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2015 FNA Book of Reports

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<strong>2015</strong> Florida Nurses Association<br />

Table <strong>of</strong> Contents<br />

Membership Assembly Agenda. ............................................................................3<br />

Roll <strong>of</strong> Past Presidents ...................................................................................11<br />

<strong>2015</strong> Convention Rules ..................................................................................13<br />

2014 Summary <strong>of</strong> Action (with current bylaws) ..............................................................19<br />

Board & Staff <strong>Reports</strong> ...................................................................................58<br />

Audit and Financial Information ..........................................................................78<br />

2016–2018 Proposed Goals and Priorities. ...................................................................92<br />

Membership Comparison ...............................................................................102<br />

Annual <strong>Reports</strong> .......................................................................................103<br />

Special <strong>Reports</strong> .......................................................................................114<br />

Parliamentary Information ..............................................................................118<br />

Proposed Bylaw Changes ...............................................................................120<br />

Index <strong>of</strong> <strong>FNA</strong> Positions 1983 – 2014 .......................................................................121<br />

Lamplighters and Diamond Awards ......................................................................124<br />

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

Published by:<br />

Arthur L. Davis<br />

Publishing Agency, Inc.<br />

Published and Printed for the Florida Nurses Association by:<br />

Arthur L. Davis Publishing Agency<br />

517 Washington St. PO Box 216<br />

Cedar Falls, IA 50613<br />

319-277-2414<br />

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<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>FNA</strong> Pr<strong>of</strong>essional Development Conference and<br />

Membership Assembly<br />

Nurses Shaping the Future <strong>of</strong> Healthcare and Health<br />

Thursday, September 10, <strong>2015</strong><br />

11:00am - 2:00pm QUIN Council Meeting<br />

Legends 3<br />

4:00pm - 7:30pm Exhibit Set Up<br />

Ballroom E, F, G<br />

6:00pm - 7:30pm <strong>FNA</strong> Board <strong>of</strong> Directors Meeting<br />

Legends 3<br />

6:00pm - 8:00pm FNSA Board <strong>of</strong> Directors Meeting<br />

Wentworth<br />

Friday, September 11, <strong>2015</strong><br />

Membership Assembly / Pr<strong>of</strong>essional Development Conference<br />

7:00am - 4:00pm<br />

PreConference<br />

7:00am - 8:00am<br />

Ballrooms E, F, G<br />

8:00am - 9:30am<br />

Ballroom D<br />

1CH<br />

Registration<br />

Visit with Exhibitors<br />

Opening Session- Introductions<br />

Keynote Speaker<br />

3 Ps – Purpose, Passion, and Perseverance<br />

Rose Rivers, PhD, RN, NEA-BC, <strong>FNA</strong>P<br />

Chief Executive Officer, Restoring Joy to Leadership, LLC<br />

Report <strong>of</strong> the Tellers- Election Results<br />

9:30am - 10:00am<br />

Ballrooms E, F, G<br />

Visit with Exhibitors / Poster Sessions<br />

10:00am - 11:00am BREAKOUT SESSIONS<br />

1 CH I. Legislative<br />

Promoting Nurse Leaders in Florida to Advance Nursing & Health Policy<br />

Mary Lou Brunnell, MSN, RN<br />

Legends 1<br />

II. Research/EBP<br />

A Statewide Initiative Integrating Quality and Safety Education for Nurses (QSEN) through<br />

Academic/Clinical Partnerships to Improve Health Outcomes - the First Year in Review<br />

Teri M Chenot, EdD, MS, M.Ed, MSN, RN &<br />

Roberta Christopher, EdD(c), MSN, ARNP, NE-BC, CHTS-CP<br />

Legends 2<br />

III. Research/Evidenced-based Practice (EBP)<br />

Impacting Patient Outcomes with Early Detection <strong>of</strong> Suspicious Lesions Found in Nursing Skin<br />

Assessments<br />

Debra Shelby, PhD, DNP, FNP-BC, DNC<br />

Legends 3<br />

IV. Membership Development<br />

How Can Nurse Coaches Influence Individual Health & the Future <strong>of</strong> Healthcare?<br />

Shirley Conrad, MSN, RN, CCRN, AHN-BC, HWCD-BC<br />

Ballroom A<br />

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<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

11:00am - 12:00pm Breakout Sessions<br />

1 CH I. Research/EBP<br />

Collaboration at its Best: Reducing Pressure Ulcers at the Bedside<br />

Palma Iacovitti, MBA, BSN, RN & Louis Climaco, BSN, RN<br />

Legends 1<br />

II. Legislative<br />

Clinical Nurse Specialists: Past, Present, Future<br />

Patricia Geddie, PhD, CNS & Theresa Morrison, PhD, CNS<br />

Legends 2<br />

III. Research/EBP<br />

Emerging Infectious Diseases Impacting our Future<br />

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

Legends 3<br />

IV. Legislative<br />

Health Care Reform 2.0, Where Florida Has Been and Where It is Going<br />

Laura Brennaman, PhD, RN, CEN<br />

Ballroom A<br />

12:15pm - 1:45pm Lunch<br />

Ballroom B<br />

Clinical Excellence <strong>2015</strong> – Honoring Practice<br />

1 CH Clinical Excellence Presenters<br />

1:45pm - 2:15pm<br />

Ballrooms E, F, G<br />

Visit with Exhibitors / Poster Sessions<br />

2:15pm - 3:15pm Breakout Sessions:<br />

1 CH I. Legislative<br />

Why <strong>FNA</strong> Members Need to Get Involved in Political Activism?<br />

Panel Discussion<br />

Janice Hess, DNP, MSN, FNP-BC,<br />

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

Bonnie Sklaren, MSN, ARNP,<br />

Alisa LaPolt, <strong>FNA</strong> Lobbyist<br />

Legends 1<br />

II.<br />

Technology<br />

Beyond Smartphone Apps: Healthcare Disruption in the Care <strong>of</strong> the Older Adult<br />

George Peraza-Smith, DNP, GNP-BC, CNE<br />

Legends 2<br />

III. Research/EBP<br />

GIS: A Different Approach to Understanding Nurse Workforce Data (Florida Center for Nursing)<br />

Mary Lou Brunell, MSN, RN & Marie-Hortence Prosper, MPH, MBA<br />

Legends 3<br />

IV. Membership Development<br />

CARE Tampa Bay: A Novel Approach to Self-management Support for People with Chronic<br />

Health Conditions<br />

Cindy T<strong>of</strong>thagen, PhD, ARNP, AOCNP, FAANP<br />

Ballroom A<br />

3:15pm - 4:15pm<br />

Special Interest Group (SIG) Meetings<br />

I. Ethics Special Interest Group<br />

Ballroom E<br />

II.<br />

Health Policy SIG<br />

Ballroom F<br />

III. Nursing Research SIG<br />

Legends 1<br />

IV. Clinical Nurse Specialist SIG<br />

Legends 2<br />

V. New Grad SIG<br />

Ballroom G<br />

VI. FNLA Meeting- Mentors and Mentees<br />

Legends 3<br />

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<strong>2015</strong> Florida Nurses Association<br />

Nursing Positions Available<br />

The Florida State Hospital, located in Chattahoochee, FL, is a state-operated, in-patient<br />

Mental Health Treatment Facility and we have full time positions available for:<br />

• Advanced Registered Nurse Practitioners (Psych)<br />

• Registered Nurses<br />

Candidates must be licensed to practice or able to attain licensure in the State <strong>of</strong> Florida.<br />

Excellent compensation/benefits package <strong>of</strong>fered.<br />

For more information about these career opportunities in the Sunshine State,<br />

please e-mail Resume with references to:<br />

keri.bassett@myflfamilies.com<br />

eoe m/f/v<br />

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<strong>2015</strong> Florida Nurses Association<br />

4:15pm-5:15pm<br />

Ballroom D<br />

6:00pm - 7:00pm<br />

Atrium Lobby<br />

7:30pm - 9:00pm<br />

Ballroom B<br />

<strong>FNA</strong> Advisory Council Meeting<br />

Awards Reception – Cash Bar<br />

Welcome in the New Board <strong>of</strong> Directors<br />

Annual Awards Celebration<br />

9:15pm - 11:00pm The American Nurse Movie<br />

Ballroom B<br />

Sponsored by the Nurses Charitable Trust<br />

Saturday, September 13, <strong>2015</strong><br />

7:00am - 3:00pm<br />

Preconference<br />

Registration<br />

7:30am - 8:45am Advocacy Breakfast<br />

Wentworth<br />

Creating Awareness & Safety for the Nursing Pr<strong>of</strong>ession<br />

1 CH Mandi Mernin, MSN, RN-BC<br />

9:00am - 10:30am I. Northwest Region Meeting<br />

Troon<br />

II. North Central Region<br />

Ballroom E<br />

III. Northeast Region<br />

Legends 1<br />

IV. East Central Region<br />

Ballroom F<br />

V. West Central Region<br />

Ballroom G<br />

VI. Southwest Region<br />

Legends 3<br />

VII. Southeast Region<br />

Legends 2<br />

VIII. South Region<br />

Ballroom D<br />

10:30am - 11:00am<br />

11:00am - 12:15pm<br />

Ballroom D<br />

Break & Hotel Checkout<br />

Open Forum - Let’s Share Ideas!<br />

12:15pm - 1:30pm Foundation Luncheon<br />

Ballroom A<br />

A Legacy <strong>of</strong> Nursing Philanthropy in Florida - The Florida Nurses Foundation<br />

1 CH FL CE ONLY Florida Nurses Foundation<br />

1:30pm - 4:00pm<br />

Ballroom D<br />

Business Meeting<br />

Intros/<strong>Reports</strong>/Bylaws/ Reference Proposals/ Legislative Agenda/ New Board Installation<br />

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<strong>2015</strong> Florida Nurses Association<br />

WEBALD<br />

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<strong>2015</strong> Florida Nurses Association<br />

Agenda for Business Meeting<br />

1:00 pm – 5:00 pm<br />

Adoption <strong>of</strong> Membership Assembly Rules<br />

Adoption <strong>of</strong> Membership Assembly Program<br />

President’s Message<br />

Business Meeting<br />

<strong>Reports</strong> <strong>of</strong> Officers and Directors<br />

<strong>Reports</strong> <strong>of</strong> the Pr<strong>of</strong>essional Staff<br />

Financial Report<br />

Other Organization <strong>Reports</strong><br />

Report <strong>of</strong> the Bylaws Committees<br />

Report <strong>of</strong> the Reference Committee<br />

Proposed <strong>FNA</strong> Goals and Priorities<br />

New Business<br />

Announcements<br />

Adjournment<br />

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<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

Roll <strong>of</strong> Presidents<br />

1949 Undine Sams<br />

1951 Mary Livingston<br />

1953 Bertha King<br />

1954 Martha O. Wolfe<br />

1956 Vivian Duxbury<br />

1960 Mabel Shepard<br />

1962 Marion McKenna<br />

1964 Enid Mathison<br />

1965 Wava Hartsel<br />

1967 Helen Voss<br />

1969 Marion McKenna<br />

1970 Helen “Pat” Keefe<br />

1972 Sadie Reading<br />

1973 Shirley Martin<br />

1975 Ruth Jacobs<br />

1977 Carol Hayes<br />

1979 Martha Sparks<br />

1981 Marie Cowart<br />

1983 Nancy Breen<br />

1985 Bobbie Hughes<br />

1987 Katherine P. Webster<br />

1989 Richard Bednar<br />

1991 Gerry Green<br />

1993 Ann-Lynn Denker<br />

1997 Mary Lou Brunell<br />

2001 Patricia Quigley<br />

2003 Mary Tittle<br />

2005 Mary Tittle<br />

2007 Andrea Gregg<br />

2009 Andrea Gregg<br />

2011 Mavra Kear<br />

2012 Mavra Kear<br />

2013 Edward Briggs<br />

2014 Edward Briggs<br />

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<strong>2015</strong> Florida Nurses Association<br />

For more information visit or call: www.larkinhospital.com 305-284-7500<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>2015</strong> Convention Rules<br />

1. Registration–Members and guests shall register before entering the session room, and shall sit in assigned places.<br />

2. Badges–Members shall wear badges to all meetings.<br />

3. Meetings–Non Members <strong>of</strong> the Florida Nurses Association will be admitted by invitation only.<br />

4. All meetings shall be called promptly.<br />

5. No tape recorders are permitted.<br />

6. Any member in good standing <strong>of</strong> the Florida Nurses Association may speak at the Membership Assembly. A member<br />

addressing the Chair shall give his or her name and Region.<br />

7. Discussion from the floor shall be limited to three minutes at one time and no member may speak the second time to the<br />

same question as long as any member desires to speak who has not spoken to the question.<br />

8. The Pages will pass <strong>of</strong>ficial motion slips, carry messages, and motion slips to the platform.<br />

9. Motions and amendments shall be written, signed by the maker and seconder, and one copy sent to the Secretary at<br />

once. A member shall not be recognized to speak on a motion or amendment until a copy <strong>of</strong> the motion slip is received<br />

by the Secretary. Official motion slips shall be supplied by the Pages.<br />

10. Smoking is not permitted during the sessions <strong>of</strong> the Membership Assembly or general meetings.<br />

11. Voting–Only members in good standing may propose or vote on motions. State Only members may only vote on state<br />

level issues. Full members vote on all issues.<br />

13. All persons shall place all pagers, cell phones, etc. on quiet/vibrate/silent mode during all meetings and sessions.<br />

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<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

Rules Governing Motions<br />

Do This… Recognition you say this… Second Amend Debate Vote<br />

Introduce Business Yes I move that… Yes Yes Yes Majority<br />

Change <strong>of</strong> modify a<br />

motion<br />

Send to a committee for<br />

study<br />

Put <strong>of</strong>f action<br />

Limit or extend<br />

discussion<br />

Stop discussion<br />

Lay the motion aside<br />

temporarily<br />

To take a motion from<br />

Yes I move to amend by... Yes Yes Yes Majority<br />

Yes<br />

Yes<br />

Yes<br />

Yes<br />

Yes<br />

Yes<br />

I move to refer to<br />

committee…<br />

I move to postpone<br />

consideration <strong>of</strong> the<br />

question until…<br />

I move to limit (or<br />

extend) debate…<br />

I move the previous<br />

question<br />

I move to lay the<br />

motion on the table…<br />

I move to take from<br />

the table…<br />

Yes Yes Yes Majority<br />

Yes Yes Yes Majority<br />

Yes Yes No 2/3<br />

Yes No No 2/3<br />

Yes No No Majority<br />

Yes No No Majority<br />

If you doubt the vote No I call for a division No No No No Vote<br />

Request information No I rise for information No No No No Vote<br />

Call attention to an<br />

error in the procedure<br />

No<br />

I rise to a Point <strong>of</strong><br />

Order<br />

No No No No Vote<br />

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<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

Board <strong>of</strong> Directors<br />

2013–<strong>2015</strong><br />

Officers<br />

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

Leah Kinnaird, RN, EdD<br />

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

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

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

Directors<br />

Deborah Hogan, RN, MSN<br />

Doreen Perez,<br />

Marsha Martin, RN<br />

Susan Hartranft, PhD, ARNP<br />

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

Denise McNulty, DNP, MSN, ARNP<br />

Patricia Posey Goodwin, EdD, MSN<br />

Jill Tahmooressi, RN, MSN<br />

17


<strong>2015</strong> Florida Nurses Association<br />

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Now accepting applications for Fall 2016.<br />

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For more information,<br />

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18


<strong>2015</strong> Florida Nurses Association<br />

Membership Assembly<br />

September 12-13, 2014<br />

Florida Hotel & Conference Center<br />

Orlando, Florida<br />

SUMMARY OF ACTIONS<br />

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<strong>2015</strong> Florida Nurses Association<br />

This was the 4th year <strong>of</strong> the redesigned <strong>FNA</strong> Membership Assembly which continues to be a work in progress. The<br />

members continued to work on the transformation <strong>of</strong> the association by honing the bylaws and placing more structure for<br />

the leadership <strong>of</strong> the Regions. Workforce Violence was the subject <strong>of</strong> a Reference Proposal and there will be focus on that<br />

work throughout the year. The Second cohort <strong>of</strong> Great 100 Nurses were honored as well as an outstanding Legislator, and<br />

three members were inducted into the <strong>FNA</strong> Hall <strong>of</strong> Fame.<br />

Board <strong>of</strong> Directors<br />

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

Officers<br />

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

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

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

Monte Bean, MSN, BSN - Secretary<br />

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

Directors<br />

Deborah Hogan, MPH, RN - Director at Large, Southeast<br />

Daniel Berman, PhD , RN-Director at Large, Northeast Region<br />

Marsha Martin, RN, CCRN- Director at Large, North Central<br />

Susan Hartranft, PhD, ARNP - Director at Large, West Central<br />

Shirley Hill, BSN, RN, BC, CCM - Director at Large, East Central<br />

Denise McNulty, DNP, ARNP - Director at Large, Southwest<br />

Patricia Posey Goodwin, EdD, RN - Director at Large, Northwest<br />

Jill Tahmooressi, MBA, RN - Director at Large, South<br />

Ann Guiberson, CAE, RP, CEO - Parliamentarian<br />

Board Liaisons<br />

Deborah Hogan, MPH, RN, - LERC Liaison<br />

Theresa Morrison, PhD, RN- WFA Liaison<br />

Published by Florida Nurses Association * P.O. Box 536985 * Orlando, FL 32853-6985 * 407-896-3261 * FAX 407-896-9042<br />

* Email: info@floridanurse.org; Http://www.floridanurse.org.<br />

21


<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

2014–<strong>2015</strong> Goals and Priorities<br />

1. Maintain a strong nursing organization in Florida to provide relevant services and value.<br />

2. Enhance public understanding <strong>of</strong> the roles and responsibilities <strong>of</strong> registered nurses to improve health in local<br />

communities and across the state.<br />

3. Serve as the essential resource for career development for Florida’s registered nurses.<br />

4. Advance a legislative platform that protects and enhances the ability <strong>of</strong> all registered nurses to practice to the full extent<br />

<strong>of</strong> their education and experience.<br />

5. Build organizational relationships to advance nursing and healthcare outcomes.<br />

6. Maintain a strong organizational structure that advances nursing.<br />

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<strong>2015</strong> Florida Nurses Association<br />

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<strong>2015</strong> Florida Nurses Association<br />

Florida Nurses Association Bylaws<br />

2014-<strong>2015</strong><br />

ARTICLE I Name<br />

The name <strong>of</strong> this Association shall be the Florida Nurses Association, hereinafter referred to as <strong>FNA</strong>.<br />

ARTICLE II Purposes and Functions<br />

Section 1. Purposes<br />

A. The purposes <strong>of</strong> the <strong>FNA</strong> shall be to:<br />

1. Foster high standards <strong>of</strong> nursing practice;<br />

2. Promote the pr<strong>of</strong>essional and educational advancement <strong>of</strong> nurses; and<br />

3. Promote the welfare <strong>of</strong> nurses to the end that all people may have better nursing care.<br />

B. These purposes shall be in accordance with ANA Bylaws.<br />

Section 2. Functions<br />

The functions <strong>of</strong> the <strong>FNA</strong> shall be to:<br />

A. Advocate standards <strong>of</strong> nursing practice, nursing education and nursing services and promote these standards through<br />

such activities as position statements and legislative activities;<br />

B. Act and speak for the nursing pr<strong>of</strong>ession before allied pr<strong>of</strong>essional, community and governmental groups on issues <strong>of</strong><br />

importance to the pr<strong>of</strong>ession including legislation and governmental programs;<br />

C. Develop and maintain relationships with nursing organizations, allied health, nursing students and consumer groups;<br />

D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code <strong>of</strong> Ethics for Nurses;<br />

E. Promote and protect the economic and general welfare <strong>of</strong> nurses;<br />

F. Promote the continuing pr<strong>of</strong>essional development <strong>of</strong> nurses;<br />

G. Provide for representation in the ANA Membership Assembly<br />

H. Preserve documents and other materials which contribute to the historical and cultural development <strong>of</strong> nursing;<br />

I. Assume an active role as consumer advocate;<br />

J. Initiate and influence legislation, governmental programs and national health policy;<br />

K. Support systematic study, evaluation and research in nursing.<br />

ARTICLE III Membership, Dues, Membership Year<br />

Section 1. Composition<br />

A. Membership in <strong>FNA</strong> shall consist <strong>of</strong> members <strong>of</strong> the state regions who meet the qualifications and responsibilities<br />

specified in these bylaws.<br />

B. Membership options:<br />

1. Full Membership includes ANA and <strong>FNA</strong>.<br />

2. State Only Membership includes <strong>FNA</strong>.<br />

3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and have voice but no<br />

vote.<br />

C. Membership shall be unrestricted in accordance with ANA/<strong>FNA</strong> Bylaws.<br />

Section 2. Qualifications<br />

A member is one:<br />

A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or the District <strong>of</strong><br />

Columbia <strong>of</strong> the United States and who does not have a license under suspension or revocation in any state, or is<br />

otherwise entitled by law to practice, or<br />

B. Whose application for membership in <strong>FNA</strong> has been accepted in accordance with <strong>FNA</strong> policy; and,<br />

C. Whose dues are not delinquent; and,<br />

D. Whose membership is not under revocation for violation <strong>of</strong> the ANA Code <strong>of</strong> Ethics for Nurses or <strong>FNA</strong>/ANA Bylaws.<br />

Section 3. Membership Privileges and Obligations<br />

A. Full Members shall have privileges as follows:<br />

1. Voting for:<br />

a. Representatives and alternates to Membership Assembly.<br />

b. <strong>FNA</strong> Officers; and<br />

c. <strong>FNA</strong> Directors.<br />

25


<strong>2015</strong> Florida Nurses Association<br />

Seeking experienced<br />

RNs in:<br />

• Med/Surgical Telemetry<br />

• Emergency<br />

• Radiation Oncology<br />

• Surgical Services<br />

• Intensive Care Unit<br />

26


<strong>2015</strong> Florida Nurses Association<br />

2. Serving as an ANA representative, alternate or in any elected or appointed positions in accordance with ANA<br />

Bylaws and applicable policies.<br />

3. Being nominated to an Officer or Director position after twelve months <strong>of</strong> membership in <strong>FNA</strong>.<br />

