on beliefs and values associated with<br />

the individual nurse’s perception. Differences<br />

in nursing roles, power of position, level of<br />

nursing expertise and/or education, generational<br />

difference related to work ethics all can be<br />

contributing factors in how nurses view each<br />

other. Individuals are not born with bias or<br />

prejudice rather, they develop attitudes and beliefs<br />

through socialization within their professional<br />

and personal environments. Buresh & Gordan<br />

(2006) comment that nursing groups can downplay<br />

or devalue each other while elevating their own<br />

“elite” status related to their role in advanced<br />

practice, administration, and/or academia (p. 4).<br />

As an advanced practice nurse, this writer has<br />

observed such nursing elitism occurring within<br />

the practice setting. At times, the attitude of<br />

superiority observed was related to an advanced<br />

practice nurse interacting with an RN. While at<br />

other times the interaction observed was related<br />

to an experienced nurse offering a less than<br />

nurturing environment when it comes to working<br />

with new graduates or novice nurses.<br />

In conclusion, there is no place for a division<br />

among nurses related to an elite attitude among<br />

different nursing groups/roles. Nor is there a<br />

place for a work environment where vertical or<br />

horizontal hostility among nurses is allowed or<br />

supported. <strong>Nurse</strong>s must learn to embrace the Code<br />

of Nursing Ethics not only from consideration of<br />

their interactions with patients but the nursing<br />

perspective that compassion and respect for<br />

the dignity of all with whom they work is an<br />

important component of that Code. If nurses do<br />

not value, respect and support each other and<br />

their profession, how can they expect others to<br />

respect, support and value the significant role<br />

nurses play in healthcare delivery?<br />

Janice (Jan) Hess has been an RN for 48 years<br />

and ARNP for 38 years. She is a board member<br />

of FN-PAC and <strong>Florida</strong> <strong>Nurse</strong>s Foundation. As<br />

FN-PAC Legislative District Coordinator, Jan has<br />

sought to keep nurses in her region informed<br />

and involved in FNA’s political activism efforts.<br />

Recently she wrote a summative review “FNAs<br />

First 100 Years of Political Activism and Beyond.”<br />

She will be donating all the proceeds from the<br />

electronic book sales to FN-PAC. Jan is a diploma<br />

graduate from Orange Memorial School of<br />

Nursing; received her Adult NP certificate from<br />

Brigham Young University, Provo UT; a BSN from<br />

Southern Missionary College, Collegedale TN<br />

(Orlando Campus); an MSN as Family NP and<br />

nursing administration from U of F (Orlando<br />

Campus) and DNP from U of F, Gainesville FL.<br />

Jan lives in Lake Helen, FL with her husband<br />

of 49 years, Randy. If you wish to contact her:<br />

email: janbhess@gmail.com or call cell phone:<br />

386-795-3307.<br />

References<br />

American <strong>Nurse</strong>s Association. (<strong>2015</strong>). Code of ethics for<br />

nurses with interpretive statements. Silver Springs,<br />

MD: American <strong>Nurse</strong>s Association. Retrieved from<br />

http://www.nursingworld.org/MainMenuCategories/<br />

EthicsStandards/CodeofEthicsfor<strong>Nurse</strong>s/Code-of-<br />

Ethics-For-<strong>Nurse</strong>s.html.<br />

Buresh, B. & Gordon, S. (2006). From silence to voice<br />

(2nd ed.). Ithacha, New York: ILR Press.<br />

Curtin, L. (<strong>2015</strong>). What nurses owe one another.<br />

American <strong>Nurse</strong> Today, 10 (3), 56.