4. Attending and voting in the Membership Assembly, attending Board <strong>of</strong> Directors and Committee meetings, and<br />

other unrestricted functions <strong>of</strong> <strong>FNA</strong>/ANA;<br />

5. Receiving regular ANA and <strong>FNA</strong> communications;<br />

B. Full Members <strong>of</strong> <strong>FNA</strong> shall continue to have all the rights <strong>of</strong> membership in ANA as provided in the ANA bylaws,<br />

until such time as ¾ <strong>of</strong> the entire <strong>FNA</strong> full membership votes to disaffiliate from the ANA. Full membership is<br />

defined as individual members <strong>of</strong> <strong>FNA</strong> who have ANA rights and privileges <strong>of</strong> membership as a result <strong>of</strong> their <strong>FNA</strong><br />

membership. The vote may occur by mail, phone or electronic ballot, with appropriate notice and procedures to<br />

protect the integrity and validity <strong>of</strong> the vote.<br />

C. Full members shall have membership obligations as follows:<br />

1. Abide by <strong>FNA</strong> and ANA Bylaws; and<br />

2. Abide by ANA Code <strong>of</strong> Ethics for Nurses.<br />

D. State Only Members shall have privileges as follows:<br />

1. Voting for:<br />

a. <strong>FNA</strong> Officers;<br />

b. <strong>FNA</strong> Directors after twelve months <strong>of</strong> membership in <strong>FNA</strong> being nominated to a Director position;<br />

c. Executive Committees <strong>of</strong> other structural units to which they affiliate;<br />

2. Serving in any <strong>FNA</strong> appointed position;<br />

3. After twelve months <strong>of</strong> membership in <strong>FNA</strong> being nominated to a Director position;<br />

4. Attending and voting in Membership Assembly, attending Board <strong>of</strong> Directors and Committee meetings, and other<br />

unrestricted functions <strong>of</strong> <strong>FNA</strong>;<br />

5. Receiving regular <strong>FNA</strong> communications.<br />

E. State Only Members shall have membership obligations as follows:<br />

1. Abide by the bylaws <strong>of</strong> <strong>FNA</strong>.<br />

2. Abide by the ANA Code <strong>of</strong> Ethics for Nurses.<br />

Section 4. Disciplinary Action<br />

A. Cause for disciplinary action by <strong>FNA</strong> against a member shall be limited to:<br />

1. Failure to fulfill the obligations as cited in these bylaws; and<br />

2. Other actions detrimental to the purposes, goals and functions <strong>of</strong> <strong>FNA</strong> and ANA.<br />

3. Activity supporting a union that is in direct competition with <strong>FNA</strong>.<br />

4. Falsely providing public testimony or opinion as representing that <strong>of</strong> <strong>FNA</strong>.<br />

B. Disciplinary proceedings:<br />

1. Shall be conducted in accordance with policies and procedures established and adopted by the Board <strong>of</strong> Directors,<br />

which shall have final disciplinary authority over members; and<br />

2. A member shall have the right to due process as provided for under common parliamentary or statutory law,<br />

C. Disciplinary Action shall depend on the severity <strong>of</strong> the violation, and may include:<br />

1. Reprimand;<br />

2. Censure;<br />

3. Suspension from membership; or<br />

4. Permanent expulsion from membership.<br />

D. A member may appeal any disciplinary action in accordance with procedures adopted by the <strong>FNA</strong> Board <strong>of</strong> Directors.<br />

E. Recognition <strong>of</strong> Disciplinary Action by another State Nurses Association (hereinafter referred to as SNA): Any<br />

disciplinary action taken by another SNA against one <strong>of</strong> its members shall be given full recognition and enforcement,<br />

provided such action was taken in accordance with the bylaws <strong>of</strong> the disciplining SNA and its disciplinary<br />

procedures.<br />

Section 5. Dues<br />

A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly, assessments as set by<br />

affiliate organizations to which <strong>FNA</strong> or its structural units belong, and <strong>FNA</strong> dues as established by <strong>FNA</strong> members<br />

participating in the Annual Membership Meeting.<br />

B. State only <strong>FNA</strong> Membership dues include <strong>FNA</strong> dues as set forth in <strong>FNA</strong> bylaws and policies.<br />

C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall include the present rate<br />

<strong>of</strong> dues paid by the <strong>FNA</strong> to the ANA and other organizations to which the structural units affiliate.<br />

D. The Board <strong>of</strong> Directors may initiate pilot dues recruitment strategies with a report to the following membership<br />

assembly for action.<br />

E. A vote <strong>of</strong> two-thirds (2/3) <strong>of</strong> the voting members present and a previous notice <strong>of</strong> sixty days (60) shall be required to<br />

change the <strong>FNA</strong> dues.<br />

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Section 6. Assessment<br />

A. Each member <strong>of</strong> a <strong>FNA</strong> Collective Bargaining Unit shall be assessed an annual fee to support collective bargaining<br />

activities.<br />

B. The annual assessment shall be established by the Membership Assembly.<br />

C. Members shall be notified in Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly <strong>of</strong> a proposal to change the dues at<br />

least sixty (60) days prior to the meeting at which the proposal will be presented.<br />

D. A vote <strong>of</strong> two-thirds (2/3) <strong>of</strong> the members present and voting and previous notice <strong>of</strong> sixty days (60) shall be required to<br />

change the dues.<br />

Section 7. Transfer <strong>of</strong> Dues/Assessment and Membership<br />

A. A full member who has completed full payment <strong>of</strong> dues and moved out <strong>of</strong> Florida may apply to the <strong>FNA</strong> Executive<br />

Director for transfer to another state association <strong>of</strong> the ANA.<br />

B. A member <strong>of</strong> another state association <strong>of</strong> the ANA who has completed full payment <strong>of</strong> dues and fees for the<br />

membership year and who moves into or works within the boundaries <strong>of</strong> Florida may transfer to <strong>FNA</strong> without further<br />

payment or refund <strong>of</strong> dues for the remainder <strong>of</strong> the membership year. The request for transfer shall be signed by the<br />

secretary <strong>of</strong> the state nurses association issuing the transfer.<br />

C. A member may transfer from one <strong>FNA</strong> region to another within the state without further payment <strong>of</strong> dues assessment<br />

for the remainder <strong>of</strong> the membership year. Application for transfer shall be made to the <strong>FNA</strong> Executive Director.<br />

Section 8. Membership Year<br />

The membership year shall be a period <strong>of</strong> twelve (12) consecutive months from the time <strong>of</strong> application for membership<br />

status.<br />

Section 9. Life Membership<br />

A. Life membership may be conferred on an individual who has rendered distinguished service or valuable assistance<br />

to the nursing pr<strong>of</strong>ession. Recommendation for life membership comes from the Board <strong>of</strong> Directors. A two-thirds (2/3)<br />

vote at the Membership Assembly is required.<br />

B. Life membership shall not be conferred on more than one individual per annum.<br />

C. Life membership shall carry full membership privileges and exemption from payment <strong>of</strong> dues.<br />

Section 10. Honorary Membership<br />

A. Honorary membership may be conferred on any individual who has rendered distinguished service or valuable<br />

assistance to the organization. Recommendation for Honorary Membership comes from the Board <strong>of</strong> Directors. A twothirds<br />

(2/3) vote <strong>of</strong> the attending members at the Membership Assembly is required.<br />

B. Honorary membership shall carry no responsibilities or privileges.<br />

Section 11. Emeritus Membership<br />

A. Emeritus Membership may be conferred on each <strong>FNA</strong> member <strong>of</strong> 50 or more consecutive years, upon reaching the age<br />

<strong>of</strong> 80.<br />

B. Emeritus Members may serve on committees, but not as chair, nor hold <strong>of</strong>fice at the state level.<br />

C. Emeritus Members will be exempted from dues.<br />

D. Emeritus Members will receive reduced rates at all <strong>FNA</strong> functions.<br />

Section 12. Organizational Affiliates<br />

A. Definition: An organizational Affiliate <strong>of</strong> <strong>FNA</strong> is an association that has been granted organizational affiliate status<br />

by the <strong>FNA</strong> Board <strong>of</strong> Directors.<br />

B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board <strong>of</strong> Directors and shall:<br />

1. Maintain a mission and purpose harmonious with the purposes and functions <strong>of</strong> <strong>FNA</strong><br />

2. Have bylaws that do not conflict with <strong>FNA</strong> bylaws<br />

3. Be comprised <strong>of</strong> registered nurses and have a governing body composed <strong>of</strong> registered nurses<br />

4. Pay an annual organization fee established by the <strong>FNA</strong> Board <strong>of</strong> Directors<br />

C. Rights: Each organizational affiliate shall be entitled to:<br />

1. Have one seated representative to the Membership Assembly who must also be a current <strong>FNA</strong> member and who<br />

shall be eligible to vote on all matters in the Membership Assembly except setting <strong>of</strong> membership dues, amendment<br />

<strong>of</strong> bylaws and election <strong>of</strong> <strong>of</strong>ficers and directors.<br />

2. Make reports or presentations to the <strong>FNA</strong> Membership Assembly within its area <strong>of</strong> expertise, including the<br />

presentation <strong>of</strong> action reports.<br />

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ARTICLE IV. Officers and Directors<br />

Section 1. Officers<br />

A. The <strong>of</strong>ficers are President, President-elect, Vice-President, Secretary, and Treasurer.<br />

B. The <strong>of</strong>ficers are elected by members and are accountable to the Membership<br />

Section 2. Directors<br />

A. There shall be eight Directors representing each <strong>of</strong> eight Regions.<br />

B. The directors are elected by members and are accountable to the membership.<br />

Section 3. Qualifications<br />

A. All nominees for Officers and Directors shall be <strong>FNA</strong> members in good standing.<br />

B. Nominees must be dues paying members <strong>of</strong> the <strong>FNA</strong> for a period <strong>of</strong> at least twelve months prior to being nominated as<br />

an Officer or Director.<br />

C. An employee <strong>of</strong> <strong>FNA</strong> is eligible to be a candidate contingent upon resignation <strong>of</strong> the staff position if elected.<br />

Section 4. Term <strong>of</strong> Office<br />

A. The term <strong>of</strong> <strong>of</strong>fice for Officers and Directors shall be two years or until their successors are elected.<br />

B. The term shall commence at the adjournment <strong>of</strong> the Membership Assembly at which they are elected.<br />

C. President and President-Elect shall serve no more than one term consecutively in each <strong>of</strong>fice.<br />

D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four consecutive terms<br />

on the Board <strong>of</strong> Directors.<br />

E. An Officer or Director who has served more than one-half (1/2) term shall be deemed to have served a full term.<br />

Section 5. Duties<br />

A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted parliamentary authority,<br />

and as directed by the Board <strong>of</strong> Directors and the Membership Assembly.<br />

B. Officers and Directors, upon expiration <strong>of</strong> their terms <strong>of</strong> <strong>of</strong>fice, shall surrender to the <strong>FNA</strong> Executive Director all<br />

properties in their possession belonging to their respective <strong>of</strong>fices.<br />

C. The President shall be:<br />

1. A full member <strong>of</strong> <strong>FNA</strong><br />

2. Chair <strong>of</strong> the Board <strong>of</strong> Directors;<br />

3. Chair <strong>of</strong> the Executive Committee;<br />

4. Chair <strong>of</strong> the Advisory Committee;<br />

5. Ex <strong>of</strong>ficio member <strong>of</strong> all committees except the Nominating Committee;<br />

6. <strong>FNA</strong>’s representative at meetings <strong>of</strong> the ANA Constituent Assembly;<br />

7. Responsible for appointing members to committees and designating the chairs, with the approval <strong>of</strong> the Board <strong>of</strong><br />

Directors, except as hereinafter provided in these bylaws; and<br />

8. Concurrently elected as a representative to the ANA Membership Assembly.<br />

D. The President-Elect shall:<br />

1. Be a full member <strong>of</strong> <strong>FNA</strong><br />

2. Act as assistant to the President; and<br />

3. In the absence <strong>of</strong> the President, assume the duties <strong>of</strong> the President.<br />

4. Review any reference proposals submitted to the Membership Assembly.<br />

5. Serve as Chair <strong>of</strong> the Advisory Council.<br />

E. The Vice-President shall:<br />

1. Be a full member <strong>of</strong> <strong>FNA</strong><br />

2. In the absence <strong>of</strong> the President and President-Elect, assume the duties <strong>of</strong> the President;<br />

3. Be chairperson <strong>of</strong> the <strong>FNA</strong> Membership Committee.<br />

F. The Secretary shall:<br />

1. Be a full member <strong>of</strong> <strong>FNA</strong><br />

2. record the minutes <strong>of</strong> meetings <strong>of</strong> the <strong>FNA</strong>;<br />

3. Board <strong>of</strong> Directors;<br />

4. Executive Committee; and<br />

5. Advisory Committee.<br />

G. The Treasurer shall:<br />

1. Be a full member <strong>of</strong> <strong>FNA</strong><br />

2. Report to the Board <strong>of</strong> Directors the financial standing <strong>of</strong> <strong>FNA</strong>;<br />

3. Make a full report to <strong>FNA</strong> at each Membership Assembly;<br />

4. Serve as Chair <strong>of</strong> the Finance Committee; and<br />

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5. Be bonded.<br />

H. The Directors shall:<br />

1. Be responsible for the implementation <strong>of</strong> the purposes and functions as created in these bylaws;<br />

2. Serve as members <strong>of</strong> the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />

3. Serve as liaisons between the <strong>FNA</strong> Board <strong>of</strong> Directors and the Regions and bargaining units as designated by the<br />

Board;<br />

4. Recommend to the <strong>FNA</strong> Board <strong>of</strong> Directors the establishment <strong>of</strong> Ad Hoc Committees deemed necessary to<br />

implement the purposes and functions <strong>of</strong> <strong>FNA</strong>.<br />

Section 6. Vacancies in Office<br />

A. Vacancy in the <strong>of</strong>fice <strong>of</strong> President.<br />

1. A vacancy in the <strong>of</strong>fice <strong>of</strong> President shall be filled by the President-Elect.<br />

2. An <strong>of</strong>ficer or member other than the President-Elect who fills a vacancy in the <strong>of</strong>fice <strong>of</strong> a president or assumes<br />

the duties <strong>of</strong> an absent president may serve as an ANA representative only if elected to the ANA representative<br />

position.<br />

B. If a vacancy occurs in the <strong>of</strong>fice <strong>of</strong> President-Elect, this position will remain vacant until the next election cycle or<br />

until the Board <strong>of</strong> Directors orders a special election by the full membership.<br />

C. In all other vacancies in elected positions on the Board, the Board <strong>of</strong> Directors shall appoint a qualified <strong>FNA</strong> member<br />

to serve for the remainder <strong>of</strong> that term.<br />

Section 7. Removal <strong>of</strong> an Elected Official<br />

A. Any Officer or Director elected by the membership or appointed Board Member may be removed from <strong>of</strong>fice whenever<br />

such action is deemed to be in the best interest <strong>of</strong> the association, or for other just cause, by<br />

a. A vote <strong>of</strong> three-fourths <strong>of</strong> the current members <strong>of</strong> the <strong>FNA</strong> Board <strong>of</strong> Directors; or<br />

b. A written petition signed by 25% <strong>of</strong> the members <strong>of</strong> <strong>FNA</strong> on the last annual count, and approval <strong>of</strong> the petition<br />

by 2/3 <strong>of</strong> the members <strong>of</strong> <strong>FNA</strong>. Voting may occur by electronic ballot; or<br />

c. By no longer being a member in good standing <strong>of</strong> <strong>FNA</strong>.<br />

ARTICLE V. Executive Director<br />

Section 1. Accountability<br />

The Executive Director is accountable to and will be evaluated annually by the Board <strong>of</strong> Directors.<br />

Section 2. Authority<br />

The Executive Director has the authority to manage, plan, develop, administer and coordinate activities <strong>of</strong> the<br />

association in accordance with policies established by the Board <strong>of</strong> Directors.<br />

ARTICLE VI. Nominations and Elections<br />

Section 1. Nominating Committee<br />

The Nominating Committee shall consist <strong>of</strong> five (5) members, who shall be elected by secret ballot by plurality vote:<br />

A. The members elected to the Nominating Committee will choose their Chair;<br />

B. No Region shall be entitled to have more than one member serve on the Nominating Committee;<br />

C. The term <strong>of</strong> <strong>of</strong>fice shall be two years, or until their successors are elected.<br />

D. A member shall not serve more than two consecutive terms on the Nominating Committee;<br />

E. No member shall serve concurrently on the Nominating Committee and on the Board <strong>of</strong> Directors;<br />

F. If a member <strong>of</strong> the Nominating Committee is submitted as a suggested candidate for an <strong>of</strong>fice <strong>of</strong> <strong>FNA</strong> and the member<br />

consents to be considered as a candidate, said member shall immediately resign from the Nominating Committee.<br />

This does not apply to a present member <strong>of</strong> the Committee whose name is submitted as suggested candidate for the<br />

Nominating Committee for the next term or as an ANA Delegate.<br />

G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received the next highest vote<br />

at the Membership Assembly at which the Committee members were elected.<br />

Section 2. Nomination Process<br />

A. Suggestions for nominees for elected <strong>of</strong>fices shall be solicited from each Region and structural unit;<br />

B. Individuals may nominate candidates or self-nominate;<br />

C. Requests for nominees shall be published in The Florida Nurse.<br />

D. The Committee shall propose a tentative <strong>FNA</strong> ballot containing nominees for:<br />

1. ANA Delegates<br />

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2. <strong>FNA</strong> Officers, Directors and Nominating Committee<br />

E. After presentation to the Board <strong>of</strong> Directors for information only, the tentative ballot shall be published in the Call to<br />

Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly.<br />

F. Within the 30 day period following the publication <strong>of</strong> the tentative ballots in the <strong>FNA</strong> <strong>of</strong>ficial publication, additional<br />

nominations may be made to the Chair <strong>of</strong> the Nominating Committee by any individual member, Region, or structural<br />

unit.<br />

G. The Nominating Committee shall formulate the final ballots by the addition <strong>of</strong> the nominees submitted, provided that<br />

all eligibility and membership requirements are met;<br />

H. A person shall not appear on the <strong>FNA</strong> ballot as a nominee for more than one <strong>of</strong>fice.<br />

I. The completed ballots shall be:<br />

1. In conformity with the <strong>FNA</strong> bylaws, and the policies as adopted by the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />

2. Identified, for each person running, as to the region and city or county <strong>of</strong> membership;<br />

3. Presented for information only to the Board <strong>of</strong> Directors before being published in the Official Call to Meeting.<br />

J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected statement and the<br />

Conflict <strong>of</strong> Interest statement.<br />

K. The biographies <strong>of</strong> the nominees, including region and city or county <strong>of</strong> membership, shall be published with the<br />

ballots in the Official Call to Membership Assembly.<br />

Section 3. Election Process<br />

A. Elections shall be held in the odd-numbered years.<br />

B. Elections shall be held by secret ballot via electronic and/or phone ballot.<br />

1. A plurality <strong>of</strong> votes cast by those entitled to vote, and voting, shall constitute an election;<br />

2. In the case <strong>of</strong> a tie, the choice shall be determined by lot at the Membership Assembly.<br />

C. Members may vote for persons other than those whose names appear on the ballot by writing in the names <strong>of</strong><br />

qualified candidates who have signed the consent-to-serve form.<br />

D. The voting shall be completed no later than midnight <strong>of</strong> the twenty-eighth (28th) day prior to the first day <strong>of</strong> the<br />

Membership Assembly.<br />

E. The Tellers shall:<br />

1. Verify membership and tabulate the votes;<br />

2. Compile a report <strong>of</strong> all votes received; and<br />

3. Send the results by certified mail, in duplicate, to the <strong>FNA</strong> Secretary at the <strong>FNA</strong> Headquarters.<br />

F. The Secretary shall announce the election results at the Membership Assembly;<br />

G. The President, President-Elect, Vice-President, Secretary, Treasurer, Directors. <strong>FNA</strong> Nominating Committee and any<br />

other elected position on the ballot shall be declared as elected at the membership assembly.<br />

Section 4. ANA Representatives<br />

A. All <strong>FNA</strong> members with full membership may vote for ANA representatives.<br />

B. The <strong>FNA</strong> President and President-Elect shall be concurrently elected as representatives.<br />

C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full members <strong>of</strong> <strong>FNA</strong>.<br />

D. Each representative and alternate shall be elected for a two-year term or until a successor is elected.<br />

ARTICLE VII. Meetings<br />

Section 1. The <strong>of</strong>ficial meeting <strong>of</strong> the Florida Nurses Association is the Membership Assembly and will be held at least<br />

biennially. It will consist <strong>of</strong> reports from the Board <strong>of</strong> Directors, Regions, and committees; and adoption <strong>of</strong> bylaws<br />

and proposals. Additional activities may include educational programs, networking, and pr<strong>of</strong>essional updates.<br />

Section 2. Order <strong>of</strong> Business<br />

The Order <strong>of</strong> Business <strong>of</strong> each membership assembly <strong>of</strong> <strong>FNA</strong> shall be in accordance with a program adopted at the<br />

beginning <strong>of</strong> the meeting.<br />

Section 3. Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly<br />

The Official Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly shall be noticed via mail or electronic communication<br />

at least sixty (60) days before the first day <strong>of</strong> the Membership Assembly.<br />

Section 4. Special Meetings<br />

A. Special meetings <strong>of</strong> <strong>FNA</strong> may be called by the <strong>FNA</strong> Board <strong>of</strong> Directors upon the written request <strong>of</strong> a majority <strong>of</strong> the<br />

Regions and/or collective bargaining units.<br />

B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen days before the first<br />

day <strong>of</strong> the meeting.<br />

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Section 5. Quorum<br />

Five members <strong>of</strong> the Board <strong>of</strong> Directors, one <strong>of</strong> whom shall be the President or President-Elect, and representatives<br />

from a majority <strong>of</strong> the Regions shall constitute a quorum for the transaction <strong>of</strong> business at any Membership Assembly<br />

or special meeting <strong>of</strong> the <strong>FNA</strong>.<br />

Section 6. Membership<br />

The voting body at all Membership Assemblies and special meetings <strong>of</strong> this Association shall consist <strong>of</strong> the Board <strong>of</strong><br />

Directors and all <strong>FNA</strong> members in good standing who are in attendance.<br />

ARTICLE VIII. Board <strong>of</strong> Directors<br />

Section 1. Composition<br />

There shall be a Board <strong>of</strong> Directors composed <strong>of</strong> the Officers and the Directors.<br />

Section 2. Meetings <strong>of</strong> the Board <strong>of</strong> Directors<br />

A. Meetings shall be held at such times and places as shall be determined by the Board <strong>of</strong> Directors.<br />

B. Special Meetings:<br />

1. May be called by the President on seven (7) days’ notice to each member <strong>of</strong> the Board, either by mail, telephone, or<br />

electronic communication; and<br />

2. Shall be called by the President in like manner or on like notice upon the written request <strong>of</strong>:<br />

a. Five (5) or more members <strong>of</strong> the Board <strong>of</strong> Directors, or<br />

b. A majority <strong>of</strong> the Regions.<br />

3. Shall be held at such times and places as may be specified in the notice there<strong>of</strong>.<br />

C. Business that requires action by the Board <strong>of</strong> Directors between regular meetings may be conducted by mail,<br />

telephone or electronic communication. Such action shall be subject to ratification at the next regular meeting <strong>of</strong> the<br />

Board <strong>of</strong> Directors.<br />

D. Attendance<br />

1. Any member <strong>of</strong> the Board <strong>of</strong> Directors may have one (1) absence from the Board <strong>of</strong> Directors’ meetings within a<br />

one-year period.<br />

2. A board member on <strong>of</strong>ficial business as designated by the President <strong>of</strong> <strong>FNA</strong> or Board <strong>of</strong> Directors at the time <strong>of</strong> the<br />

Board Meeting shall not be considered absent.<br />

3. A partial absence shall consist <strong>of</strong> not more than two (2) hours, unless an unforeseen emergency occur en-route to<br />

the meeting.<br />

4. At the second absence <strong>of</strong> any member <strong>of</strong> the Board <strong>of</strong> Directors, the Board <strong>of</strong> Directors shall vote on removal <strong>of</strong> said<br />

board member from position.<br />

E. <strong>FNA</strong> members, the Chair <strong>of</strong> the Labor and Employment Relations Commission, and the President <strong>of</strong> the FNSA or a<br />

designee, shall be eligible to attend meetings <strong>of</strong> the Board <strong>of</strong> Directors. They shall have voice, but no vote.<br />

Section 3. Quorum<br />

A majority <strong>of</strong> the Board <strong>of</strong> Directors, including the President or the President-Elect shall constitute a quorum at any<br />

meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />

Section 4. Duties <strong>of</strong> the Board <strong>of</strong> Directors<br />

The Board shall:<br />

A. Establish major administrative policies governing <strong>FNA</strong> and provide for the transaction <strong>of</strong> general business <strong>of</strong> the<br />

organization;<br />

B. Provide for the expenditure, investment and surveillance <strong>of</strong> <strong>FNA</strong> funds;<br />

C. Provide for the bonding <strong>of</strong> appropriate <strong>of</strong>ficers and staff;<br />

D. Provide for the adoption and administration <strong>of</strong> a budget, and for a periodic review statement by a Certified Public<br />

Accountant;<br />

E. Provide for the operation and maintenance <strong>of</strong> a state headquarters;<br />

F. Employ an Executive Director, define duties and fix compensation;<br />

G. Employ legal and other counsel as deemed necessary, define duties and fix compensation;<br />

H. Determine the registration fee, date and location <strong>of</strong> Membership Assembly;<br />

I. Determine the time and place <strong>of</strong> meetings <strong>of</strong> the Advisory Council;<br />

J. Recommend to the Governor nominations for appointments to the Florida State Board <strong>of</strong> Nursing and any other<br />

appropriate boards;<br />

K. Report to <strong>FNA</strong> members the business transacted by the Board <strong>of</strong> Directors;<br />

L. Act upon recommendations and/or plans <strong>of</strong> committees prior to implementation;<br />

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M. Establish regional boundaries<br />

N. Receive, for information only, reports from the Bylaws, Nominating and Reference Committees<br />

O. Fill vacancies in <strong>of</strong>fice as provided in these bylaws; and<br />

P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the <strong>FNA</strong> membership.<br />

ARTICLE IX. Executive Committee<br />

Section 1. Composition<br />

There shall be an Executive Committee composed <strong>of</strong> the Officers <strong>of</strong> the Board <strong>of</strong> Directors.<br />

Section 2. Powers<br />

The Executive Committee shall have all the powers <strong>of</strong> the Board <strong>of</strong> Directors to transact business between meetings <strong>of</strong><br />

the Board. Such action shall be subject to ratification at the next regular meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />

Section 3. Meetings<br />

A. The Executive Committee shall meet at the call <strong>of</strong> the President;<br />

B. Meetings may be conducted in person, by mail, telephone or electronic communication.<br />

Section 4. Quorum<br />

A majority <strong>of</strong> the members <strong>of</strong> the Executive Committee shall constitute a quorum at any meeting <strong>of</strong> the Committee.<br />

ARTICLE X. Committees<br />

Section 1. General<br />

A. Committees shall assume such duties as assigned by the Board <strong>of</strong> Directors, and as specified in these Bylaws and<br />

report action as requested.<br />

B. Committees shall meet only with the approval <strong>of</strong> the President or Board <strong>of</strong> Directors.<br />

C. Committees shall meet on the call <strong>of</strong> the Chair, with no less than fifteen (15) days’ notice to committee members and<br />

<strong>FNA</strong> Headquarters.<br />

D. Unnoticed absences from two meetings <strong>of</strong> a committee shall constitute a resignation.<br />

E. A majority <strong>of</strong> the members <strong>of</strong> any standing or ad hoc committee shall constitute a quorum.<br />

F. Members <strong>of</strong> the FNSA shall be eligible to attend <strong>FNA</strong> committee meetings.<br />

Section 2. Ad Hoc Committees<br />

There shall be ad hoc committees appointed by the President, the Board <strong>of</strong> Directors, and/or the <strong>FNA</strong> representatives<br />

attending the Membership Assembly as deemed necessary to act upon issues pertinent to <strong>FNA</strong>.<br />

Section 3. Membership Committee<br />

The composition <strong>of</strong> the Membership Committee shall be the Vice-President as chair, the Treasurer and at least five (5)<br />

members appointed after each election by the President with approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their<br />

successors are appointed.<br />

Duties:<br />

A. Identify strategies for retention <strong>of</strong> members,<br />

B. Develop a marketing campaign to seek new members,<br />

C. Recommend membership options,<br />

D. Submit suggestions to <strong>FNA</strong> Board <strong>of</strong> Directors,<br />

E. Report to the <strong>FNA</strong> membership on the status <strong>of</strong> membership.<br />

Section 4. Reference Committee<br />

The Reference Committee shall consist <strong>of</strong> five (5) members appointed after each election by the President with the<br />

approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their successors are appointed.<br />

Duties:<br />

A. Seek reference proposals from Regions, LERC, and members,<br />

B. Review proposals for appropriate structure,<br />

C. Make appropriate suggestions to authors as needed,<br />

D. Present proposals at the Membership Assembly.<br />

Section 5. Bylaws Committee<br />

A. Composition.<br />

The Bylaws Committee shall consist <strong>of</strong> at least five (5) members appointed after each election by the President with<br />

the approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their successors are appointed.<br />

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B. Duties.<br />

1. Receive and review all proposed amendments to the <strong>FNA</strong> bylaws and edit for conformity;<br />

2. Submit proposed amendments to <strong>FNA</strong> bylaws as appropriate;<br />

3. Present the proposed amendments to the <strong>FNA</strong> Board <strong>of</strong> Directors; and<br />

4. Submit the proposed amendments to the membership at the <strong>FNA</strong> Membership Assembly in accordance with the<br />

provisions for amendments to these bylaws.<br />

Section 6. Finance Committee<br />

A. Composition.<br />

The Finance Committee shall consist <strong>of</strong> at least five (5) members, including the <strong>FNA</strong> Treasurer who shall serve as<br />

Chair. Four members shall be appointed after each election by the President, with approval by the Board <strong>of</strong> Directors,<br />

to serve until their successors are appointed. One <strong>of</strong> the appointed members shall be a member <strong>of</strong> the Labor and<br />

Employment Relations Commission.<br />

B. Duties. The committee shall:<br />

1. Supervise the preparation <strong>of</strong> an annual budget for the fiscal year defined as the calendar year January 1 to<br />

December 31;<br />

2. Present the budget for approval to the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />

3. Advise the <strong>FNA</strong> Board <strong>of</strong> Directors and other <strong>FNA</strong> structural units regarding financial matters and feasibility <strong>of</strong><br />

funding for expenditures;<br />

4. Advise and report on the expenditure <strong>of</strong> funds to the <strong>FNA</strong> Board <strong>of</strong> Directors; and<br />

5. Report to the Membership Assembly the financial status <strong>of</strong> <strong>FNA</strong>.<br />

ARTICLE XI. Regions<br />

Section 1. General<br />

A. There shall be Regions which meet the following requirements:<br />

1. Regions must be in conformity with the bylaws <strong>of</strong> <strong>FNA</strong><br />

ARTICLE XII. Labor and Employment Relations Council (LERC)<br />

Section 1. General<br />

The Labor and Employment Relations Commission shall exist for the purpose <strong>of</strong> overseeing the conduct <strong>of</strong> <strong>FNA</strong>’s<br />

labor/employment relations and collective bargaining program which shall include the formation <strong>of</strong> appropriate<br />

policies and procedures.<br />

Section 2. Term <strong>of</strong> Office<br />

Each member shall serve a term on the Commission which shall be concurrent with the term as President <strong>of</strong> the Local<br />

Bargaining Unit.<br />

Section 3. Responsibilities<br />

The Labor and Employment Relations Commission shall:<br />

A. Oversee the conduct <strong>of</strong> the <strong>FNA</strong>’s labor/employment relations and collective bargaining program, which shall include<br />

the formulation <strong>of</strong> appropriate policies and procedures;<br />

B. Formulate programs <strong>of</strong> assistance and training for local bargaining units;<br />

C. Consider and adjudge requests for legal assistance involving employment issues and contract grievances from<br />

members <strong>of</strong> local bargaining units;<br />

D. Make preliminary annual budget projections and recommendations to the <strong>FNA</strong> Finance Committee prior to adoption<br />

<strong>of</strong> the budget by the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />

E. Establish, when needed, subordinate Councils to conduct studies and make recommendations in specific substantive<br />

areas <strong>of</strong> labor and employment relations;<br />

F. Assist <strong>FNA</strong> staff in the development <strong>of</strong> local unit organizing activities; and<br />

G. Communicate with the Board <strong>of</strong> Directors concerning economic and welfare issues relative to the nursing pr<strong>of</strong>ession.<br />

H. Receive and review the bylaws <strong>of</strong> any Collective Bargaining Unit making application for <strong>FNA</strong> to be its bargaining<br />

agent; and<br />

I. Receive and review the bylaws <strong>of</strong> each Collective Bargaining Unit on a periodic basis.<br />

Section 4. National Labor Convention (NLC) Delegates<br />

A. All Collective Bargaining Unit (CBU members may vote for NLC delegates.<br />

B. NLC delegates will be elected by secret ballot by plurality vote.<br />

C. Each delegate and alternate will be elected for a two-year term.<br />

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D. Each CBU may nominate up to five delegate candidates.<br />

<strong>2015</strong> Florida Nurses Association<br />

ARTICLE XIII. Advisory Council<br />

Section 1. Composition<br />

A. The <strong>FNA</strong> Board <strong>of</strong> Directors and representatives from Regions, Collective Bargaining units, and/or their designees,<br />

facilitators for each Special Interest Group, the FNPAC Chair, and the FNF President shall constitute an Advisory<br />

Council to consider and promote the interests <strong>of</strong> <strong>FNA</strong>.<br />

B. Two <strong>of</strong>ficers <strong>of</strong> FNSA shall be eligible to attend meetings <strong>of</strong> the Advisory Council.<br />

Section 2. Meetings<br />

A. The Advisory Council shall meet at such other times and places as may be determined:<br />

1. By the <strong>FNA</strong> President; or<br />

2. By the <strong>FNA</strong> Board <strong>of</strong> Directors; or<br />

3. At the request <strong>of</strong> fifty (50%) percent <strong>of</strong> the Regions.<br />

ARTICLE XIV. Florida Nursing Students’ Association<br />

Section 1. General<br />

It shall be the responsibility <strong>of</strong> <strong>FNA</strong> to set up communications with Florida Nursing Students’ Association that<br />

will foster an organization <strong>of</strong> students <strong>of</strong> pr<strong>of</strong>essional nursing which will assist in preparing them to meet their<br />

pr<strong>of</strong>essional obligations as graduate nurses.<br />

Section 2. Meetings<br />

Meetings <strong>of</strong> the FNSA may be held in conjunction with the <strong>FNA</strong> Membership Assembly.<br />

ARTICLE XV. Relationship <strong>of</strong> <strong>FNA</strong> to ANA<br />

Section 1. Membership<br />

A. The annual dues for a full <strong>FNA</strong> member shall be set forth in dues policy and shall include the present rate <strong>of</strong> dues<br />

paid by the <strong>FNA</strong> to the ANA. In the event that the rate <strong>of</strong> dues payable to the ANA by the <strong>FNA</strong> increases, any such<br />

change shall be automatically added to the annual dues paid by a full <strong>FNA</strong> member.<br />

B. The <strong>FNA</strong> shall continue to pay dues to the ANA pursuant to the ANA bylaws and House <strong>of</strong> Delegates policy until such<br />

time as 2/3 <strong>of</strong> the entire full <strong>FNA</strong> membership votes to disaffiliate from the ANA. The vote may occur by mail, phone<br />

or electronic ballot, with appropriate notice and procedures to protect the integrity and validity <strong>of</strong> the vote.<br />

Section 2. ANA Constituent Assembly<br />

<strong>FNA</strong> shall be entitled to representation at the ANA Constituent Assembly by the President <strong>of</strong> <strong>FNA</strong> and the Executive<br />

Director, or their designated alternates.<br />

Section 3. ANA Delegates<br />

A. <strong>FNA</strong> shall be entitled to representation at the ANA Membership Assembly as determined in the ANA bylaws.<br />

B. <strong>FNA</strong> shall elect representatives as allocated in accordance with policies adopted by the ANA House <strong>of</strong> Delegates.<br />

ARTICLE XVI. Official Publication<br />

Section 1. The Florida Nurse shall be the <strong>of</strong>ficial publication <strong>of</strong> <strong>FNA</strong>.<br />

Section 2. LERC Today shall be the <strong>of</strong>ficial publication <strong>of</strong> the Economic and General Welfare Program.<br />

ARTICLE XVII. Parliamentary Authority<br />

The rules contained in Robert’s Rules <strong>of</strong> Order Newly Revised shall govern meetings <strong>of</strong> <strong>FNA</strong> in all cases to which they are<br />

applicable and in which they are not inconsistent with these bylaws.<br />

ARTICLE XIII. Amendments<br />

Section 1. Previous Notice<br />

A. These bylaws may be amended at any <strong>FNA</strong> Membership Assembly by a two-third (2/3) vote <strong>of</strong> the members present<br />

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and voting.<br />

B. All proposed amendments shall be in the possession <strong>of</strong> the <strong>FNA</strong> Executive Director at least sixty (60) days before the<br />

Membership Assembly, and shall be published at least 30 days prior to the <strong>FNA</strong> Membership Assembly.<br />

Section 2. Without Previous Notice<br />

These bylaws may be amended, without previous notice, at any Membership Assembly by a ninety-five percent (95%)<br />

vote <strong>of</strong> the members present and voting.<br />

ARTICLE XIX. Dissolution<br />

In the event that this organization should be dissolved for any reason, any remaining assets shall be liquidated and<br />

distributed in accordance with governmental regulations. No funds can inure to the benefit <strong>of</strong> any individual member.<br />

Approved by Membership Assembly<br />

September 11, 2014<br />

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<strong>2015</strong> Florida Nurses Association<br />

2014 Reference Proposals<br />

Increasing the Number <strong>of</strong> Male Registered Nurses & Advanced Registered Nurse Practitioners in the State <strong>of</strong> Florida<br />

Kumar Jairamdas, RN<br />

Statement <strong>of</strong> Concern<br />

The number <strong>of</strong> male registered nurses (RN’s) and advanced registered nurse practitioners (ARNP’s) in the state <strong>of</strong> Florida<br />

is significantly less than the number <strong>of</strong> Florida female RN’s and ARNP’s. Despite state-wide nursing recruitment and<br />

retention strategies, a significant increase in the number <strong>of</strong> male nurses in Florida has not been observed. There is<br />

currently no state-wide formal recruitment program for men to enter the nursing pr<strong>of</strong>ession. An increase in the number <strong>of</strong><br />

male nurses in the state <strong>of</strong> Florida is needed in order to better serve our patient populations and to encourage diversity in<br />

nursing.<br />

Rationale<br />

Background Information<br />

Nursing, in Western cultures, has been traditionally viewed as a female role. The number <strong>of</strong> men becoming nurses has<br />

grown significantly over the past several decades. In 1980, there were approximately 45,000 RN’s in the USA; but that<br />

number has grown to over 168,000 in 2004 (HRSA, 2006). Nationally, men still occupy a small sector <strong>of</strong> RN’s. In 2010,<br />

the total national average male RN population was 7% (HRSA, 2010). Florida data from 2010-2011 show that about 10% <strong>of</strong><br />

RN’s and 14 % <strong>of</strong> ARNP’s in Florida’s nursing workforce are men (FCN, 2012). Despite being more gender-diverse than the<br />

national average, Florida and the nursing pr<strong>of</strong>ession as a whole have much work to accomplish in order to match the gender<br />

diversification <strong>of</strong> our physician colleagues. In 2012, the number <strong>of</strong> licensed female physicians (medical doctors and doctors<br />

<strong>of</strong> osteopathy) in the USA was 30.2% (Young, et al, 2013). The number <strong>of</strong> female physicians is expected to increase. In 2009,<br />

almost half <strong>of</strong> all medical school graduates in the United States were women (KFF, 2010).<br />

The Institute <strong>of</strong> Medicine (IOM), in its “Future <strong>of</strong> Nursing” report, recommended that more men should be recruited into<br />

the nursing pr<strong>of</strong>ession (IOM, 2011). Numerous reasons have been cited as barriers for men entering nursing. Such barriers<br />

include social stereotypes, Western cultural gender roles, the predominance <strong>of</strong> women in the pr<strong>of</strong>ession, and perceived<br />

religious/cultural values (IOM, 2011). In order to better facilitate care for male patients and add diversity to the nursing<br />

workforce, the IOM recommends actively recruiting men to the nursing pr<strong>of</strong>ession.<br />

Pertinent Definitions<br />

Schools and colleges <strong>of</strong> nursing are only those that are accredited by [insert accrediting bodies here]. Nurses, in this<br />

proposal, refer to RN’s and ARNP’s.<br />

Overview on Nursing Role/Function<br />

The men in nursing are not widely dispersed throughout the pr<strong>of</strong>ession. The available data on male nurses indicates that<br />

they work primarily in critical care, emergency department, and in inpatient medical-surgical units (Hodes, 2005). Only<br />

about 1% or less <strong>of</strong> male nurses hold a nursing doctorate degree (Hodes, 2005). This fact does not bode well for advancing<br />

advocacy to increase the number <strong>of</strong> doctoral prepared male nursing school faculty. More research is required in order to<br />

determine the breadth and depth <strong>of</strong> involvement that men share within nursing.<br />

Legal/Ethical Considerations<br />

Male nursing students and male nurses have reported gender-related concerns in their clinical settings. 57% <strong>of</strong> surveyed<br />

male nursing students reported perceived gender-related difficulties , and 56% <strong>of</strong> male nursing students reported a<br />

perception <strong>of</strong> feeling like “muscle” for female nursing staff to help lift heavy patients (Hodes, 2005). More alarming is<br />

that even more men (71%) who complete nursing programs have the perception that they are “muscle” for female nursing<br />

staff to help lift heavy patients in clinical settings (Hodes, 2005). 50% <strong>of</strong> men reported communication and other problems<br />

with female nursing staff due to being <strong>of</strong> the male gender (Hodes, 2005). It is concerning that male nurses and male<br />

nursing students are encountering and perceiving discrimination from their fellow nursing pr<strong>of</strong>essionals in the clinical<br />

environment.<br />

Consequences to Patient Care<br />

With approximately half <strong>of</strong> the population being male, having a persistently small percentage <strong>of</strong> male nurses only serves to<br />

further increase the already present health disparities in men. Having increased numbers <strong>of</strong> male nurses may encourage<br />

more men to seek healthcare.<br />

The IOM recommends that the nursing pr<strong>of</strong>ession diversify to meet and encourage the increasing diversity <strong>of</strong> patient<br />

populations (IOM, 2011). Men bring unique cultural and social perspectives to the clinical care environment and will help<br />

alleviate the nursing shortage (IOM, 2011).<br />

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<strong>2015</strong> Florida Nurses Association<br />