Page 16 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

www.FLCenterForNursing.com<br />

Biennial Employer Survey<br />

It is time for the <strong>Florida</strong> Center for Nursing’s<br />

(FCN) biennial employer survey! This short survey<br />

is critical in helping us understand and report<br />

on the demand for nurses in various employment<br />

settings across the state. It also provides<br />

information that is key for strategic health<br />

workforce planning, policy development, and<br />

budgetary allocations. Surveys will be mailed in<br />

July and we ask that you help us by encouraging<br />

your employer to take a few moments to complete<br />

this survey. FCN thanks you for your continued<br />

support as we seek to address the nursing<br />

workforce issues for the health of <strong>Florida</strong>.<br />

New Project Funded by CareerSource <strong>Florida</strong><br />

This project results in the formation of<br />

a Statewide <strong>Florida</strong> Healthcare Workforce<br />

Leadership Council (FHWL), which will serve<br />

as the primary point of contact for statewide<br />

healthcare industry-specific labor market<br />

intelligence and may be used by the state’s<br />

workforce network to facilitate policy and strategy<br />

development. <strong>The</strong> FHWL, in effect, results in<br />

Make an<br />

Impact on<br />

Public Health.<br />

Earn a<br />

Master of Public Health<br />

A diverse, internationally oriented program<br />

focused on the health of communities and populations.<br />

Learn more at: publichealth.med.miami.edu<br />

a new sector strategy approach for Healthcare<br />

to develop and continue an essential business<br />

feedback loop to ensure <strong>Florida</strong>’s workforce<br />

network has a deep understanding of and is<br />

responsive to the talent needs of the state in the<br />

healthcare sector. Common issues and needs of<br />

employers shall be identified and coordinated<br />

solutions shall be developed for the healthcare<br />

talent delivery system.<br />

www.<strong>Florida</strong>HealthSimAlliance.org<br />

<strong>The</strong> FHSA Advisory Board members attended<br />

a one-day Strategic Planning retreat in the<br />

early spring. We are in the stages of exploring<br />

recommendations and prioritizing goals.<br />

• New to the website is a tab to list Employment<br />

Opportunities throughout the state. In<br />

addition, under the resources tab, there is<br />

a section for Research Initiatives, all of the<br />

FHSA <strong>Florida</strong> Blue Grant awardees can be<br />

found there. If you would like to highlight<br />

your institutions simulation research please<br />

send the information forth and we will make<br />

sure it appears on the website.<br />

• To all our members, please continue to spread<br />

the word. FHSA is an excellent resource<br />

for new simulationist/educators and those<br />

wishing to network locally and regionally<br />

with like-minded individuals. We also offer<br />

very attractive group pricing for academic<br />

and hospital organizations.<br />

• I want to personally thank Dr.Issenberg and<br />

his wonderful team from the Gordon Center<br />

Law Office of<br />

Susan E. Lindgard<br />

(former MQA prosecutor)<br />

Attorney at Law<br />

Mediator<br />

Gainesville, <strong>Florida</strong><br />

Registered <strong>Nurse</strong> 352-375-0329<br />

Risk Manager<br />

susanlindgard@yahoo.com<br />

for Research Medical Education for making<br />

the iSIM program such a huge success. We<br />

are looking forward to future offerings.<br />

• Save the date October 23, <strong>2015</strong> Jacksonville<br />

University FHSA Conference.<br />

• Coming this spring 2016 the first ever<br />

Regional Simulation Conference. Check the<br />

website for additional information. Please go<br />

to www.<strong>Florida</strong>healthsimalliance.org for the<br />

upcoming calendar of events.<br />

www.FLCenterForNursing.org/FLActionCoalition<br />

State Implementation Program Grant Update<br />

<strong>The</strong> <strong>Florida</strong> Action Coalition is proud to<br />

announce that <strong>Florida</strong> has been awarded an<br />

additional round of funding for the Statewide<br />

Implementation Program. Funding for this<br />

grant is provided by the Robert Wood Johnson<br />

Foundation, with matching funds provided by the<br />

<strong>Florida</strong> Blue Foundation. This is a two-year grant<br />

which will build off of previous work intended<br />

to increase leadership among nurses to influence<br />

health policy. As part of this project, the team<br />

will be selecting thirty aspiring nurse leaders to<br />

participate in an intensive leadership development<br />

program with a goal of board appointment or<br />

placement at the end of the program. In addition,<br />

the team will be creating a mentorship program, a<br />

nurse leader recognition program, and a diversity<br />

action plan. <strong>Nurse</strong>s interested in applying for<br />

the leadership development program should stay<br />

tuned for application information, coming in the<br />

following months.<br />

<strong>The</strong> Suncoast Nursing Action Coalition (SNAC),<br />

a branch of the FL-AC Education Action Team<br />

operating in the Sarasota area, has launched a new<br />

website www.SNAC4FL.org, as well as a Facebook,<br />

Twitter, and YouTube channel. Updates about<br />

nursing education and other nursing issues will be<br />

posted on this page, as well as information about<br />

future events or notes of importance in the area.<br />

<strong>The</strong>y have also initiated a Navigator position –<br />

read all about it on their website.<br />

Come Find Your Purpose at<br />

<strong>Florida</strong> Hospital Zephyrhills, a 139-bed regional<br />

medical center located near Tampa.<br />

As a member of the <strong>Florida</strong> Hospital Network of Adventist<br />

Health System, we have a mission to heal the mind, body,<br />

and spirit of each person we touch. Join our dynamic<br />

team and transform your career.<br />

To find out more about our exciting nursing<br />

opportunities, visit our Careers page at<br />

www.<strong>Florida</strong>Hospital.com/Zephyrhills/careers<br />

$10,000 Sign-on Bonus<br />

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and a 2 year commitment!<br />