Terminal degree in nursing required: PhD, DNSc, or DNP accepted.<br />

Recent practice and/or teaching experience required. Enjoy excellent benefits, pristine, well-equipped<br />

facilities; and the unparalleled programmatic support <strong>of</strong> a university system dedicated to producing top<br />

performers in the healthcare industry.<br />

TO APPLY, SEND YOUR CV WITH COVER LETTER TO LHIBBERTS@SOUTHUNIVERSITY.EDU<br />

College <strong>of</strong> Nursing opportunities exist at the following locations:<br />

Austin, TX • Cleveland, OH • Columbia, SC • High Point, NC • Montgomery, AL • Novi, MI<br />

Richmond and Virginia Beach, VA • Savannah, GA • Tampa, West Palm Beach, and Orlando, FL • Online<br />

South University is an equal opportunity employer.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Statement <strong>of</strong> Position<br />

Upon review <strong>of</strong> relevant and current available data, it is determined that there is a significant disparity in the number <strong>of</strong><br />

male nurses compared to female nurses in the state <strong>of</strong> Florida. There are no current state initiatives to increase the number<br />

<strong>of</strong> men in the nursing pr<strong>of</strong>ession. Active recruitment <strong>of</strong> men to nursing educational programs may significantly increase<br />

the number <strong>of</strong> men in the pr<strong>of</strong>ession. Such recruitment methods and subsequent positive results may serve as a future bestpractice<br />

beacon for the rest <strong>of</strong> the pr<strong>of</strong>ession on a national level.<br />

Recommendations for Actions<br />

In cooperation and partnership with accredited colleges and schools <strong>of</strong> nursing, hospitals, primary, secondary and<br />

postsecondary schools and guidance counselors, third-party stakeholders, and the American Assembly for Men in Nursing<br />

(AAMN), it is with great sincerity that the Florida Nurses Association is requested and recommended to initiate a plan (see<br />

Appendix A) to actively recruit men to the nursing pr<strong>of</strong>ession, both at the RN and advanced practice levels, in the state <strong>of</strong><br />

Florida. A critical part <strong>of</strong> this recruitment plan should include recruiting and retaining male doctoral-prepared nursing<br />

school faculty.<br />

Appendix A<br />

Action Plan for Increasing the Number <strong>of</strong> Florida male RN’s & ARNP’s<br />

Timetable for implementation: 1 year<br />

A. Assessment & Diagnostic Phase<br />

1. Enact <strong>FNA</strong>-approved committee appointed to engage action plan<br />

2. Develop mission statement<br />

3. Poll all FL accredited RN and ARNP programs to determine the number <strong>of</strong> currently enrolled men and women in<br />

the respective academic programs<br />

4. Establish a contact person at each college <strong>of</strong> nursing (CON). This person will volunteer to coordinate the future<br />

efforts <strong>of</strong> that school<br />

5. Collect and analyze data from each CON. This data set will be known as Data Set<br />

6. Approach USF College <strong>of</strong> Fine Arts to request assistance with developing media products<br />

7. Report to <strong>FNA</strong><br />

B. Planning Phase<br />

1. Make initial contact with AAMN and request contact with regional AAMN representatives<br />

2. Make initial contact with Johnson & Johnson, Robert Wood Johnson Foundation, and Institute <strong>of</strong> Medicine<br />

3. Develop media campaign plan<br />

a. support from USF College <strong>of</strong> Fine Arts<br />

b. to include print and video<br />

4. Develop promotional print media<br />

5. Develop CON-based action plan<br />

6. Develop action plan for college advisors<br />

7. Develop action plan for high school advisors<br />

8. Report to <strong>FNA</strong><br />

C. Intervention Phase<br />

1. Disseminate Data Set and promotional media to <strong>FNA</strong> and FCN<br />

2. Disseminate Data Set, CON-based action plan, and promotional media to CON’s via CON representatives<br />

3. Disseminate Data Set, action plan for college advisors, and promotional media to colleges<br />

4. Disseminate Data Set, action plan for high school advisors, and promotional media to high Schools<br />

5. Disseminate Data Set and promotional media to AAMN, Johnson & Johnson, hospitals, and/or other third party<br />

stakeholders, request their support<br />

6. Report to <strong>FNA</strong><br />

D. Evaluation Phase<br />

1. Request new Data Set 1 year after initial data set<br />

2. Request feedback from CON’s, colleges, high schools<br />

3. Send letters <strong>of</strong> appreciation to advisors, USF College <strong>of</strong> Fine Arts and any supportive organizations on a yearly and<br />

as needed basis<br />

4. Analyze 1 year Data Set and compare with first year’s Data Set<br />

5. Reevaluate action plan and revise if necessary (at least every 1-2 months)<br />

6. Report to <strong>FNA</strong>, FCN and any stakeholders<br />

7. Present data at <strong>FNA</strong> meeting and/or national ANA, AANP, or AAMN meeting(s)<br />

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Submitted by Deborah Hogan<br />

<strong>2015</strong> Florida Nurses Association<br />

Our Public Health Infrastructure<br />

Our Healthy People 2020 initiative provides a vision for how we can all achieve the goal <strong>of</strong> living longer, healthier lives. We<br />

depend on our public health system to help us reach these goals.<br />

For many <strong>of</strong> us, access to clean air and water is something we take for granted. We depend on our local health departments<br />

to monitor air and water quality, as well as provide epidemiological surveillance to monitor infectious disease outbreaks.<br />

Vaccines for vaccine preventable diseases are also a resource health departments provide, along with family planning and<br />

treatment for sexually transmitted diseases. Tuberculosis and HIV education and treatment are also provided, as well as<br />

initiatives to help us reach our Healthy People 2020 goals Preparedness programs are also part <strong>of</strong> the responsibility <strong>of</strong> local<br />

health units, as well as specific programs needed in each locale.!<br />

Unfortunately, these services require financial support from state and local public jurisdictions that have suffered<br />

economically in recent years. Results from a recent survey by the National Association <strong>of</strong> County and City Health Officials<br />

(NAACHO) shows that local health departments continue to be impacted by budget cuts leading to staff and program<br />

elimination.<br />

We need to be advocates for our public health services. If we are to achieve our full potential for health, we must support a<br />

public health system that seeks to decrease the impact <strong>of</strong> preventable diseases. Therefore:<br />

WHEREAS chronic disease such as heart disease, cancer and diabetes are responsible for seven out <strong>of</strong> ten deaths among<br />

Americans, each year, and account for 75% <strong>of</strong> the nation’s health spending, (Nurse.com), AND<br />

WHEREAS in spite <strong>of</strong> available preventive services such as immunizations and routine disease screenings <strong>of</strong>fered by both<br />

the public and private sectors, millions <strong>of</strong> people go without services that could protect them from disease, (Nurse.com),<br />

AND<br />

WHEREAS Americans live shorter lives and experience more injuries and illnesses than people in other high income<br />

countries (Australia, Canada, France, Japan) (National Research Council Report, 2013), AND<br />

WHEREAS 3.1% <strong>of</strong> 2.5 trillion spent on health (77.2 billion) is spent on the work <strong>of</strong> government public health agencies,<br />

which is $251 out <strong>of</strong> $8,086 spent on health overall (Institute <strong>of</strong> Medicine, 4/10/12), AND<br />

WHEREAS between July 2010 and June 2011, 55% <strong>of</strong> all local health departments made cuts to at least one program with<br />

68% <strong>of</strong> the US population living in one <strong>of</strong> those affected jurisdictions (NalbothNewsbrief, 2012), AND<br />

WHEREAS many local health departments struggle to retain skilled staff due to low wages and morale (Nalboth<br />

Newsbrief, 2012), AND<br />

WHEREAS since 2008, local health departments throughout the nation have shed 34,400 employees, loosing three times as<br />

many staff as they gained (Nalboth Newsbrief, 2012), AND<br />

WHEREAS nearly half (45% <strong>of</strong> al local health departments reported a lower budget this fiscal year compared to last, and<br />

52% expect more reductions in the next fiscal year (Nalboth Newsbrief, 2012), AND<br />

WHEREAS Florida experienced the third highest percentage ( 72%) <strong>of</strong> budget cuts from 2012-2013 (NACCHO survey, 2013),<br />

AND<br />

WHEREAS the trend in Florida in average turnover rates for nurses in public health has increased from 2009 to 2013<br />

(Florida Center for Nursing Survey, 2013), AND<br />

WHEREAS the estimated statewide growth in public health nursing positions in Florida is among the lowest <strong>of</strong> all<br />

practice settings in the state (Florida Center for Nursing Survey, 2013), AND<br />

WHEREAS the projected growth in Florida for RN’s in public health in 2013 was at “13”, the lowest <strong>of</strong> all specialty<br />

positions (Florida Center for Nursing Survey, 2013),<br />

51


<strong>2015</strong> Florida Nurses Association<br />

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52


BE IT RESOLVED, that the Florida Nurses Association<br />

<strong>2015</strong> Florida Nurses Association<br />

1. Will provide ongoing education to applicable agencies/programs regarding concerns associated with decreased<br />

public health staffing, and its effect on the health <strong>of</strong> the citizens <strong>of</strong> the state <strong>of</strong> Florida, and<br />

2. Work with other organizations to increase awareness <strong>of</strong> the effects <strong>of</strong> decrease public health resources on the<br />

health <strong>of</strong> the citizens <strong>of</strong> Florida, and<br />

3. Continue to work with its Health Care Pr<strong>of</strong>essionals ( HCP) Bargaining Unit through lobbying efforts to support<br />

state employees’ issues.<br />

Costs to <strong>FNA</strong> – Since <strong>FNA</strong> already has membership funding from the HCP, education is the only expenditure.<br />

Resources:<br />

Florida Center for Nursing, Florida center for Nursing’s 2013 Statewide Nurse Employer Survey:<br />

Institute <strong>of</strong> Medicine, Committee on Public Health Strategies to Improve Health, Public Release, April 10, 2012.<br />

National Research Council, http://cdc.gov/nchs/data/dvs/2011_Final_Mortality_Data_Release.pdf<br />

NACCHO, National Association <strong>of</strong> County and City Health Officials, www.naccho.org/lhdbudget.<br />

Nalboth Newsbrief, “ Naccho’s Survey Reveals Continued Cuts at Local Health Departments,” 1st Quarter/2012, Volume 19,<br />

issue 1, pg. 6-7.<br />

53


<strong>2015</strong> Florida Nurses Association<br />

Membership Assembly Report<br />

<strong>FNA</strong> held a collaborative session at the <strong>FNA</strong> Membership Assembly prior to the Official Business Meeting <strong>of</strong> the Assembly.<br />

The purpose <strong>of</strong> the meeting was to glean ideas from members and students about the Future <strong>of</strong> <strong>FNA</strong>. A significant number<br />

<strong>of</strong> students were present and fully engaged in the discussion. Their feedback is included in this report.<br />

It was originally planned for four facilitated groups discussing the topics <strong>of</strong> Member Retention and Recruitment, Member<br />

Engagement, Activations <strong>of</strong> the Regions, and Entrepreneurial/Business Ideas for <strong>FNA</strong> Our time was cut short due to a visit<br />

from Gubernatorial Candidate Charlie Crist, so the group decided to choose one topic for discussion, and it was decided that<br />

Membership Retention and Recruitment and Engaging New Nurses were the most important issue to address. These were<br />

discussed simultaneously and the ideas and solutions are blended in this report.<br />

Recommendation Action Item Responsible Parties<br />

1. <strong>FNA</strong> must demonstrate the value <strong>of</strong><br />

belonging. (What’s in it for me?)<br />

2. Communicate to potential<br />

members, that if you are not<br />

involved, someone else will make<br />

changes in nursing that we may not<br />

agree with.<br />

See some <strong>of</strong> the current value as seen<br />

by participants<br />

Board and Staff<br />

• Provides mentoring and mentors<br />

(as a goal and function <strong>of</strong> the<br />

association)<br />

• Provides leadership opportunity<br />

and leadership development<br />

• Assists in integration into the<br />

pr<strong>of</strong>ession<br />

• Provides interaction with other<br />

nursing pr<strong>of</strong>essionals/Networking<br />

• Members can receive validation<br />

from colleagues<br />

• Is a place for relationship building<br />

• Face to face contact<br />

• “It’s an extension <strong>of</strong> who I am”<br />

Formalize this process in some way.<br />

Continue to develop FNLA<br />

Nominating Committee<br />

Leadership Development Committee<br />

Board <strong>of</strong> Directors<br />

Staff<br />

54


<strong>2015</strong> Florida Nurses Association<br />

How do we engage new graduates?<br />

• Visit classrooms and/or FNSA<br />

chapters<br />

Action Item<br />

(How do we actualize this?)<br />

Develop a speakers bureau for this<br />

purpose<br />

Revitalize the Pinning Ceremonies for<br />

the “FNSA to <strong>FNA</strong>” members.<br />

Develop a post card specifically for<br />

new graduates<br />

Develop a contact list <strong>of</strong> <strong>FNA</strong> members<br />

willing to engage with new grads.<br />

Place on the website with an email for<br />

contact.<br />

Responsible Party<br />

Staff<br />

• Develop a “collaborative wiki” that<br />

students/new grads can access<br />

• Develop a narrated slide show<br />

about the association. Provide to<br />

all schools for their “pr<strong>of</strong>essional<br />

issues” classes<br />

• Market the REASONS it is<br />

important to be active.<br />

• Engage and educate nursing<br />

faculty.<br />

• “Free” student day is a great<br />

strategy to expose students<br />

• Create ways to fill the “transition<br />

gap” including emotional support<br />

(mentors, “hotline”)<br />

• Communicate the connection<br />

between involvement and change<br />

for nurses<br />

• Create a forum to connect with<br />

faculty and program deans and<br />

directors<br />

• Make sure RN-BSN students know<br />

about the discounted/Free FNSA<br />

membership.<br />

• Find the “point <strong>of</strong> contact” for and<br />

market to RN to BSN students<br />

• Continue the exposure to <strong>FNA</strong><br />

Activities<br />

• Engage and connect to more new<br />

grads during the transition from<br />

schools to practice<br />

• Communicate the LEGACY <strong>of</strong><br />

Nursing Royalty ( refers to the<br />

Awards Ceremony<br />

Review current powerpoints and<br />

update and distribute<br />

Membership Powerpoints<br />

Legislative History Powerpoints<br />

Written legislative history(Jan Hess)<br />

Develop a Lesson Plan<br />

Develop new materials, palm cards,<br />

targeted applications, faculty,<br />

undergrad and grad students<br />

Faculty Award- Faculty Membership<br />

Pilot<br />

Continue this practice with options for<br />

students to participate<br />

Develop an RN-BSN Application and a<br />

Graduate Student Application<br />

Membership Committee with Staff<br />

Volunteers<br />

Membership Committee/Staff<br />

Board/Staff<br />

55


<strong>2015</strong> Florida Nurses Association<br />

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56


• Promote the “balance”/respite<br />

<strong>FNA</strong> activities provide in the<br />

pr<strong>of</strong>essional sphere. Members come<br />

to <strong>FNA</strong> events to debrief and relax.<br />

• Target older students.<br />

• Challenge Deans and Directors and<br />

Chief Nursing Officers regarding<br />

membership for Faculty, students<br />

and staff<br />

Immediate new member contact with<br />

opportunities for involvement<br />

Utilize Clinical Ladders by marketing<br />

<strong>FNA</strong> as the pr<strong>of</strong>essional association<br />

Get pasts the lists and develop a goaloriented<br />

ACTION PLAN!<br />

Overarching Recommendation:<br />

• Form a task force to address these recommendations.<br />

<strong>2015</strong> Florida Nurses Association<br />

Re-vitalize the award for schools with<br />

the highest number <strong>of</strong> members<br />

Could existing Membership Committee do this with additional volunteer members who are interested in the different<br />

aspects <strong>of</strong> a coordinated plan?<br />

57


<strong>2015</strong> Florida Nurses Association<br />

<strong>Reports</strong> <strong>of</strong> the <strong>2015</strong> Board <strong>of</strong> Directors<br />

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

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

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

Monte Bean, Secretary<br />

Linda Howe, Treasurer<br />

Deborah Hogan, RN, MSN<br />

Doreen Perez MS RN-BC<br />

Marsha Martin, RN, CCRN, Board Member<br />

Susan Hartranft, PhD, ARNP<br />

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

Denise McNulty, DNP, MSN, ARNP<br />

Patricia Posey Goodwin, EdD, MSN<br />

Jill Tahmooressi, RN, MSN<br />

Marsha Martin, RN, CCRN, - LERC Liaison<br />

Ann Guiberson, CAE, RP, CEO, Parliamentarian<br />

58


Dear friends and colleagues,<br />

<strong>2015</strong> Florida Nurses Association<br />

Membership Assembly Report <strong>2015</strong><br />

Ed Briggs, DNP, ARNP-C<br />

President<br />

When I assumed the Presidency <strong>of</strong> the Florida Nurses Association in 2013 it was my personal goal to advance our<br />

association and our pr<strong>of</strong>ession, to work towards improving healthcare delivery in our state; and to ensure the longevity <strong>of</strong><br />

this association.<br />

Over the course <strong>of</strong> the two years we have faced many challenges and obstacles to achieving our goals, but we have largely<br />

advanced the mission and goals <strong>of</strong> this association. We have not succeeded in achieving all <strong>of</strong> our objectives, but the<br />

association is now on a trajectory towards success that I am sure the next board will further advance.<br />

Key advances we have seen over the last two years have included:<br />

1. INCREASING MEMBER INVOLVEMENT WITHIN THE ASSOCIATON<br />

a. During the course <strong>of</strong> the last two years we have eliminated programs that were not meeting the needs <strong>of</strong> our<br />

members and focused on programs that were member priorities. These efforts included strengthening the<br />

HEALTH POLICY SPECIAL INTEREST GROUP (SIG), THE NEW GRADUATE SIG, THE EBOLA TASK FORCE<br />

and the CLINICAL NURSE SPECIALIST SIG.<br />

b. Initiated quarterly “chat” sessions with the president to allow members the opportunity to give feedback and<br />

suggestions to the governing board <strong>of</strong> the <strong>FNA</strong>.<br />

c. Initiated increased use <strong>of</strong> social media to improve communications with association members and advance<br />

community outreach<br />

d. Actively sought the participation <strong>of</strong> new graduates and student nurses in multiple association operations and<br />

events.<br />

2. INCREASING THE VISIBILITY OF THE ASSOCIATION WITHIN OUR COMMUNITIES<br />

a. Attended and participated in non-nursing, community leadership focused events with community, corporate<br />

and policy leaders including the annual TAXWATCH Summit, the SAYFIE REVIEW and other communitybased<br />

events. From this we have witnessed policy leaders and the media reaching out to your association for<br />

our insight.<br />

b. Participated in public relations events across the state to advance <strong>FNA</strong>’s mission and vision and to inform or<br />

educate the community<br />

c. Participated in several non-nursing coalitions working to improve healthcare delivery in our state.<br />

d. Become a participating member in the Florida CHAIN, a coalition <strong>of</strong> associations dedicated to improving access<br />

to healthcare across our state.<br />

3. STRENGTHENING RELATIONSHIPS WITHIN THE NURSING COMMUNITY<br />

a. The staff and governing board actively participated with nursing coalitions including the Florida Coalition <strong>of</strong><br />

Advanced Practice Nurses, The QUIN (Quality and Unity In Nursing) Council and the Florida Nurses Student<br />

Association to advance our pr<strong>of</strong>ession.<br />

b. <strong>FNA</strong> has renewed informal and formal meetings with various nursing associations across the state to <strong>of</strong>fer our<br />

support and coordinate strategies. This is most visible with the recent South Florida meeting with multiple<br />

ethnic nursing associations.<br />

c. Provide speakers and resources to nursing conferences and meetings across the state.<br />

4. PRIORITIZING NURSING WORKFORCE CONCERNS<br />

a. To meet the needs <strong>of</strong> the nursing workforce <strong>FNA</strong> has revitalized its SAFE STAFFING TASK FORCE, developed a<br />

WORK PLACE VIOLENCE TASK FORCE, and initiated efforts to advance research looking at safe nurse staffing.<br />

b. Developed and found sponsors for Safe Nurse Staffing Legislation.<br />

5. ADVANCING SCOPE OF PRACTICE LEGISLATION<br />

a. Actively participated on every level to lift unnecessary restrictions on nursing practice. These efforts were most<br />

notable as legislation to enable nurse practitioners to prescribe controlled substances has advanced further then<br />

ever before!<br />

b. Gained the ability for psychiatric nurse practitioners to initiate Baker Acts within our state.<br />

6. INCREASING GRASSROOTS ACTIVISM AMONG NURSES<br />

a. In <strong>2015</strong> the Florida Nurses Association held one <strong>of</strong> its most successful Nurse Advocacy Days (formerly LOBBY<br />

DAYS) with members visiting legislators in Tallahassee and educating them in key nursing issues.<br />

b. Initiated the <strong>FNA</strong>4Action campaign. This grassroots community outreach and education program works to<br />

59


<strong>2015</strong> Florida Nurses Association<br />

empower nurses to influence health policy decisions on every level. Consistent with this <strong>FNA</strong> developed the<br />

website http://www.<strong>FNA</strong>4Action.com.<br />

7. INITIATING EFFORTS TO ENSURE THE LONGEVITY OF THE ASSOCIATION<br />

a. Modified budget projections and planning to be based on actual membership and revenue trends.<br />

b. Investigate possible pilot membership programs to increase membership.<br />

c. Continue to provide special new graduate membership programs.<br />

These advances were the result <strong>of</strong> the dedication and hard work <strong>of</strong> your executive director and staff <strong>of</strong> <strong>FNA</strong>, the governing<br />

board, our lobbyists and dedicated members like you. With the growing energy and enthusiasm I have witnessed over the<br />

course <strong>of</strong> the last two years I feel confident that your association is on solid ground and will continue to grow and thrive for<br />

decades to come.<br />

I want to thank you for the honor <strong>of</strong> serving as your president. It has been a great privilege to meet the many wonderful<br />

nurses across the state and to witness first hand the many great contributions our pr<strong>of</strong>ession has made to improve the<br />

health <strong>of</strong> our state.<br />

And I look forward to continuing to serve our pr<strong>of</strong>ession and community in whatever capacity I can serve.<br />

I also want to personally thank the governing board, Willa Fuller and Leah Kinnaird for their support and advice over the<br />

last two years. We made a great team.<br />

Sincerely,<br />

Ed<br />

Leah Kinnaird<br />

President Elect<br />

Membership Assembly Report <strong>2015</strong><br />

Leah S. Kinnaird, EdD, RN<br />

President Elect<br />

Congratulations to so many members <strong>of</strong> <strong>FNA</strong> who have volunteered to promote nursing through various avenues this past<br />

year. My contributions have focused around these issues:<br />

• Continued efforts both locally and in Tallahassee to help Florida legislators understand how ARNPs (in Florida) or<br />

APRNs (in other states) can better serve healthcare needs, whether through prescribing authority or full practice<br />

authority. <strong>FNA</strong> Advocacy Days are a great example <strong>of</strong> how nurses are more and more involved.<br />

• Development <strong>of</strong> a partnership with the Community Health Worker Coalition which is an avenue for <strong>FNA</strong> to gain support<br />

for our issues, while we learn how CHWs can serve with community health activities.<br />

• Continued support for the Health Policy Special Interest Group which has <strong>of</strong>fered webinars for education and<br />

conference calls for dialogue around policy issues.<br />

• Avid interest in mentoring new nurses and pleased to have a mentee (Pamela Delano) through <strong>FNA</strong>’s Leadership<br />

Academy. <strong>FNA</strong> has a bright future when we recognize the talent moving forward.<br />

• A desire for each <strong>of</strong> the eight <strong>FNA</strong> regions to grow, where there are face-to-face opportunities for networking and<br />

pr<strong>of</strong>essional support. <strong>FNA</strong> can embrace and learn from the ethnically diverse nurses within Florida and remain open<br />

to partnerships with specialty nursing organizations in mutually successful ways. South Region, through the efforts <strong>of</strong><br />

Director Jill Tahmooressi, is taking the lead.<br />

• A continued concern for staffing issues, serving as the chair <strong>of</strong> the research subcommittee <strong>of</strong> the Staffing Task Force,<br />

whereby we are positioned to make sound decisions regarding recommendations for legislation.<br />

• Participation with ANA at the annual membership assembly in Washington, giving <strong>FNA</strong> the chance to move a reference<br />

proposal forward regarding ethics based on Florida’s recent history/infamy in our prison system. Ed Briggs presented<br />

the proposal, Willa Fuller and I helped pull it together...all <strong>of</strong> which was based on Debbie Hogan’s (Southeast Region<br />

Director) passion for the health <strong>of</strong> all Floridians. Ed Briggs will be chair <strong>of</strong> the Nomination and Elections Committee <strong>of</strong><br />

ANA 2016.<br />

60


<strong>2015</strong> Florida Nurses Association<br />

During this second year as president elect, I have attended all Board meetings, participated in conference calls providing<br />

background support, edited documents, taken meeting minutes, and given assistance in whatever form required. I want to<br />

thank President Briggs and Executive Director Fuller for including me on a regular basis in the business <strong>of</strong> the organization<br />

and extend appreciation to all <strong>of</strong> you who have stepped up with enthusiasm as dedicated pr<strong>of</strong>essional nurses.<br />

Barbara Russell<br />

Vice President<br />

I have completed my first two year term as Vice President (VP) and continue to find it to be a very exhilarating and excitng<br />

time to be active in my pr<strong>of</strong>essional nursing organization. My major charge as VP is to serve as Chair <strong>of</strong> the Membership<br />

Committee. Last year I mentioned we need everybody’s help and encourage you each to bring in new members and/or talk to<br />

colleagues who have not renewed to renew. I want to thank those <strong>of</strong> you who were successful in bringing new members into<br />

<strong>FNA</strong>. I particularly want to thank Board member Shirley Hill who spent several hours in the <strong>of</strong>fice calling members who<br />

had not renewed their membership and was successful in getting several to renew. Here is to continued success in 2016.<br />

In addition to attending and participating in all Board meetings I once again had the opportunity to be part <strong>of</strong> the<br />

Leadership Council <strong>of</strong> my home region “The South Region”. We held a fall membership meeting which included a large<br />

number <strong>of</strong> students. The South Region held its fifth Annual Florida Nurses Association South Region Symposium and<br />

Awards Ceremony. We are currently planning our fall meeting and looking forward to our sixth annual Spring Symposium.<br />

Other <strong>FNA</strong> activities I have participated in over the past year include speaking at the 2014 Membership Assembly and<br />

working with a task force on Ebola preparation.<br />

The highlight <strong>of</strong> my <strong>FNA</strong> year was being inducted into the <strong>FNA</strong> Hall <strong>of</strong> Fame. What an honor!!!<br />

Thank you for the privilege <strong>of</strong> allowing me to continue to be a part <strong>of</strong> <strong>FNA</strong> leadership and the rewarding personal and<br />

pr<strong>of</strong>essional growth opportunities.<br />

Linda Howe<br />

Treasurer<br />

As treasurer I have reviewed the financial reports each month. This is still a challenging time, but we have managed to<br />

stay about even. The investments were reviewed to make sure there were no stocks in companies that are in conflict with<br />

nursing values and teachings, e.g. Tobacco or alcohol. I also gave my opinion on some possible benefits to members making<br />

sure the membership would be safeguarded in regards to financial stability. In the future there may need to be some tough<br />

decisions, but for now, the staff are managing to maintain service and do it on a tight budget. A complete financial report<br />

will be presented at the business meeting during the Membership Assembly.<br />

Deborah Hogan<br />

Southeast Region<br />

This past year, based on our monthly telephone calls, we were able to plan some very exciting meetings. In October, we<br />

organized a state-wide webinar entitled, “Preparing for Ebola,” with our expert speaker, Barbara Russell. January was very<br />

busy, with the airing <strong>of</strong> the ANA movie both in Port St. Lucy and in West Palm Beach (1/19/15 and 1/26/15), followed by our<br />

“Nurses’ Legislative Forum” at Keiser University on 1/15/15. Our last face to face meeting was our “Nursing Ethics Program”<br />

with speaker Jill Winland Brown on 5/7/15 at FAU.<br />

We hope to have our next meeting at the Membership Assembly in September. Please join us as we plan for next year!<br />

61


<strong>2015</strong> Florida Nurses Association<br />

Doreen Perez, MS, RN-BC<br />

Northeast Region Director<br />

The North East Region <strong>of</strong> Florida Nurses Association, Director resigned in May <strong>2015</strong>, a new director (Doreen Perez) was<br />

appointed by President Ed Briggs. The leadership team met and set new goals for the remaining <strong>of</strong> the year and on July 18,<br />

<strong>2015</strong>,<br />

North East region <strong>of</strong> Florida Nurses Association presented an educational program at the University <strong>of</strong> North Florida. Thirty<br />

eight (38) nurses attended. The presentations included: Laura Brown: “Nursing Ethics”, Mary Nason: “Evidenced Based<br />

Practice”, Linda Connelly: “Updated BON Regulations.”<br />

The program was rated excellent by the majority <strong>of</strong> the attendees and in addition to the presentations, the nurses had an<br />

opportunity to discuss membership benefits in <strong>FNA</strong> and ANA. Several <strong>of</strong> the nurses volunteered to become active in our<br />

region and a few <strong>of</strong> the non-members expressed an interest in becoming members. The NE Region will continue to <strong>of</strong>fer<br />

these types <strong>of</strong> events to continue to support nursing education and encourage members to be active in our region.<br />

Marsha Martin<br />

North Central Region<br />

The North Central Region repeated the wonderful Region Meeting in April. It was arranged and hosted by the Suwanee<br />

River Chapter and as usual they did an awesome job. We are in discussion about changing the venue this next year.<br />

We are also looking for any suggestions or ideas for events and activities that we can do this coming year.<br />

Susan Hartranft<br />

West Central Region<br />

The West Central Region was well represented at the 2014 Membership assembly. Several members were actively involved<br />

speaking in the Assembly business meeting, one member authored a reference proposal and one member led the Bylaws<br />

Committee.<br />

The West Central Region annually hosts a legislative forum. This year, the schedule <strong>of</strong> committee meetings made<br />

scheduling the forum impossible. However in its place the region sponsored a Candidate Forum October 1 in St Petersburg.<br />

The forum was well attended by nurses and the general public.<br />

In January we sponsored a showing <strong>of</strong> The American Nurse. This documentary follows five nurses in various practice<br />

specialties. Through the lives <strong>of</strong> the featured nurses it allows the viewer to explore some <strong>of</strong> the bigger issues facing the US.<br />

It is a must see for nurses and non-nurses alike.<br />

Choosing Wisely 50 tests and treatments to avoid was the topic <strong>of</strong> a continuing education program. Ed Briggs presented the<br />

program in March.<br />

Nurse’s week festivities included another showing <strong>of</strong> The American nurse. In addition we had our traditional Night<br />

at the Rays game. This has become an annual event with the Rays where they recognize nurses during nurse’s week.<br />

Unfortunately we had to cancel our planned continuing education day due low number <strong>of</strong> registrants.<br />

In June I had the opportunity to represent <strong>FNA</strong> at the pinning ceremony for the University <strong>of</strong> Tampa. The students were<br />

excited and eager to begin their practice. It took me back many (many) years to my graduation and early years in this<br />

marvelous career <strong>of</strong> nursing.<br />

It’s been an honor to serve as the West Central Region Director the last 4 years. I welcome our new director and look<br />

forward to the new ideas and activities she/he may bring to the region.<br />

Best Wishes All<br />

Sue<br />

62


<strong>2015</strong> Florida Nurses Association<br />

Shirley Hill<br />

East Central Region<br />

It has been a privilege to serve on the Board <strong>of</strong> Directors as the East Central Regional Director the past 4 years. During my<br />

25+ years with <strong>FNA</strong>, I have participated in many activities and have learned a great deal about the organization. <strong>FNA</strong><br />

represents all pr<strong>of</strong>essional nurses in all aspects <strong>of</strong> nursing.<br />

During tenure we have had quarterly meetings at <strong>FNA</strong> headquarters in Orlando with excellent speakers for Continuing<br />

Education and networking among nurses and nursing students. I would like to express my gratitude to Marti Hanuschik,<br />

RN for arranging these meetings. This past month with the help <strong>of</strong> Brevard County Member Willie Spaulding we had a very<br />

successful meeting in Melbourne for members in that area. I continue to encourage members in all counties <strong>of</strong> the region<br />

to become involved and assist in planning meetings for your areas. I am committed to our members and strive to increase<br />

membership at every opportunity. During the past few months I’ve made over 500 calls to members who did not renew and<br />

students not renewing after their free year. Many were appreciative <strong>of</strong> the call because they thought they were automatically<br />

renewed yearly. Several renewed their membership.<br />

I am in the process <strong>of</strong> scheduling a meeting in July and August with speakers for both events.<br />

Denise McNulty<br />

Southwest Region<br />

Florida Nurses Association - Southwest Region<br />

Collier County Nurses Chapter and Royal Palm Coast Chapter<br />

September 2013-September 2014<br />

Submitted by: Denise McNulty, DNP, MSN, RN-BC, ARNP<br />

Regional Director, Southwest<br />

We have two Chapters within the Southwest Region – the Collier County Nurses Chapter and the Royal Palm Coast<br />

Chapter. It has been a very active year for our Region!<br />

On September 18, 2013, the <strong>FNA</strong> Southwest Region Royal Palm Coast Chapter hosted a dinner meeting for Members and<br />

guests at the Edison Restaurant in Fort Myers. Dr. Jeffrey Levenson, MD presented “Nurses: The Burden <strong>of</strong> Clostridium<br />

Difficile – DIFICID to the rescue!” Representative Heather Fitzenhagen, District 78, addressed the audience. Seventy nurses<br />

attended.<br />

On September 20 and 21, 2013, several <strong>FNA</strong> Southwest Region Members attended the <strong>FNA</strong> Membership Assembly in<br />

Orlando to represent our Region.<br />

On January 30, 2014, the <strong>FNA</strong> Collier County Nurses Chapter hosted a dinner meeting for Members and Guests at Avow<br />

Hospice in Naples. Dr. Susan Hassmiller, Robert Wood Johnson Foundation, presented an update on the Future <strong>of</strong> Nursing<br />

initiative. One hundred nurses attended.<br />

On February 5, 2014, Dr. Denise McNulty presented at the Greater Naples Leadership Masters meeting held at the NCH<br />

Healthcare System in Naples. Her presentation was entitled: “Nurse Practitioners and the Future <strong>of</strong> Nursing”.<br />

On February 24-28 and March 3-7, 2014, <strong>FNA</strong> Southwest Region co-sponsored four seminars with Harvard Medical School<br />

at the Naples Beach Hotel in Naples. Several <strong>FNA</strong> Members attended. Fifteen contact hours were awarded.<br />

On March 20, 2014, Dr. Denise McNulty presented a webinar for Nurse.com entitled: “Which Doctorate Do I Choose?<br />

Differences Between Research-Focused and Practice-Focused Nursing Doctoral Education”. <strong>FNA</strong> Southwest Region was<br />

highlighted in the introduction.<br />

On May 7, 2014, the <strong>FNA</strong> Southwest Region hosted a dinner meeting for Members and guests in honor <strong>of</strong> National Nurses<br />

Week. The dinner was held at Moorings Park in Naples. Brenda Iliff, Executive Director <strong>of</strong> Hazelden Betty Ford Florida,<br />

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<strong>2015</strong> Florida Nurses Association<br />

presented “SW FL Nurses: Oxycodone and Other Opiates Beyond Heroin…The Reality <strong>of</strong> This Problem in Our Community”<br />

followed by “A Special Treat for Nurses Week: Using Essential Oils for Healing and Balance!” presented by <strong>FNA</strong> Members,<br />

Dr. Lauren Corder and Jose Castillo. Over one hundred nurses attended.<br />

On June 5, 2014, the <strong>FNA</strong> Southwest Region Royal Palm Coast Chapter hosted a dinner meeting for Members and guests<br />

at the Edison Restaurant in Fort Myers. Dr. Todd Broder, MD presented “The Reality <strong>of</strong> Chronic Mental Illness in Our<br />

Community: Important Information for SW FL Nurses Regarding Treatment <strong>of</strong> a Challenging Disorder – Schizophrenia”.<br />

Sixty nurses attended.<br />

We would like to thank all <strong>of</strong> our loyal Members in Lee, Charlotte, Hendry, Glades, and Collier Counties for their continued<br />

support. Without our Members, we would not have a Southwest Region.<br />

Our Region is fortunate to have two local Chapters who work well together in providing opportunities for our Members<br />

with a focus on networking, pr<strong>of</strong>essional development, and membership development. Our Region is planning to host a<br />

dinner meeting this fall in Naples and one in the spring in Fort Myers.<br />

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

South Region<br />

The South Region conducted the 5th Annual South Region, Florida Nurses Association Symposium and Awards Ceremony<br />

on April 11, <strong>2015</strong> in Davie Florida with 300+ registered nurses and nursing students. The Symposium <strong>of</strong>fered a value<br />

packed experience with 25 vendors in attendance, 35 peer-reviewed scientific research, evidence based practice and review<br />

<strong>of</strong> the literature posters, net-working, scholarships, awards and a two hour content hour presentation. The Key note address<br />

“Translating Magnet Standards into Practice: Enhancing the Work Environment through Service-Academic Partnerships”<br />

by Mary Jo Assi, DNP, RN, NEA-BC, FNP- BC, Director <strong>of</strong> Nursing Practice and Work Environment, American Nurses<br />

Association was followed by a panel contribution by Lynne M. Dunphy, PhD, APRN, FAAN, The Christine E. Lynn College <strong>of</strong><br />

Nursing Florida Atlantic University, Beverly M. Fray, RN, MSN, PHCNS-BC , Jackson Health System, Amy Pettigrew, PhD, RN,<br />

CNE, ANEF, Dean, Benjamin Leon School <strong>of</strong> Nursing Miami Dade College & Leah Kinnaird, EdD, RN, President Elect, Florida<br />

Nurses Association.<br />

Florida Nurses Association President, Edward Briggs, DNP, MS, ARNP, FNP, address the participants as well as the<br />

voluntary South Region Leadership Council served in contributing roles resulting in an extraordinary day <strong>of</strong> nursing pride<br />

and pr<strong>of</strong>essionalism:<br />

South Region <strong>FNA</strong><br />

Voluntary Leadership Council<br />

Alina Diaz-Cruz, MSN, RN, Member <strong>of</strong> South Region <strong>FNA</strong> Awards Selection Committee<br />

Peggy Davis, DHSc, MSN, MEd, RN, Member <strong>of</strong> South Region <strong>FNA</strong> Awards Selection, Poster & Scholarship Committees<br />

Ann-Lynn Denker, PhD, ARNP, Chair South Region <strong>FNA</strong> autumn Advocacy- Health Policy event<br />

Marie Etienne, DNP, ARNP, PLNC, Member <strong>of</strong> South Region <strong>FNA</strong> Program Selection Committee<br />

Sheree Mundy, MSN, BSc, ARNP, Member <strong>of</strong> South Region <strong>FNA</strong> Awards Selection Committee<br />

Steadley Foster, MSN/Ed., FNP, Chair <strong>of</strong> South Region <strong>FNA</strong> Program Selection Committee<br />

Debra Hain, PhD, ARNP, AGNP-BC, FAANP, South Region <strong>FNA</strong> Legislative Liaison & Chair <strong>of</strong> South Region <strong>FNA</strong> Poster<br />

Selection Committee<br />

Leah Kinnaird, EdD, RN President Elect <strong>FNA</strong>, Chair South Region <strong>FNA</strong> Vendor Committee<br />

Lolita McCarthy, PhD, MBA-HCM, RN, Member <strong>of</strong> South Region <strong>FNA</strong> Awards Selection Committee<br />

Patricia R. Messmer, PhD, RN-BC, FAAN, Chair The Nurses Charitable Trust, Chair Florida Nurses Foundation & Member <strong>of</strong><br />

South Region <strong>FNA</strong> Scholarship Selection Committee<br />

Elizabeth Olafson, MSN, MSEd, RN-BC, Chair <strong>of</strong> South Region <strong>FNA</strong> Scholarship Selection Committee<br />

Carol Petrozella, MSN, MSEd, EdD, RN, Chair Contact Hour Program award<br />

Barbara Russell, BSHSA, MPH, RN, CIC Vice President <strong>FNA</strong>, Member <strong>of</strong> South Region <strong>FNA</strong> Scholarship Selection Committee<br />

Karen Sinclair, MSN, MBA, RN South Region <strong>FNA</strong> Activity Manager, Member <strong>of</strong> South Region <strong>FNA</strong> Awards Selection<br />

Committee<br />

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

Maxine Jacobowitz, BSN, RN, CPN, Chair <strong>of</strong> South Region Gifts Committee<br />

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

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<strong>2015</strong> Florida Nurses Association<br />

The keynote address was sponsored by The Nurses Charitable Trust. New this year was the announcement <strong>of</strong> a five<br />

year exclusive Gold Level Sponsorship <strong>of</strong> the South Region, Florida Nurses Association Annual Symposium and Award<br />

Ceremony by Rotation Manager.<br />

The scholarship awards presentation was funded by the following, Royce Foundation Academic Nursing Scholarships,<br />

Nurses Charitable Trust Academic Nursing Scholarship, and the Dr. Sarah Fishman Memorial Scholarships with five<br />

fortunate student recipients. The program culminated in the South Region Florida Nurses Association <strong>2015</strong> Nursing<br />

Excellence Awards:<br />

Community Action Award<br />

Recipient, Yolanda Nitti, Miami Dade College Benjamin Leon School <strong>of</strong> Nursing, Finalists: Maxine Jacobowitz, Nicklaus<br />

Children’s Hospital formally Miami Children’s Hospital & Mureen L. Shaw, Barry University College <strong>of</strong> Nursing and Health<br />

Sciences.<br />

Registered Nurse Practice Award<br />

Recipient, Emily Zubiria, Nicklaus Children’s Hospital formally Miami Children’s Hospital, Finalists: Marlene Cuellar,<br />

Nicklaus Children’s Hospital formally Miami Children’s Hospital, Melissa Gomez, Doctors Hospital Baptist Health South<br />

Florida & Marjorie Lozama, Coventry Worker’s Compensation Services.<br />

Nursing Leader Administration/ Academia Award<br />

Recipient, Deborah Hill-Rodriguez, Nicklaus Children’s Hospital formally Miami Children’s Hospital<br />

Advanced Practice Nursing Award<br />

Recipients, Katty Guevara, Doctors Hospital Baptist Health South Florida & Debra Hain, Cleveland Clinic Florida<br />

Consultant/ Florida Atlantic University, Finalist, Mutessa Murra, West Kendall Baptist Hospital Baptist Health South<br />

Florida<br />

Nurse Educator Award<br />

Recipients, Claudette Chin, Barry University College <strong>of</strong> Nursing and Health Sciences & Andres Caiaffa, Miami Dade College<br />

Benjamin Leon School <strong>of</strong> Nursing, Finalists, Triffina Brown, Broward Health Medical Center, Anne Dahnke, Florida Atlantic<br />

University, Elena Ortega, Nicklaus Children’s Hospital formally Miami Children’s Hospital<br />

Nurse Researcher Award<br />

Recipient, Tanya Cohn, West Kendall Baptist Hospital Baptist Health South Florida<br />

Promoting Environment for Excellence in Nursing Award<br />

Recipients, Victoria McCue, West Kendall Baptist Hospital Baptist Health South Florida, Chest Pain Clinical Decision Unit,<br />

Broward Health Medical Center, Finalist, Eva Mirtra, West Kendall Baptist Hospital Baptist Health South Florida<br />

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

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

In addition to the April symposium, the south region also hosted a reception for The American Film in February <strong>2015</strong>.<br />