<strong>Florida</strong> Hospital Zephyrhills<br />

7050 Gall Blvd. (US 301) | Zephyrhills, FL 33541<br />

1-855-JOBS FHZ (562-7349) or FHZRecruiter@ahss.org


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 17


Page 18 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

Where are the <strong>Florida</strong> Clinical<br />

<strong>Nurse</strong> Specialists?<br />

<strong>The</strong>resa Morrison, PhD, CNS, CNS-BC, and<br />

Patricia Geddie, PhD, CNS, AOCNS<br />

Nationally, Clinical <strong>Nurse</strong> Specialists<br />

(CNSs) comprise 16% of all Advance Practice<br />

Registered <strong>Nurse</strong>s (APRNs). <strong>The</strong>re are 59,242<br />

licensed CNSs in the U.S. A recent NACNS<br />

survey found that 67% of CNSs work in<br />

hospitals, 7% work in nursing education, and<br />

7% work in ambulatory care. Seventy-one<br />

percent of CNSs work with adult/gerontology<br />

population, 10% psychiatric/mental health,<br />

and 9% pediatric. CNSs are board certified<br />

in eleven recognized APRN roles, such as:<br />

Psychiatric & Mental Health, Critical Care,<br />

Advanced Oncology, and Pediatrics.<br />

Currently, CNSs have prescriptive privileges<br />

in 35 states. CNSs are recognized for Part B<br />

participation in Medicare, Title 18, and may<br />

independently bill for these services. CNSs<br />

are eligible for Medicare’s Primary Care<br />

Incentive Program in the Patient Protection and<br />

Affordable Care Act.<br />

In 2007, <strong>Florida</strong> legislation approved<br />

CNS title protection and separate licensure.<br />

<strong>Florida</strong> licensing requirements for CNSs and<br />

ARNPs are the same – master’s degree in an<br />

approved advance practice nurse program<br />

and provide proof of current certification<br />

from a nationally recognized certifying<br />

body. <strong>The</strong> core educational curriculum for<br />

CNSs and <strong>Nurse</strong> Practitioners (NPs) include:<br />

physical assessment, pathophysiology, and<br />

pharmacology. However, the current <strong>Florida</strong><br />

Statute does not permit expansion of the CNS<br />

scope of practice to that of the NP, including<br />

prescriptive authority.<br />

Clinical <strong>Nurse</strong> Specialists (CNSs) in <strong>Florida</strong><br />

are a “rare breed” of Advanced Practice<br />

Registered <strong>Nurse</strong>s (APRN). In 2010-2011, there<br />

were only 76 <strong>Florida</strong> licensed CNSs (<strong>Florida</strong><br />