Lastly, the annual Healthcare Policy and Advocacy dinner and program will once again be <strong>of</strong>fered on Columbus day, with a<br />

one hour contact program.<br />

Report submitted by: Jill Tahmooressi 2013-<strong>2015</strong> South Region Director<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>FNA</strong> Staff<br />

Willa Fuller, RN – 17 years- Executive Director since 6/11/07 – Manages the day to day operations <strong>of</strong> the association.<br />

Jeanie Demshar, Esq. – 5 years Director <strong>of</strong> Pr<strong>of</strong>essional Practice Advocacy; services the bargaining units and<br />

coordinates the legislative program.<br />

Vicki Sumagpang, RN – 3 ½ years – Director <strong>of</strong> Member Engagement<br />

Tunala Stark – 12 ½ years, <strong>Book</strong>keeper/Program Specialist for Membership<br />

Bibi Lowton – 12 years, Program Specialist for Governmental and Pr<strong>of</strong>essional Practice Advocacy<br />

Martha Tripp – 1 year & 8 months – Executive Assistant<br />

Leslie Homsted – Communications Coordinator/Membership Recruitment and Retention Specialist 20 years<br />

<strong>2015</strong> Report <strong>of</strong> the <strong>FNA</strong> Staff<br />

Every year, the Board <strong>of</strong> Directors is charged with implementing the goals and priorities as adopted by the House <strong>of</strong><br />

Delegates during the Membership Assembly. In turn, the <strong>FNA</strong> staff works in collaboration with the Board and appointed/<br />

elected committees to carry out these actions, as well as conduct the business <strong>of</strong> <strong>FNA</strong>, which continues to be a vibrant and<br />

complex association.<br />

The current board begins their terms by viewing the current strategic plan and identifying ways to continue the work<br />

begun by previous boards.<br />

Background<br />

<strong>FNA</strong> maintains a prominent position as the pr<strong>of</strong>essional association for Registered Nurses and strives to continue its role<br />

in advocating for optimal health care for our citizens and the work environment for nurses. At the same time, <strong>FNA</strong> and its<br />

affiliated arm - such as the Florida Nurses Foundation (FNF) and the Florida Nurses Political Action Committee (FNPAC)<br />

represent a large business entity. As such, <strong>FNA</strong> has to abide by Internal Revenue Services (IRS) guidelines for a not-for-pr<strong>of</strong>it<br />

501(C) 6 (<strong>FNA</strong> and its /units fall under the category <strong>of</strong> “like businesses,” meaning that membership criteria is limited to<br />

registered nurses). In addition, <strong>FNA</strong> is registered in Florida and nationally as a labor organization and must abide by those<br />

rules and regulations. <strong>FNA</strong> operates with Regions that are coordinated or overseen by 8 elected Region Directors who along<br />

with the Executive Committee comprise the <strong>FNA</strong> Board <strong>of</strong> Directors. This structure, which was a pivotal change made<br />

by the 2009 (and final) House <strong>of</strong> Delegates continues to evolve with growth in activities from both the Regions and some<br />

Special Interest Groups.<br />

The Florida Nurses Foundation was established by <strong>FNA</strong> leadership in 1983 and is designated by the IRS as a 501(C) 3. This<br />

category is under the not-for-pr<strong>of</strong>it code that differs from <strong>FNA</strong> in that it is recognized as a public charitable organization<br />

that can utilize its funds to assist nurses. FNF funds provide grants for scholarships, research projects and temporary<br />

assistance for nurses in need. Contributions to FNF are tax deductible whereas <strong>FNA</strong> dues are eligible for deduction only<br />

IF you itemize your annual tax return. FNPAC, as the political arm <strong>of</strong> the Association, must comply with Florida election<br />

laws, which includes routine reporting <strong>of</strong> contributions and expenses, in addition to submitting an annual report to the<br />

IRS. Of course, <strong>FNA</strong> also has obligations as a constituent member <strong>of</strong> the American Nurses Association (ANA) and the new<br />

structural entities, as well as our regions and units.<br />

<strong>FNA</strong> continues to believe that nurses should have one organization that speaks in a unified voice for all <strong>of</strong> nursing. <strong>FNA</strong><br />

recognizes the diversity <strong>of</strong> the nursing workforce, supporting nurses’ differences, but is keenly aware that a unified voice<br />

is essential to be able to effect positive change in the current highly charged and highly competitive environment. Recently<br />

these challenges have increased with heightened focus on the medical community in scope <strong>of</strong> practice issues. The recent<br />

Institute <strong>of</strong> Medicine Report has also drawn attention to the need for nurses to be able to practice to the full scope <strong>of</strong> their<br />

education and experience. <strong>FNA</strong> has representation on the Florida Action Coalition (FL-AC) which is the entity that is<br />

working to implement the recommendations <strong>of</strong> the report. We also maintain a close relationship with the Florida Center for<br />

Nursing which is one <strong>of</strong> the Co-Leads <strong>of</strong> the FL-AC.<br />

With the work <strong>of</strong> dedicated, creative and innovative volunteers, <strong>FNA</strong> can change the workplace for nurses and the health<br />

care environment for the patients served. Recent work with QUIN Council and with the Florida Coalition <strong>of</strong> Advanced<br />

Practice Nurses continues to enhance collaborative networking among other organizations. <strong>FNA</strong> continues to participate<br />

with QUIN and the Coalition on a regular basis. Most recently, QUIN has formed a task force to explore transition to<br />

pr<strong>of</strong>essional practice for nurses. The Transition to Practice Task Force is still working to get a handle on this issue.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Membership<br />

Since <strong>FNA</strong> is a pr<strong>of</strong>essional association, resources and abilities to advocate for nurses are dependent upon the success <strong>of</strong><br />

recruitment and retention <strong>of</strong> members. While it is appropriate that the majority <strong>of</strong> our revenue comes from member dues,<br />

associations are experiencing a drop in membership across the board.<br />

<strong>FNA</strong> membership has been affected by many factors, including, but not limited to, impact <strong>of</strong> state employee reductions,<br />

closures and downsizing, past failure <strong>of</strong> new graduates to join the association (this is on the upswing), retirement <strong>of</strong><br />

nurses who do not renew, and the current challenging economy. The Membership Committee, along with <strong>FNA</strong> staff, works<br />

diligently to implement strategies as outlined in their report. In addition, the Board has been supportive <strong>of</strong> approving new<br />

sources <strong>of</strong> non-dues revenue. The current Membership Committee has made several recommendations for membership<br />

recruitment in the upcoming months including a phone campaign to recoup deleted members and a post card campaign<br />

with personalized messaging, We have also revived the Star Campaign. This one on one member recruitment initiative was<br />

very effective in the past. One board member, Shirley Hill, actually made 500 calls to new members and was able to reclaim<br />

several members. It is noteworthy that a significant number were not aware their membership had lapsed. In another<br />

membership strategy, we sent a post-card with a photo <strong>of</strong> the faculty member who recruited them included in a personal<br />

message. This board member, Linda Howe, had the greatest number <strong>of</strong> new graduates to renew after the free year. This<br />

shows the effectiveness <strong>of</strong> more aggressive membership acquisition efforts.<br />

Additional <strong>2015</strong> Membership Initiatives include:<br />

• New text service for renewals and for regaining deleted members.<br />

• Continuation <strong>of</strong> Birthday emails to each <strong>FNA</strong> member as a retention strategy;<br />

• A “You’ve Been Spotted” initiative to invite nurses who have won awards or demonstrated other accomplishments to<br />

join the pr<strong>of</strong>essional association<br />

• Four touch points <strong>of</strong> renewal for each <strong>FNA</strong> member (two mailings an email and a new text renewal notification);<br />

• Handwritten notes to members on renewals;<br />

• A revised new membership packet sent electronically to each new member (pending);<br />

• Membership recruitment emails and texts to students lists provided by ANA;<br />

• A special email blast promotion to all deleted new grad members from the past two years with revised marketing<br />

materials<br />

• A social networking presence on Facebook, Twitter, Linked In and YouTube;<br />

• Our own social networking community on Yammer<br />

• Membership recruitment contests and incentives;<br />

• FNSA consultant communication and incentives;<br />

• Promotion <strong>of</strong> State Only Membership to get people to “try us on for size”<br />

• Past FNSA member communication;<br />

• Newly designed renewal envelopes to stand out in mailboxes;<br />

• Presence at specialty nurse organization events;<br />

• Invitation to previously deleted members to re-join <strong>FNA</strong>;<br />

• Consistent member communication about <strong>FNA</strong> programs;<br />

• <strong>FNA</strong> presence at student RN programs and graduations;<br />

• Quarterly publication <strong>of</strong> New Grad Gazette to deans/directors, members and students;<br />

• Close relationship with FNSA, as well as submitting articles in the FNSA publication, The Hotline;<br />

• First year free membership for all FNSA new graduates and ½ <strong>of</strong>f for all first year renewals (FNSA graduates receive<br />

another special email to remind them <strong>of</strong> their first year renewal price); additionally we have extended the monthly<br />

payment option to this reduced rate;<br />

• FNSA liaison positions on <strong>FNA</strong> board and committees to provide mentorship and exposure to the pr<strong>of</strong>essional<br />

organization.<br />

• ADP option for FNSA new graduates that can be applied over one or two years;<br />

• ADP Option for new non-FNSA new grads <strong>of</strong> reduced membership with the monthly deduction option<br />

• Recruitment and continuing education meetings across the state for bargaining unit members;<br />

• Special Interest Groups<br />

• Combined Nursing Research Conference and Nurses Retreat<br />

• Online <strong>FNA</strong> Career Center and job placement assistance.<br />

We are currently in the process <strong>of</strong> developing a targeted campaign for nurse faculty to stress the importance <strong>of</strong> educators as<br />

mentors. We continue to work with the New Grad Special Interest Group to learn more about the needs <strong>of</strong> our new graduates<br />

and try to develop resources for them. The New Grad Special Interest Group is very interested in strengthening the Florida<br />

Nurses Leadership Academy and the Pr<strong>of</strong>essional Development Committee is working on making that program more<br />

vibrant.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Public Relations<br />

<strong>FNA</strong> manages its public relations strategies based on the Goals and Priorities <strong>of</strong> the association as well as based on what<br />

is occurring in the field <strong>of</strong> nursing. <strong>FNA</strong> maintains a statewide media contact list in the email program. Press releases<br />

about <strong>FNA</strong> programs, events and issues are disseminated to this list periodically, with the goal <strong>of</strong> publication or inclusion<br />

in various forms <strong>of</strong> media. <strong>FNA</strong> continues to work on its public relations program, with the goak <strong>of</strong> promoting the nursing<br />

pr<strong>of</strong>ession. <strong>FNA</strong> staff and members also respond to media requests, providing interviews, referrals to experts and other<br />

resource materials. This year we were very present in the media along with ANA during the Ebola scare. The Executive<br />

Director was interviewed on television in multiple media outlets including television news reports and television stations<br />

websites and blogs. <strong>FNA</strong> had several mentions in various publications across the state. This media exposure was shared on<br />

social media, via Facebook, Twitter and Linkedin. The addition <strong>of</strong> Alisa Lapolt to our lobbying team has been a welcome<br />

addition to <strong>FNA</strong> due to her history as a reporter and her expertise in Public Relations. With her help, we continue the We<br />

Care, We Vote Campaign as an ongoing theme and will continue this as a core activity to engage nurses in the political<br />

process. This year we also launched the <strong>FNA</strong> 4Action Campaign, a brainchild <strong>of</strong> the <strong>FNA</strong> President, wth support <strong>of</strong> the<br />

Board, to give members, their families and public citizens some tools and information about grassroots advocacy. The<br />

program was revised for the <strong>2015</strong> Legislative Session and it will be discussed as an ongoing program <strong>of</strong> <strong>FNA</strong>.<br />

In terms <strong>of</strong> nursing, <strong>FNA</strong> looks for every opportunity to enhance communication and collaboration among nursing<br />

organizations, as well as other health related groups in Florida. <strong>FNA</strong> continues to facilitate the work <strong>of</strong> several organizations<br />

such as The Florida Nursing Students’ Association (FNSA), <strong>of</strong>fering the <strong>FNA</strong> board room meeting facilities for nursing<br />

organizations. In addition, <strong>FNA</strong> invites other nursing groups to take advantage <strong>of</strong> <strong>FNA</strong> <strong>of</strong>fice resources. <strong>FNA</strong> continues to<br />

host several <strong>of</strong> the quarterly meetings <strong>of</strong> the Quality and Unity in Nursing (QUIN) Council. The QUIN Council is a coalition<br />

<strong>of</strong> nursing organizations in Florida: In the past two years, membership in QUIN has expanded. Two years ago,, QUIN<br />

established a leadership structure and have planned some exciting collaborative work. We continue to use the brochure<br />

developed by QUIN to educate both nurses and the public regarding the best options for nursing education programs in<br />

Florida.<br />

Staff and other representatives such as our lobbyists, attend meetings <strong>of</strong> the Florida Board <strong>of</strong> Nursing when feasible and<br />

communicate with the Board <strong>of</strong> Nursing frequently on regulatory issues.<br />

<strong>FNA</strong> has also become heavily involved in social networking strategy in order to reach larger populations <strong>of</strong> nurses. <strong>FNA</strong><br />

has presence on Facebook, Twitter, LinkedIN, YouTube and now VIMEO. Through these communication avenues, <strong>FNA</strong> can<br />

make announcements about activities and programs and increase engagement by nurses and students. <strong>FNA</strong> has 5,150 likes<br />

(up from 4,287 in 2014) on Facebook, and 1,159 (up from 614 in 2013) “followers” on Twitter. We are also hoping to build our<br />

video library on You Tube and become more active on LinkedIN. We have subscribed to Vimeo with plans <strong>of</strong> launching web<br />

based continuing education programs online for members. We are using Vimeo for other programs such as Member Updates.<br />

We have developed a new <strong>FNA</strong> “Commercial” with testimonials from actual members resides on our Website and is played<br />

on Social Media periodically.<br />

Communication<br />

<strong>2015</strong> Member Communication includes:<br />

• Region Updates and Event Email Alerts: Emails to region members are sent at the request <strong>of</strong> <strong>FNA</strong> region directors. This<br />

is primarily to announce meetings or other events in the area or to request volunteers. We have over 4,000 emails in our<br />

membership database and over 3,900 members receive our frequent email alerts.<br />

• The Florida Nurse: The Florida Nurse goes to every nurse in the state <strong>of</strong> Florida and not only contains news <strong>of</strong> interest to<br />

<strong>FNA</strong> members but keeps the general nursing population informed about nursing and healthcare in the state. Last year,<br />

we asked the members vote on the new masthead for the Newsletter that we continue to use today. .<br />

• The State Unit Newsletter: The State Unit Newsletter (the “SUN”) goes to every state employed member <strong>of</strong> the<br />

Pr<strong>of</strong>essional Health Care Unit. The SUN provides pertinent information and updates to state employees.<br />

• The SIG Sentinel is a new publication that gives periodic highlights <strong>of</strong> Special Interest Group activities. .<br />

• <strong>FNA</strong> Job Flash shares job opportunities for members from our Career Center.<br />

Education<br />

<strong>FNA</strong> works each year to streamline existing programs and look for new ones that will be beneficial to <strong>FNA</strong> members and<br />

other nurses in the community. <strong>FNA</strong> continues to produce the Annual Advocacy Days (Formerly Lobby Days). This year<br />

we transitioned the Ingeborg Mauksch Clinical Excellence Conference into the new Evidence Based Practice and Research<br />

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<strong>2015</strong> Florida Nurses Association<br />

Conference in conjunction with our fourth Nurses Retreat. There was an excellent response to the Research Conference and<br />

we hope to expand that for next year. We will begin planning early. This year we hosted multiple webinars for CE through<br />

Regional Activities or Special Interest Groups.<br />

Regional Directors also <strong>of</strong>fered multiple quality CE programs for members in their local areas.<br />

This Membership Assembly will also provide the opportunity for members to receive 7 contact hours <strong>of</strong> continuing<br />

education.<br />

Advocacy<br />

<strong>FNA</strong>’s core function is advocacy on many levels, including being responsive to the needs <strong>of</strong> members and outreach to nurses<br />

and students in general, advocating for optimal work environment and health care safety and other health care concerns.<br />

Please refer to the section on Public Relations since this includes activities that also demonstrate advocacy.<br />

Our legislative advocacy program is ongoing through our lobbyists in Tallahassee and the grassroots lobbying efforts <strong>of</strong><br />

our members across the state. Alisa Lapolt <strong>of</strong> GoTopsail continues with <strong>FNA</strong> as a part <strong>of</strong> our lobbying team. Robert Levy<br />

also continues as a contract lobbyist for <strong>FNA</strong> who provides excellent support for the association. At this year’s Lobby Days<br />

conference, we covered topics including an update on what was occurring on the national front from Janet Haebler <strong>of</strong> ANA.<br />

We also heard great information from Linda Smith <strong>of</strong> IPN who enlightened participants about that program and how <strong>FNA</strong><br />

legislative advocacy helped to establish it. She also expressed gratitude for our continuing work to support continuation<br />

<strong>of</strong> that valuable service. This year, we continue to enhance our visibility at the Capital by wearing the <strong>FNA</strong> Lab Coats.<br />

We declared that week to be Florida Center for Nursing Week and distributed buttons for all participants to wear while<br />

visiting legislators. There was excellent student attendance and once again both veterans and novice “grassroots lobbyists”<br />

alike learned to navigate the Capitol during session. For three years in a row, we have held webinars prior to the event to<br />

orient potential attendees to the Advocacy Days experience. We have provided bus transportation to the Capital to make<br />

navigating the terrain an easier experience for attendees. We thank the Florida State University for the use <strong>of</strong> their Student<br />

Union for our unique experience this year.<br />

For the past three years, we have been encouraging members to attend the Annual Delegation Meetings where groups<br />

address legislators regarding their core advocacy agenda. We have had excellent participation from our members and our<br />

lobbyists help to prepare members to present before these groups. The members report a very positive experience.<br />

This year, we took our advocacy to the national level by submitting a Reference Proposal to the Dialogue Forums <strong>of</strong> ANA<br />

on the care <strong>of</strong> inmates in Florida Prisons. There have been challenges in this area since the privatization <strong>of</strong> several prisons<br />

in Florida resulting in a decline in care and an increasing death rate. President Ed Briggs gave the presentation and our<br />

proposal was discussed and will be a part <strong>of</strong> the larger report. The Reference Committee will determine how this topic will<br />

be addressed at the ANA level.<br />

The leadership <strong>of</strong> the bargaining units as members <strong>of</strong> the Labor Employment Relations Commission (LERC) continue to<br />

face many challenges this past year particularly those in the state unit. Over the past few years, with severe budget cuts<br />

and threats <strong>of</strong> privatization, many members retired early or left for other opportunities. Closures <strong>of</strong> some facilities also<br />

affected membership. Downsizing and closing <strong>of</strong> units continue and positions are being eliminated in many areas. We<br />

are experiencing many non-members seeking help from us and used this as an opportunity for member recruitment. <strong>FNA</strong><br />

is working to increase membership in LERC through internal organizing by way <strong>of</strong> our affiliation with OPEIU and have<br />

done additional mailings and visits to those facilities for member education and recruitment. <strong>FNA</strong> plans to continue these<br />

meetings around the state in <strong>2015</strong>.<br />

Several task forces and committees have been formed based on reference proposals from previous years and emerging<br />

issues <strong>of</strong> importance to nursing. The Nurse Licensure Compact, Public Health Infrastructure, Safe Nurse Staffing,<br />

Workforce Violence/Horizontal Violence, Ebola Task Force, and Increasing the Number <strong>of</strong> Men in Nursing are some <strong>of</strong> the<br />

issues addressed this past year. These committees and task forces are meeting and are all at different stages <strong>of</strong> their work.<br />

You will find their reports in the <strong>Book</strong> if they have had an <strong>of</strong>ficial meeting. Some are still working on scheduling meetings<br />

in the near future.<br />

Phone consultation to members is available during <strong>of</strong>fice hours and <strong>FNA</strong> continues the policy <strong>of</strong> limiting non-member<br />

assistance from 1 to 2 p.m. (non-members may call 407.896.3261). <strong>FNA</strong> does not provide the member 800 number to nonmembers<br />

since it is a member benefit. In addition, <strong>FNA</strong> staff speaks with nurses from out-<strong>of</strong>-state or to nursing students or<br />

LPN’s at any time during the day.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Whereas, the Board <strong>of</strong> Nursing, as directed by law, is there to protect the public and advocates on patients’ behalf, <strong>FNA</strong>’s<br />

mission includes serving as the advocate for nurses and collectively for the pr<strong>of</strong>ession. This advocacy directs everything<br />

<strong>FNA</strong> does from legislative and health policy initiatives, as well as <strong>FNA</strong> formal collective bargaining agreements,<br />

educational activities including publications from both ANA and <strong>FNA</strong>, and consultation on workplace issues.<br />

<strong>FNA</strong> continues to provide a member benefit which allows members to call in and request one legal consultation with <strong>FNA</strong><br />

practice counsel. There has been minimal use <strong>of</strong> this benefit but it has been helpful to those who needed it. This benefit is<br />

only activated if it is truly a question that cannot be answered by staff. We have also used this service to generate a FAQ<br />

list to be able to answer non-legal questions from nurses. Once this has been refined and checked for accuracy, it will be<br />

published.<br />

<strong>FNA</strong> is also working to become as “green” as possible. <strong>FNA</strong> continues to embrace this philosophy at Headquarters by<br />

purchasing green products and recycling. We no longer purchase bottled water for meetings, we have two recycle bins<br />

in the <strong>of</strong>fice for cans and bottles, and we work diligently to decrease printing. We will also advance this practice a little<br />

farther by eliminating the Workbook for this Assembly. This year the presentation will be posted on Google Docs for<br />

members to access.<br />

In addition to what has been addressed in previous goals, <strong>FNA</strong> continues evaluate and identify issues in order to determine<br />

what additional resources might be developed to assist nurses in the workplace. <strong>FNA</strong> also distributes, upon request, <strong>of</strong>ficial<br />

ANA and <strong>FNA</strong> positions statements. These statements are purposed by membership and adopted by the members at the<br />

national and state level, as well as both Boards <strong>of</strong> Directors, as deemed necessary.<br />

We have signed on to several letters related to topics <strong>of</strong> interest to nurses or to public health in the past two years.<br />

Economic and General Welfare <strong>of</strong> Registered Nurses<br />

The Labor and Employment Relations Council (LERC) continues to work in developing and implementing activities to<br />

effectively address the concerns <strong>of</strong> all staff nurses in Florida. In developing activities and strategies, LERC looks at both<br />

workplace advocacy strategies and collective bargaining strategies.<br />

Workplace Advocacy strategies include activities initiated to address many and varied employment and workplace challenges<br />

faced by nurses on a daily basis and can be employed by nurses whether represented by collective bargaining or not.<br />

With The Florida Nurse going to all RNs in Florida, the <strong>FNA</strong> continues with the commitment to assist all nurses in all<br />

practice settings, addressing their concerns through informational articles. This is accomplished by informing nurses<br />

<strong>of</strong> what resources are available through the association, such as workplace publications, conflict resolution strategies,<br />

assisting with issues <strong>of</strong> health and safety in the workplace and education on the importance <strong>of</strong> being involved on<br />

committees, either in their workplace or communities where policy is developed.<br />

<strong>FNA</strong> collective bargaining units continue to provide strong leadership to the nurses in their workplaces through<br />

multiple activities. The units are able to highlight their activities in their annual report, which is included in this <strong>Book</strong><br />

<strong>of</strong> <strong>Reports</strong>. During this past year, several units have negotiated new contracts which secure their salary and benefits<br />

and provide mechanism for nurses to meet and confer with management representatives to address issues <strong>of</strong> concern<br />

such as disciplinary actions, staffing, overtime, and scheduling. The units have worked very hard to provide leadership<br />

training and education to their members. Membership growth has been achieved in all units as a result <strong>of</strong> the hard work<br />

<strong>of</strong> unit leadership in educating their members to the importance <strong>of</strong> being involved their bargaining unit and pr<strong>of</strong>essional<br />

association. For four years in a row, LERC has held a Labor Institute or its members dedicated to education and leadership<br />

development. This year, the Labor Institute will occur following the Membership Assembly in October.<br />

Organizational Structure<br />

The transition <strong>of</strong> the <strong>FNA</strong> structure is complete and the Regions are each evolving in their own way. There have been<br />

events in all <strong>of</strong> the Regions and members are continuing to learn the processes for planning events, accessing funding, and<br />

marketing their events. Some groups, such as the South Region Planning Council has mastered the process and can serve<br />

as a role model for other Regions. The Northeast Region also has a stable planning group that has planned a successful<br />

regional conference for several years in a unique setting. East Central Region is developing groups in each county for events<br />

in those areas. And the Northeast Region has a core group <strong>of</strong> leaders who have just completed a successful event. The<br />

Northwest Region as well as the Southeast Region has held multiple events over the past two years. The goal is to provide<br />

activities and services to each area <strong>of</strong> the Region by developing groups to plan local activities with some funding from <strong>FNA</strong>.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Special Interest Groups<br />

The Special Interest Groups are slowly evolving with some more active than others. Some have dissolved, while others,<br />

such as the Health Policy SIG and the Ethics SIG are thriving. Frequent conference calls and webinars have been held under<br />

the coordination <strong>of</strong> Director <strong>of</strong> Programs and Member Engagement, Vicki Sumagpang. A committee <strong>of</strong> the Board <strong>of</strong> Directors<br />

recently developed a guideline for Region Directors to help new Region Directors transition into their roles. The same idea<br />

has been advanced for the Special Interest Groups (SIGS). The active SIGs are the New Graduate, Health Policy, Ethics and<br />

the Nursing Research SIG (serves on a consultative basis). Just recently, a Clinical Nurse Specialist SIG has developed and<br />

has become quite active. This group presented a Reference Proposal to the Membership Assembly last year and will be<br />

bringing it back this year. The Board has looked at the viability <strong>of</strong> the SIG’s and reviewed the activity <strong>of</strong> these groups over a<br />

period <strong>of</strong> time. Last year, several SIGS were dissolved due to inactivity.<br />

Continuing Education Programs<br />

<strong>FNA</strong> is committed to providing quality educational opportunities for the nurses <strong>of</strong> Florida. <strong>FNA</strong> programs are designed<br />

for and <strong>of</strong>ten by the members <strong>of</strong> the association to meet the needs <strong>of</strong> a variety <strong>of</strong> practitioners. In addition, the programs<br />

provide an opportunity for networking with colleagues as well as pr<strong>of</strong>essional growth by attending or participating in the<br />

programs as a presenter. These programs are <strong>of</strong>fered to members at a discounted rate and non-members are encouraged to<br />

also attend. After review, decisions are made about the continuation or cancellation <strong>of</strong> new and existing programs.<br />

<strong>FNA</strong> Advocacy Days usually occurs in March during the legislative session. It will occur in January in 2016 due to<br />

redistricting. Coordinated by Alisa Lapolt, Bob Levy and the <strong>FNA</strong> Staff, this program provides didactic information on<br />

grassroots lobbying and first-hand experience interacting with state and local <strong>of</strong>ficials.<br />

After this experience, nurses are encouraged to communicate with their legislators throughout the year. For the last few<br />

years, <strong>FNA</strong> lobbyists made appointments for members to visit legislators in their <strong>of</strong>fices in Tallahassee. Members were<br />

provided <strong>FNA</strong> toolkits to provide to each legislator with whom they met. In <strong>2015</strong>, 178 nurses and nursing students attended<br />

Advocacy Days. Due to the success <strong>of</strong> the shuttle transportation in 2013, we continued the bus service for providing<br />

transportation to and from the events and <strong>of</strong>f site hotel attendees.<br />

<strong>FNA</strong> members wore white lab coats and packets were prepared for our grassroots lobbyists to share with their legislators.<br />

We also made the legislative visits optional, this decreased no-shows and only engaged those participants who wanted to<br />

directly interact with legislators. The large majority <strong>of</strong> attendees opted to make the legislative visits. Bob Levy and Jose Diaz<br />

<strong>of</strong> Robert Levy and Associates are also an integral part <strong>of</strong> the planning and execution <strong>of</strong> this outstanding program for our<br />

members. They made appointments with legislators and secured the 22nd Floor <strong>of</strong> the Capitol for our Luncheon as well as<br />

the historic old Capitol building for presentation from legislators and other policy makers. Next year, <strong>FNA</strong> Lobby Days will<br />

be held January 19-20 in Tallahassee at the Residence Inn on Gaines St. Several events will be held at the Capitol and the<br />

Governor’s Club.<br />

1st Annual Evidence Based Practice and Research Conference/Nurses Retreat<br />

This year we partnered this conference with the annual Nurses and New Grad Retreat to encourage attendees to experience<br />

both conferences. Saddlebrook Resort provided the perfect backdrop for fun and relaxation while learning. New graduates<br />

and seasoned nurses network together in a comfortable environment. There is content that is applicable to both groups and<br />

the program includes education sessions on self-care as well as pr<strong>of</strong>essional development. This year, plans are to make<br />

some changes in the program and the process <strong>of</strong> selecting stories. The podium presentations and poster sessions during the<br />

research conference were well attended and participants asked questions and were fully engaged.<br />

The retreat was educational and extremely interactive with fun sessions that also contained didactic instruction. The<br />

members expressed their appreciation for the opportunity to relax and learn in a soothing and comfortable environment.<br />

We are exploring possibilities for continuing this conference.<br />

Affiliated “Arms” <strong>of</strong> <strong>FNA</strong><br />

Florida Nurses Political Action Committee<br />

<strong>FNA</strong> provides the administrative support for both the Florida Nurses Political Action Committee (FNPAC) and the Florida<br />

Nurses Foundation (FNF). Although these structural organizations are separate from <strong>FNA</strong> in that they have separate<br />

bylaws, <strong>of</strong>ficers, and operational guidelines, leaders <strong>of</strong> <strong>FNA</strong> were the impetus for the creation <strong>of</strong> these important groups and<br />

continue to hold leadership roles on both boards.<br />

FNPAC is a voluntary non-pr<strong>of</strong>it and non-partisan organization which operates in conformity with the policies and goals<br />

<strong>of</strong> <strong>FNA</strong> and the election laws <strong>of</strong> Florida. It was established in 1981 to encourage nurses to become aware <strong>of</strong> the importance<br />

<strong>of</strong> political issues and impact on patient care. It also provides ways to assist nurses in becoming politically active and<br />

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<strong>2015</strong> Florida Nurses Association<br />

solicit voluntary contributions to support the endorsement <strong>of</strong> candidates who have demonstrated responsiveness to health<br />

care issues. Contributions and endorsements are made without regard to party affiliation. In 2010, an option to donate<br />

monthly to FNPAC was provided to members, per the recommendation <strong>of</strong> the FNPAC board. The monthly donation option<br />

is available on <strong>FNA</strong> applications, as well as online. As this is an election year, the PAC has been very busy interviewing<br />

candidates and endorsing those that support our legislative agenda.<br />

We currently have the option for members to deduct additional money from their checking accounts or credit cards on<br />

a monthly basis. This is a painless way to give and provide strength to the <strong>FNA</strong> legislative program through additional<br />

financial resources.<br />

Florida Nurses Foundation<br />

The Florida Nurses Foundation was established in 1983 as a non-pr<strong>of</strong>it public corporation 501 (c) 3 to promote the public’s<br />

awareness <strong>of</strong> nursing services as an integral part <strong>of</strong> the health care delivery system. Since 1986, the Foundation has<br />

provided scholarships and research grants during the annual luncheon held in conjunction with the <strong>FNA</strong> Membership<br />

Assembly. In addition, FNF continues to provide financial assistance to nurses from the Nurses in Need Program.<br />

The Foundation is privileged to have the following endowment funds, representing a minimum contribution <strong>of</strong><br />

$10,000 or more:<br />

Nurses in Need:<br />

• Undine Sams, RN, Fund (Recently reached the $15,000 level with a donation from the Charitable Trust)<br />

• Maurine Finney Fund<br />

• Katherine Gutwald/Lillian Smith District 9 Fund<br />

• Paula Massey Fund<br />

Research Grants:<br />

• Frieda Norton Fund (District 5 Charitable Trust) - Open to all candidates.<br />

• Evelyn Frank McKnight Fund - Open to all qualified candidates.<br />

• Blanche Case Research Fund - Preference given to nurse researcher in South Florida.<br />

• Edna Hicks Research Fund - Preference for south Florida nurse.<br />

• Imogene King Research Fund (from District 4) – Open to graduate students statewide.<br />

• Evelyn Baxter Memorial Fund - For students <strong>of</strong> Manatee, Sarasota, Hardee, and Charlotte counties; 40% goes to research<br />

grants in graduate program.<br />

• Undine Sams and Friends Research Grant Fund – Preference given to nurse researcher in South Florida.<br />

Scholarships<br />

• District 3 Scholarships– Preference given to Marion county residents, BSN generic students ONLY with a GPA <strong>of</strong> 3.0 or<br />

higher.<br />

• Edna Hicks Fund - Graduate VA employed nurse with preference given to resident <strong>of</strong> south Florida.<br />

• Edna Hicks Scholarship Fund – Statewide open to all levels.<br />

• Erma B. Kraft Scholarship Fund – For generic students from Indian River County.<br />

• District 18 Lillian Hulla Friend <strong>of</strong> Nursing Fund and Olive Seymour Fund- Two generic scholarships for students from<br />

Volusia County.<br />

• District 6 Generic Scholarship Fund – Four generic statewide scholarships per year. (District 18 merged with District 6<br />

during establishment <strong>of</strong> fund.)<br />

• District 8 Charlotte Anzalone Scholarship Fund – For undergraduates and graduates from District 8 boundaries (Orange,<br />

Seminole, and Osceola). May award statewide if there are no local applicants.<br />

• District 4 Florida Nurses Scholarship Fund - Undergraduate/graduate students who are residents <strong>of</strong> Hillsborough<br />

County. (just recently increased to $15,000 level with a donation from District 4).<br />

• Evelyn Baxter Memorial Fund- For students <strong>of</strong> Manatee, Sarasota, Hardee, and Charlotte counties; 60% goes to a<br />

scholarship for ADN, BSN, MSN, PhD/DNS ARNP students.<br />

• Ruth Jacobs District 46 Scholarship – Must be resident <strong>of</strong> Pinellas County and enrolled in a formal academic, accredited<br />

program. Priority given to RN.<br />

• Mary York Scholarship Fund – No restrictions.<br />

• Marcy Klosterman Memorial Scholarship Fund (District 14) - Restricted to Lake County students with funds to remain<br />

in principle if no qualified applicants.<br />

• Olive Ramsey Memorial Scholarship Fund (District 46) – For student from Pinellas or Pasco counties; Must have a 2.5<br />

GPA for undergraduates and 3.2 GPA for graduates.<br />

• Undine Sams and Friends Scholarship (District 5 Charitable Trust) - Preference for south Florida student but can be<br />

given out statewide and is open to all levels.<br />

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<strong>2015</strong> Florida Nurses Association<br />

• Nina Brookins Scholarship Fund (District 5 Charitable Trust)- Preference for south Florida Student (living or attending<br />

school).<br />

• Eleanor Bindrim Scholarship Fund (District 5 Charitable Trust - Preference given to perioperative nursing student from<br />

south Florida.<br />

• Kay Fullwood Scholarship established in 2013 for an ARNP interested in Gerontological Nursing.<br />

• Charlotte Liddell Scholarship Fund (District 5 Charitable Trust) - Preference given to a nursing student focusing on<br />

psychiatric nursing from south Florida.<br />

• Ruth Finnamore Scholarship Fund - Statewide open to all levels.<br />

• Connie Dorry Memorial Scholarship Fund - Preference to a nurse practitioner student in Dade County.<br />

• Great 100 Nursing Scholarship Fund – Preference given to student residing in Northeast Florida in an undergraduate or<br />

graduate program.<br />

• Louise Fiske Memorial Scholarship Fund (District 21) – For an undergraduate or graduate nurse from Broward County.<br />

• Ingeborg Mauksch Scholarship Fund – Preference given to Lee County students.<br />

• Agnes Naughton Scholarship Fund - Agnes Naughton was a member <strong>of</strong> <strong>FNA</strong> until her death and really was devoted to<br />

RN-BSN education. This scholarship goes to an RN returning to school for a baccalaureate degree statewide.<br />

• Iona Pettengill Scholarship Fund – Statewide; Open to any nursing students interested in public health.<br />

• Martha Russell Gerontological Nurses Fund- Preference given to Hillsborough County nursing students interested in<br />

Gerontological Nursing.<br />

• Carol Petrozella Educator Fund –For a student who is interested in nursing education as a career.<br />

• Kay F. Fullwood Gerontological Scholarship<br />

Accrual Funds<br />

FNF accrual funds that have not reached the $10,000 endowment level are:<br />

• The Rhoda Ehrreich Memorial Fund<br />

• The FNF Board <strong>of</strong> Trustees Fund ( Funded by donations from current and past Board <strong>of</strong> Trustee members.)<br />

FNF accrual funds that have not reached the $15,000 endowment level are:<br />

• Charlotte Anzalone Scholarship Fund<br />

• Erma Kraft Scholarship Fund<br />

• District 4 Nurses Scholarship Fund<br />

• Ruth Finamore Scholarship Fund<br />

• Gutwald- Smith Nurses in Need Fund<br />

• Maureen Finney Nurses in Need Fund<br />

• Ruth Jacobs Scholarship Fund<br />

• Blanche Case Research Fund<br />

• Nina Brookins Scholarship Fund<br />

• Eleanor Bindrum Scholarship Fund<br />

• Undine Sams and Friends Scholarship Fund<br />

• Edna Hicks (VA) Scholarship Fund<br />

• Imogene King Scholarship Fund<br />

• Ingeborg Mauksch Scholarship Fund<br />

• Iona Pettengill Scholarship Fund<br />

• Paula Massey Nurses in Need Fund<br />

In the past, endowed funds were “capped” at $10,000 dollars and scholarships and grants were awarded on estimated<br />

principal for that year. In 2009, FNF Trustees raised the caps and allowed districts to continue raising funds, encouraging<br />

them to target amounts in $5,000 increments. Funds would then be capped at $15,000 and $20,000, etc. The Foundation will<br />

seek ways to continue this growth through the Regions.<br />

All donations to the Foundation are tax deductible. In 2010, FNF <strong>of</strong>fered the option to donate to the Foundation monthly.<br />

This option is available on the <strong>FNA</strong> application, as well as online. Some members have taken advantage <strong>of</strong> this option.<br />

For the past two years, the Barbara Lumpkin Institute has funded members to attend Lobby Days (Now Advocacy Days). It<br />

has also funded a member to attend the American Nurses Advocacy Institute (ANAI) in the past.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Goals: Report on Progress<br />

1. Maintain a strong nursing organization in Florida to provide relevant services and value.<br />

The adoption <strong>of</strong> a new structure in 2009 has created opportunities for growth and an increase in engagement in almost<br />

every Region. There is still a great deal <strong>of</strong> work to be done to expand this activity from specific areas <strong>of</strong> each Region to the<br />

entire Region. Some Regions adopted this concept immediately and formed leadership groups and began planning events<br />

while others have been slower to adopt. We have used technology through email blasts, social media and now texting to<br />

maintain close contact with members and engage volunteers.<br />

Our <strong>of</strong>ficial publication, The Florida Nurse provides consistent contact with the population <strong>of</strong> nurses in Florida and our<br />

goal is to utilize this tool to educate, inform and motivate nurses to become members and nurse activists.<br />

We maintain visibility in Florida by participating in coalitions and providing representation for state and national<br />

organizations and we seek out roles and positions for our members on boards and committees outside <strong>of</strong> <strong>FNA</strong>.<br />

We continually seek out services <strong>of</strong> value to members and eliminate services that have not proven to be beneficial. This<br />

includes sources <strong>of</strong> non-dues revenue <strong>of</strong> services that provide direct benefits to members such as our Career Center and our<br />

relationship with Mercer for Liability Insurance for Nurses.<br />

We continue to have a strong presence in Tallahassee and are <strong>of</strong>ten called upon as primary resource on issues related to<br />

nursing and health. Our lobbyists are vigilant and proactive on issues <strong>of</strong> importance to us and work to build relationships<br />

with key legislators and other leaders throughout the year.<br />

We are responsive to requests from the media and disseminate press releases and encourage and empower our members to<br />

do the same by providing education and resources such as talking points and projects such as <strong>FNA</strong>4Action. Through our<br />

structural entities (e.g., as the HP-SIG), members are armed with information to enable them to serve as ambassadors and<br />

voices for the pr<strong>of</strong>ession.<br />

Members are encouraged to develop local relationships and seek positions that enhance the strength and visibility <strong>of</strong> the<br />

pr<strong>of</strong>ession.<br />

2. Enhance public understanding <strong>of</strong> the roles and responsibilities <strong>of</strong> registered nurses to improve health in local<br />

communities and across the state.<br />

We pursue opportunities to educate the public regarding the role <strong>of</strong> nurses through media opportunities, local education<br />

initiatives and responses to requests from the public sector.<br />

One example, is our response to media in situations where we can leverage our role in caring for our citizens such as during<br />

the Ebola crisis this past year. This lead to a plan by the Ebola Task Force to assemble a Speakers’ Bureau on Emerging<br />

Infectious Diseases to make ourselves available as well as seek out groups to share information and create an <strong>FNA</strong> presence<br />

in the community.<br />

Another ongoing project is the dissemination <strong>of</strong> a brochure developed with QUIN Council to educate the public about<br />

nursing education and the selection <strong>of</strong> accredited nursing programs. This has been shared with legislators as well as high<br />

school counselors at their annual conference.<br />

Members are encouraged to write “Letters to the Editor” and Op-Eds on issues <strong>of</strong> importance. We provide the information,<br />

resources and education to assist our members in promoting nursing through this avenue.<br />

We have had several earnest attempts in re-launching the Legislative District Coordinator program, however, we seem to<br />

have better success through mobilizing nurses via the HP-SIG and email blasts to the general membership requesting them<br />

to contact their legislators both during sessions and when they are back in their districts.<br />

Having our members attend and present at the Legislative Delegations has allowed legislators as well as members <strong>of</strong> the<br />

public to become educated about our issues. We continue to encourage this activity each year by providing talking points<br />

and assistance with attending these meetings.<br />

There is more work to be done in this area. Currently there is discussion regarding developing a regional statewide<br />

community service program to provide services to the public while increasing the visibility <strong>of</strong> the pr<strong>of</strong>ession.<br />

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<strong>2015</strong> Florida Nurses Association<br />

3. Serve as the essential resource for career development for Florida’s registered nurses.<br />

<strong>FNA</strong> provides support and services for its members, through educational programs, access to mentors and phone<br />

consultation.<br />

We provide access to information on education programs through links to the Florida Board <strong>of</strong> Nursing’s website and access<br />

to staff who direct nurses on how to access and research information on educational opportunities.<br />

We have provided multiple programs and sessions on nursing education and career mobility both locally and through<br />

conferences and programs, within <strong>FNA</strong> and at the FNSA Convention.<br />

4. Advance a legislative platform that protects and enhances the ability <strong>of</strong> all registered nurses to practice to the full<br />

extent <strong>of</strong> their education and experience.<br />

Each year the Board <strong>of</strong> Directors composes legislative agenda with the assistance <strong>of</strong> our lobbying team and proposes it to<br />

the Annual Membership Assembly. Once adopted, the lobbying team moves forward to secure bill sponsors if appropriate,<br />

or work with legislators and other stakeholders to advance that agenda.<br />

At the same time, if issues are not intended for direct legislative action at that time, other actions are taken to educate the<br />

appropriate parties and to gather information to prepare for ongoing legislative work.<br />