State Health website). Historically, <strong>Florida</strong><br />

CNSs (except those who function in mental<br />

health) have not sought a <strong>Florida</strong> license due<br />

to the restriction for prescriptive authority. In<br />

addition, CNSs licensed outside of <strong>Florida</strong> are<br />

reluctant to relocate to <strong>Florida</strong>.<br />

<strong>The</strong> FNA CNS-Special Interest Group (SIG)<br />

is resubmitting a reference proposal, originally<br />

presented to the FNA Board January 2014.<br />

<strong>The</strong> proposal will recommend a revision<br />

to the current <strong>Florida</strong> Statute FS 464.003 to<br />

include the CNS in “Advanced or specialized<br />

nursing practice” definition and align with<br />

the Consensus Model for APRN Regulation<br />

(National Council for State Board of Nursing).<br />

<strong>Florida</strong> CNS’s scope of practice should be<br />

aligned with the current prescriptive authority<br />

of NPs.<br />

Are you an educationally prepared and<br />

certified CNS, but not have not sought <strong>Florida</strong><br />

CNS licensure? You are an untapped healthcare<br />

resource for <strong>Florida</strong> citizens.<br />

Contact FNA for an invite to Yammer and<br />

join our CNS-SIG. We want to hear from CNS<br />

– licensed, unlicensed – <strong>Florida</strong> citizens<br />

needs you.<br />

References<br />

Centers for Medicare and Medicaid Services (2007).<br />

<strong>Nurse</strong> practitioner and clinical nurse specialist<br />

services. In CMS Manual System. http://www.<br />

cms.gov/Regulations-and-Guidance/Guidance/<br />

Transmittals/downloads/R75BP.pdf. Accessed<br />

<strong>June</strong> 8, 2014.<br />

National Association of Clinical <strong>Nurse</strong> Specialists<br />

(2012) NACNS Position Statement on Prescriptive<br />

Privilege for the Clinical <strong>Nurse</strong> Specialist.<br />

National Council of State Boards of Nursing. (2011).<br />

Title XVIII: APRN scope of nursing practice.<br />

Accessed <strong>June</strong> 22, 2012 at https://www.ncsbn.<br />

org/1455.htm.<br />

National Council for State Boards of Nursing (2008).<br />

Consensus model for APRN regulation: Licensure,<br />

accreditation, certification, and education. https://<br />

www.ncsbn.org/Consensus_Model_for_APRN_<br />

Regulation_July_2008.pdf.<br />

Doris Edwards, Helen Bhagwandin, and Carol<br />

Petrozella at retirement luncheon held to honor<br />

them at Miami Dade College celebrating a<br />

collective 140 years of nursing.<br />

(<strong>The</strong>y have each been FNA members for<br />

many years.)<br />

Doreen Cassarino<br />

was a recipient of the<br />

<strong>2015</strong> Fellows of the<br />

American Association<br />

of <strong>Nurse</strong> Practitioners<br />

(FAANP) on <strong>June</strong> 11,<br />

<strong>2015</strong>. <strong>The</strong> induction<br />

took place at the<br />

AANP 30th National<br />

Conference in New<br />

Orleans, Louisiana.<br />

Dr. Angela Ritten,<br />

clinical assistant<br />

professor and a graduate<br />

program coordinator<br />

at the UCF College<br />

of Nursing, has been<br />

honored as the <strong>2015</strong><br />

Outstanding Volunteer<br />

Practitioner of the<br />

Year by Shepherd’s<br />

Hope. Ritten has<br />

been volunteering<br />

weekly since 2010<br />

with Shepherd’s<br />

Hope, a faith-based<br />

organization of volunteers that provides access to<br />

free health care for thousands of uninsured men,<br />

women, and children. She also engages her nurse<br />

practitioner students in the organization to enhance<br />

their understanding of health care disparities<br />

in the community and learn from the medically<br />

underserved. <strong>The</strong> topic is not only one she’s<br />

passionate about, but one she is currently exploring<br />

further as an area of funded research. Each year,<br />

Shepherd’s Hope recognizes four of its nearly 1,800<br />

volunteers with the Dr. Ruth McKeefery Award,<br />

named in honor of the organization’s first volunteer<br />

executive director. This is the first year for the<br />

clinical practitioner category, in which Ritten<br />

was recognized. Dr. Ritten is a member of the East<br />

Central Region of FNA.<br />

Patty Geddie, PhD,<br />

CNS, AOCNS, Clinical<br />

<strong>Nurse</strong> Specialist, Adult<br />

Oncology UF Health<br />

Cancer Center - Orlando<br />

Health, graduated<br />

with a PhD in nursing<br />

from University of<br />

Central <strong>Florida</strong>, College<br />

of Nursing on May<br />

8, <strong>2015</strong>. Dissertation<br />

title: Family Caregiver<br />

Knowledge, Patient<br />

Illness Characteristics,<br />

and Unplanned<br />

Hospital Admissions in Older Adults with Cancer.


<strong>June</strong> <strong>2015</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 19<br />

Another One of Our Own is Gone Too Soon<br />

Suzie Farthing, RN<br />

Northwest Region<br />

@SuzieFarthing<br />

At the time of this<br />

writing, many nurses<br />

in Pensacola are reeling<br />

over the death of one of<br />

our own, a much loved<br />

fellow registered nurse.<br />

We admired him so.<br />

Even those of us who<br />

had not worked with<br />

him in years can easily<br />

reminisce of his impact<br />

on our professional<br />

lives.<br />

John (a fictitious<br />

name for privacy sake) was one of those nurses<br />

who brought a sense of calm to our spirits when<br />

we knew he was on duty. That is because he<br />

never declined to offer a helping hand when the<br />

going was tough and the shifts were long. He was<br />

compassionate, funny, kind, and a hero to many<br />

staff and patients alike.<br />

Here are a few of the heartfelt words posted<br />

by colleagues on his Facebook timeline after his<br />

death:<br />

“Family isn’t always only about blood.<br />

Many of us spend as much or more time with<br />

our work family as we do our family by blood.<br />

When one is taken away that family is forever<br />

broken...You are loved and respected by so<br />

many!”<br />

John, “I had demons that you helped me<br />

through with many long talk(s)...I only wish I<br />

had been as observant to you, I am sorry.”<br />

Regardless, we can always try if we just know<br />

where to begin, even if it is “one more time.”<br />

Thankfully, there is help for Floridian nurses<br />

with substance issues. It is the Intervention<br />

Program for <strong>Nurse</strong>s (IPN). Maybe like many of<br />

you, I had heard of this program but really had<br />

no clear understanding of its role in supporting<br />

nurses with addiction issues affecting their work.<br />

This is not something we typically talk about<br />

openly in our work environments, even after<br />

tragedies such as John’s loss. I do not know the<br />

situation in his work environment. Hopefully,<br />

this is not the case. <strong>The</strong>se issues and tragedies<br />

need to be openly talked about in therapeutic<br />

environments.<br />

Maybe like others, I used to think that no one<br />

really cared about the nurses suffering with<br />

addiction issues and those they may have left<br />

behind. To me, IPN just seemed like a phantom<br />

place that these colleague friends disappeared to<br />

never to be seen or spoke of again.<br />

That was until I had the opportunity to meet<br />

and listen to IPN’s CEO Linda Smith, ARNP, MN,<br />

M.Div, CAP, CARN-AP, at FNA’s <strong>2015</strong> Advocacy<br />

Days. I found her to be sincere and compassionate.<br />

I am grateful to know that she and her team really<br />

do care about nurses. Hopefully, many of you had<br />

the opportunity to hear her speak at the IPN/ FNA<br />

Annual Conference May 28-29.<br />

Regardless, I encourage all <strong>Florida</strong> nurses to<br />

acquaint themselves with IPN’s programs and<br />

resources at www.ipnfl.org. Learn to recognize the<br />

signs of nurse impairment and to understand how<br />

to get help if that nurse is you. Let’s not have any<br />

more John’s. Of course, there will never be another<br />

like our dear friend anyway.<br />

Sadly, John ended his life on his own terms.<br />

This makes it especially painful for those of<br />

us who loved him so. Some knew about his<br />

problems with depression and addiction. Others<br />

had no idea. What we did not recognize before,<br />

we can now see painfully clear. Often we can<br />

help those suffering with addiction and mental<br />

illness, and unfortunately, sometimes not.<br />

Let’s keep family & friends together.<br />

Join Our Team in Naples, <strong>Florida</strong><br />

At Physicians Regional Healthcare System, our purpose is<br />

to deliver the best patient experience. Our two hospital<br />

locations—Physicians Regional - Pine Ridge and Physicians<br />

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Opportunities available in multiple departments. <strong>Florida</strong> RN<br />

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Recruiters can be reached directly at:<br />

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Apply online at www.physiciansregional.com<br />

EOE/AA/DFWP<br />

Searching for the<br />

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Find your future here.<br />

• Search job listings in all 50<br />

states, and filter by location<br />

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• Browse our online database<br />

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• Find events for nursing<br />

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Get started now!<br />

www.nursingALD.com<br />

Increasing colorectal cancer screening rates to<br />

80% by 2018 prevents an additional 21,000<br />

colorectal cancer deaths per year by 2030.*<br />

<strong>Nurse</strong>s, let’s keep working together to save lives. Colorectal cancer is the second leading cause<br />

of cancer death in the U.S. for men and women combined, yet it’s one of the most preventable.<br />

Thanks to screening, the number of colorectal cancer cases is dropping.<br />

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We are saving lives. We can save more.<br />

80% by 2018<br />

www.flhealth.gov/crc


Page 20 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>June</strong> <strong>2015</strong><br />

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