Throughout the year and during session, lobbyists look for opportunities to advance our agenda and also are vigilant about<br />

other issues we may want to address due to the potential impact on nursing or healthcare.<br />

This past year we worked with coalitions on legislation regarding the Baker Act bill and ensured that all <strong>of</strong> the<br />

ramifications were considered as the bill moved forward.<br />

In support <strong>of</strong> our legislative work, there have been several task forces formed to ensure members are involved in ongoing<br />

policy issues such as safe staffing, workplace violence/workplace safety.<br />

5. Build organizational relationships to advance nursing and healthcare outcomes.<br />

<strong>FNA</strong> was instrumental in the formation <strong>of</strong> the QUIN (Quality and Unity in Nursing) Council and continues to foster this<br />

partnership with administrative support and communication management. QUIN consists <strong>of</strong> over 20 state level nursing<br />

organizations and quarterly meetings create an environment for ongoing open communication between groups. As the state<br />

pr<strong>of</strong>essional nursing organization, it is essential for us to have a overview <strong>of</strong> nursing through the eyes <strong>of</strong> the leaders in those<br />

areas <strong>of</strong> nursing practice. This year QUIN celebrates its 25th Anniversary.<br />

<strong>FNA</strong> is a founding member <strong>of</strong> the Florida Coalition <strong>of</strong> Advanced Practice Nursing along with the Florida Nurse Practitioner<br />

Network and the Florida Association <strong>of</strong> Nurse Anesthetists. Other groups have subsequently joined the Coalition and the<br />

group meets frequently to strategize and discuss issues. <strong>FNA</strong> maintains representation and we have had <strong>FNA</strong> members<br />

serve as co-chair <strong>of</strong> the group for several terms. The purpose <strong>of</strong> the group is to create unity and agreement around issues<br />

related to advanced practice.<br />

We maintain a working relationship and an open line <strong>of</strong> communication with the Florida Board <strong>of</strong> Nursing and attend the<br />

Board meetings or send representatives when feasible. In certain instances, we send our practice council to speak on our<br />

behalf or even take legal action on issues <strong>of</strong> importance. The Board <strong>of</strong> Nursing is also a member <strong>of</strong> QUIN with creates even<br />

greater opportunity to collaborate and communicate. Members <strong>of</strong> the board are currently working with us on our Task Force<br />

on the Nurse Licensure Compact.<br />

We work with the Florida Center for Nursing and the Florida Action Coalition to disseminate information about the Florida<br />

workforce and the status <strong>of</strong> progress on the work <strong>of</strong> the Center to Champion Nursing and the Future <strong>of</strong> Nursing Report. We<br />

have a board appointee on the Florida Center for Nursing and a Representative on the Florida Action Coalition.<br />

We maintain a close working relationship with the Deans and Directors <strong>of</strong> the state colleges through (Florida Council <strong>of</strong><br />

Nursing Education Administrators (FCNEA) and Florida Association <strong>of</strong> Colleges <strong>of</strong> Nursing (FACN). We are invited to their<br />

meetings and attend regularly.<br />

We participate in meetings <strong>of</strong> various state agencies either through attendance by staff, lobbyists, volunteer leaders and<br />

members or by appointment.<br />

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6. Maintain a strong organizational structure that advances nursing.<br />

Members, Board <strong>of</strong> Directors and Staff<br />

The members, through the Membership Assembly set the Goals and Priorities for the Association and the Legislative<br />

Agenda. Additionally, they adopt Reference Proposals which become the Position Statements <strong>of</strong> the association. The Board<br />

<strong>of</strong> Directors and staff then work together to advance these actions through various activities and initiatives. In addition,<br />

as other issues arise throughout the year, the Board through their election by the membership, has the authority to make<br />

decisions that impact the organization and/or the pr<strong>of</strong>ession, making us a nimble, responsive organization.<br />

<strong>FNA</strong> and it’s affiliated arms provide a multi-tiered organization with a wide variety <strong>of</strong> services that support a strong<br />

mission <strong>of</strong> advocacy for nurses. The Board <strong>of</strong> Directors with the adoption <strong>of</strong> the Regional Structure is continuing to develop<br />

and advance this concept to support the creation <strong>of</strong> programs that advance the association’s mission in all areas <strong>of</strong> the state.<br />

Special Interest Groups, such as the HP-SIG, have the opportunity to use this Regional Structure to mobilize like-minded<br />

advocates in each region to add strength to our legislative activity. This work has begun with the introduction <strong>of</strong> Regional<br />

Legislative Liaisons two years ago.<br />

There are still many opportunities to explore under the current structure and we are beginning to see progress as we<br />

continue to explore the possibilities.<br />

The Florida Nurses Foundation (FNF) creates exciting opportunities while engaging both students and members by<br />

<strong>of</strong>fering scholarships and grants. FNF also creates great potential for growth and the opportunity for even greater growth by<br />

focusing on developing our Foundation into a major funder <strong>of</strong> nursing research. The Foundation has grown from an initial<br />

donation <strong>of</strong> $10,000 in 1983, to a million dollar foundation in 2013. We have the potential to increase our presence in the<br />

nursing community and make an even greater impact on the future <strong>of</strong> our pr<strong>of</strong>ession.<br />

Florida Nurses Political Action Committees (FN-PAC)- during each election cycle, candidates seek us out for both<br />

endorsements and contributions. Legislators respond to our questionnaires and attend our interview sessions and actively<br />

seek support. The PAC has expertly leveraged nursing’s position as “most trusted” to keep FNPAC and <strong>FNA</strong> as a desired<br />

supporter in political campaigns. Having our named listed is a favored position for <strong>FNA</strong> as an advocacy organization and<br />

is an important component <strong>of</strong> our public relations strategy. As a state, we are unique in being one <strong>of</strong> the few state nursing<br />

organizations with a strong PAC. As with other arms <strong>of</strong> the association, we can strengthen our impact with greater revenue<br />

and more involvement from our members. While our goal is to do more, we can be proud <strong>of</strong> our accomplishment and the<br />

work <strong>of</strong> our PAC.<br />

Labor Employment Relations Council (LERC) is the governance body <strong>of</strong> our collective bargaining units. Although collective<br />

bargaining has taken a hit in Florida, our team with the support <strong>of</strong> Jeanie Demshar, Director <strong>of</strong> Pr<strong>of</strong>essional Practice<br />

Advocacy and Labor Attorney Don Slesnick have been able to make some gains for the members <strong>of</strong> our units. Individual<br />

members receive assistance on a daily basis and strong contract negotiations give employees a voice in their daily work<br />

lives.<br />

As with all organizations, <strong>FNA</strong> is a work in progress with many challenges but even greater potential and opportunities.<br />

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Organization Name City State Year First<br />

Recognized<br />

Arnold Palmer Medical Center Orlando FL 2013<br />

Baptist Health - Baptist Medical Center Beaches Jacksonville FL 2007<br />

Baptist Health - Baptist Medical Center Downtown Jacksonville FL 2007<br />

Baptist Health - Baptist Medical Center Nassau Fernandina Beach FL 2007<br />

Baptist Health - Baptist Medical Center South Jacksonville FL 2007<br />

Baptist Health - Wolfson Children’s Hospital Jacksonville FL 2007<br />

Baptist Hospital <strong>of</strong> Miami Miami FL 1998<br />

Flagler Hospital St. Augustine FL 2006<br />

Holy Cross Hospital Fort Lauderdale FL 2003<br />

Mayo Clinic Jacksonville FL <strong>2015</strong><br />

Mercy Hospital, A Campus <strong>of</strong> Plantation General Hospital Miami FL 2006<br />

M<strong>of</strong>fitt Cancer Center and Research Institute Tampa FL <strong>2015</strong><br />

Nicklaus Children’s Hospital at Miami Children’s Health System Miami FL 2003<br />

Sarasota Memorial Health Care System Sarasota FL 2003<br />

South Miami Hospital Miami FL 2004<br />

Tampa General Hospital Tampa FL 2005<br />

UF Health Jacksonville Jacksonville FL 2011<br />

UF Health Shands Hospital Gainesville FL 2003<br />

Walt Disney Pavilion at Florida Hospital for Children Orlando FL 2011<br />

West Kendall Baptist Hospital Miami FL <strong>2015</strong><br />

Winter Haven Hospital Winter Haven FL 2008<br />

UF Health Shands Hospital Gainesville FL 2003<br />

Walt Disney Pavilion at Florida Hospital for Children Winter Haven FL 2008<br />

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Audit and Financial<br />

Information<br />

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Proposed Goals for 2016 - 2018<br />

1. Maintain a strong nursing organization in Florida to provide relevant services and value.<br />

2. Enhance public understanding <strong>of</strong> the roles and responsibilities <strong>of</strong> registered nurses to improve health in local<br />

communities and across the state.<br />

3. Serve as the essential resource for career development for Florida’s registered nurses.<br />

4. Advance a legislative platform that protects and enhances the ability <strong>of</strong> all registered nurses to practice to the full<br />

extent <strong>of</strong> their education and experience.<br />

5. Build organizational relationships to advance nursing and healthcare outcomes.<br />

6. Maintain a strong organizational structure that advances nursing.<br />

Adopted by the Membership Assembly<br />

Saturday 9/13/2014<br />

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Reference Proposals <strong>2015</strong><br />

Removing Florida’s 5-Year Waiting Period for Lawfully Residing Immigrant Children to Receive Health Care Coverage<br />

Submitted by Laura Brennaman<br />

Northwest Region<br />

Statement <strong>of</strong> Concern:<br />

Currently, legally residing immigrant children in Florida are forced to wait five years before becoming eligible for Florida<br />

KidCare—our state’s subsidized health care program for children. These kids are ten times more likely to have unmet<br />

medical needs, five times more likely to go two or more years without seeing a doctor and 25% more likely to be absent from<br />

school due to health issues. 1 Since 2009, the number <strong>of</strong> uninsured children living in Florida has consistently been higher<br />

than the national average. Florida currently ranks 47th in the nation <strong>of</strong> 50 states and the District <strong>of</strong> Columbia for percent <strong>of</strong><br />

uninsured children (11 percent, about 445,000 children) 2 About 25,000 <strong>of</strong> these children are uninsured due to the five-year<br />

waiting period.<br />

Background Information<br />

The federal legislature passed the Children’s Health Insurance Program Reauthorization Act <strong>of</strong> 2009 (CHIPRA) giving states<br />

the option to cover lawfully residing immigrant children through Medicaid and the State Children’s Health Insurance<br />

Program (CHIP) without enduring the five-year waiting period that applies to most public assistance programs for<br />

immigrants. Florida has not accepted this option.<br />

Extending coverage to these children is likely to improve their health outcomes and reduce the cost <strong>of</strong> uncompensated care<br />

in the health system as a whole. Low-income immigrant children who are insured are more likely to receive preventive<br />

health care and less likely to use hospital emergency rooms. Providing timely care for children who are otherwise eligible<br />

and will eventually enroll in the KidCare program will help children succeed in school and avoid costly emergency<br />

department care and hospital bills.<br />

In its analysis <strong>of</strong> the proposed legislation (<strong>2015</strong>), AHCA has estimated that approximately 24,679 lawfully residing<br />

immigrant children would be eligible for KidCare under this initiative. This would increase total KidCare enrollment by<br />

only one percent.<br />

If enacted in <strong>2015</strong>–16:<br />

• The maximum cost to the state for covering these children,, in the ear waiting period, would total about $1.8 million<br />

for all KidCare components, including Healthy Kids, MediKids, Children’s Medical Service Network, and Medicaid for<br />

Children.<br />

• Because <strong>of</strong> the enhanced Federal Medical Assistance Percentages (FMAP) rate, Florida would draw down approximately<br />

$44.5 million in federal matching funds.<br />

• Expanding coverage to lawfully residing children will reduce costs associated with providing Emergency Medicaid<br />

Assistance (EMA) for Non-Citizens.<br />

This legislation does not seek to eliminate the waiting period for adult legal immigrants.<br />

Furthermore, it reaffirms that undocumented immigrants will continue to be ineligible for both Medicaid and CHIP<br />

regardless <strong>of</strong> how long they have resided in the United States.<br />

As <strong>of</strong> March <strong>2015</strong>, twenty-nine states (including the District <strong>of</strong> Columbia) have adopted this option, including Texas,<br />

Virginia, Ohio, Nebraska, Kentucky, Montana, Pennsylvania, Iowa, Wisconsin, New York, Illinois, and California.<br />

Pertinent Definitions<br />

CHIP – Children’s Health Insurance Program<br />

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Florida, CHIP is operationalized as KidCare. It was created through Title XXI <strong>of</strong> the Social Security Act and reauthorized in<br />

2009. The 4-pronged program covers children from birth through age 18:<br />

• Medicaid covers children birth through one-year at up to 206% <strong>of</strong> Federal Poverty Level (FPL), 1-5 years up to 140% FPL<br />

children 6- – 18 years up to 133% <strong>of</strong> FPL<br />

• Medikids- Covers children ages 1-4 with subsidized premiums between 133-200% FPL ($15 -$20 a month per child)<br />

• Florida Healthy Kids – covers children 5-18 with subsidized premiums between 133-200% FPL ($15 -$20 a month per<br />

child)<br />

• Children’s Medical Service Network – covers children birth through 18 years special health care needs who are<br />

clinically and financially eligible at no cost to families<br />

Federal Poverty Level (FPL) –The annual income amount set by the federal government to establish eligibility for federal aid<br />

programs. The formula takes into account family size and income. In <strong>2015</strong>, the FPL for a family <strong>of</strong> four is $24,250.<br />

The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount <strong>of</strong> federal matching funds<br />

for state expenditures for assistance payments for medical insurance expenditures. The Social Security Act requires the<br />

Secretary <strong>of</strong> Health and Human Services to calculate and publish the FMAPs each year. For 2016 the Florida FMAPs are<br />

Medicaid: 60.67, enhanced FMAP for CHIP: 95.47.<br />

Overview on nursing role/function<br />

According to the American Nurses Association, the nursing pr<strong>of</strong>ession has a leadership role in defining the organizational,<br />

social, policy, and political factors that affect our communities’ access to quality and effective healthcare. 3 The leadership<br />

role for the <strong>FNA</strong> includes advocating for expanded health care access to improve the health outcomes for about 25,000<br />

lawfully residing immigrant children in Florida who would be eligible for coverage by elimination the five-year waiting<br />

period.<br />

Legal/ethical considerations<br />

Nurses and the American Nurses Association have long considered access for all American residents to high quality and<br />

affordable health care as a human right. 4 Expanding health care access to 25,000 lawfully residing immigrant children in<br />

Florida is consistent with the ethical stance <strong>of</strong> the nursing pr<strong>of</strong>ession.<br />

Consequences to Health Outcomes<br />

Multiple researchers have submitted substantial evidence that childhood coverage through Medicaid and CHIP programs<br />

promotes positive lifelong health outcomes. Longitudinal studies demonstrate that adults who were eligible for Medicaid<br />

as children had 26% lower incidence <strong>of</strong> high blood pressure in adulthood and “Children with Medicaid had lower rates <strong>of</strong><br />

hospitalizations and emergency room visits in adulthood—leading the government to recoup between 3 and 5 percent <strong>of</strong> the<br />

initial cost <strong>of</strong> Medicaid eligibility expansions in just one year”. 5 During adolescence, Medicaid enrollees have fewer mental<br />

illnesses, fewer eating disorders, engage in risky substance use or sexual activity less frequently 6 , and have overall lower<br />

BMIs 7 .<br />

Statement <strong>of</strong> position<br />

Florida should remove the five-year waiting period for lawfully residing immigrant children.<br />

Recommendations for action<br />

The Florida Nurses Association should support removing Florida’s 5-Year waiting period for lawfully residing immigrant<br />

children, and lobby the State Legislature and the Governor for its support.<br />

References<br />

1. Bloom B, Cohen RA, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2010.<br />

National Center for Health Statistics. Vital Health Stat 10(250). 2011.<br />

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2. U.S. Census Bureau, Report S2701: Health Insurance Coverage Status. American Community Survey 3-year estimate<br />

2011-2013<br />

3. American Nurses Association. (2010). Nursing’s social policy statement: The essence <strong>of</strong> the pr<strong>of</strong>ession (3rd ed.). Silver<br />

Spring, MD: Author.<br />

4. American Nurses Association. (2008). Health system reform agenda. Retrieved from http://www.nursingworld.org/<br />

content/healthcareandpolicyissues/agenda/anashealthsystemreformagenda.pdf<br />

5. Chester, A. & Alker, J. (<strong>2015</strong>) Medicaid at 50: A look at the long-term benefits <strong>of</strong> childhood Medicaid. Georgetown<br />

University Health Policy Institute, Center for Children and Families.<br />

6. S. Cohodes, et al., “The Effect <strong>of</strong> Child Health Insurance Access on Schooling: Evidence from Public Insurance<br />

Expansions,” National Bureau <strong>of</strong> Economic Research (May 2014)<br />

7. S. Miller and L. Wherry, “The Long Term Health Effects <strong>of</strong> Early Life Medicaid Coverage,” Forthcoming (<strong>2015</strong>)<br />

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Reference Proposals <strong>2015</strong><br />

Defining the Clinical Nurse Specialist Scope <strong>of</strong> Practice in Florida<br />

Submitted by Theresa Morrison, PhD, CNS, CNS-BC, and Patricia Geddie, PhD, CNS, AOCNS<br />

Criteria for Proposal<br />

Resubmission <strong>of</strong> proposal presented to the <strong>FNA</strong> Board January 2014, to include Clinical Nurse Specialists’ (CNS’) in FS<br />

464.003 “Advanced or specialized nursing practice” definition and align with the Consensus Model for APRN Regulation<br />

(National Council for State Board <strong>of</strong> Nursing).<br />

Statement <strong>of</strong> concern or issue<br />

Florida Statute 464.003 excludes the CNS from the defined scope <strong>of</strong> advance practice nursing and prescriptive authority.<br />

FS 464.003 includes all other APRNs (nurse practitioners, nurse midwives and nurse anesthetists).<br />

Rationale<br />

i. background information<br />

In the U.S., Advanced Practice Registered Nurses (APRNs) by category included 60 percent NPs and 16 percent CNSs. In<br />

2007, Florida legislation approved CNS title protection, yet there are less than 200 CNSs in Florida, compared to 59,242 in<br />

the U.S. Historically, Florida CNSs other than those who function in mental health have not sought credentialing due to the<br />

lack <strong>of</strong> prescriptive authority. In Florida, the ARNP license is an upgrade <strong>of</strong> the RN license resulting in expanded scope <strong>of</strong><br />

practice. The CNS license protects the CNS title but with no expanded scope practice.<br />

Florida CNSs are board certified in many recognized APRN roles, such as:<br />

Adult Psychiatric & Mental Health<br />

Certified Critical Care Nurse Specialist<br />

Adult Health (Medical Surgical Nursing)<br />

Gerontological Nursing<br />

Advanced Diabetes Management<br />

Child & Adolescent Psychiatric and Mental Health<br />

Advanced Oncology Clinical Nurse Specialist<br />

Advanced Certified Hospice and Palliative Nurse<br />

Pediatric Nursing<br />

Public/Community Health Nursing<br />

Thirty six states and territories in the U.S., permit CNSs an expanded scope <strong>of</strong> practice with prescriptive authority.<br />

CNSs licensed outside <strong>of</strong> Florida lose all APRN privileges when relocating to practice in Florida.<br />

ii. pertinent definitions<br />

“Advanced or specialized nursing practice” (FS 464.003): “the performance <strong>of</strong> advanced-level nursing acts approved by the<br />

board which, by virtue <strong>of</strong> post-basic specialized education, training, and experience, are appropriately performed by an<br />

advanced registered nurse practitioner.”<br />

“Advanced registered nurse practitioner”(FS 464.003): “means any person licensed in this state to practice pr<strong>of</strong>essional<br />

nursing and certified in advanced or specialized nursing practice, including certified registered nurse anesthetists,<br />

certified nurse midwives, and nurse practitioners.”<br />

“Clinical nurse specialist practice ” (FS 464.003): “means the delivery and management <strong>of</strong> advanced practice nursing care<br />

to individuals or groups, including the ability to: (a) Assess the health status <strong>of</strong> individuals and families using methods<br />

appropriate to the population and area <strong>of</strong> practice. (b) Diagnose human responses to actual or potential health problems.<br />

(c) Plan for health promotion, disease prevention, and therapeutic intervention in collaboration with the patient or client.<br />

(d) Implement therapeutic interventions based on the nurse specialist’s area <strong>of</strong> expertise and within the scope <strong>of</strong> advanced<br />

nursing practice, including, but not limited to, direct nursing care, counseling, teaching, and collaboration with other<br />

licensed health care providers. (e) Coordinate health care as necessary and appropriate and evaluate with the patient or<br />

client the effectiveness <strong>of</strong> care.<br />

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<strong>2015</strong> Florida Nurses Association<br />

CNS and ARNP Florida licensing requirements are the same. The CNS and ARNP must hold a master’s degree and provide<br />

pro<strong>of</strong> <strong>of</strong> current certification from a nationally recognized certifying body or if there is no certification within the specialty<br />

show pro<strong>of</strong> <strong>of</strong> 1,000 hours <strong>of</strong> clinical experience, with a minimum <strong>of</strong> 500 hours <strong>of</strong> clinical practice after graduation. Core<br />

educational curriculum for CNS and ARNPs include: physical assessment, pathophysiology, and pharmacology.<br />

iv. legal/ethical considerations<br />

Centers for Medicare and Medicaid Services (CMS) recognizes CNSs as prescribers. 38 percent <strong>of</strong> Medicare Part B providers<br />

are nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists. The National Association <strong>of</strong><br />

Clinical Nurse Specialists (NACNS) recognizes prescriptive authority as an important part <strong>of</strong> the CNS core competencies.<br />

v. consequences to patient care<br />

Employers can not fill vacant positions for CNSs because the current limitation in scope <strong>of</strong> practice for Florida CNS, as<br />

defined in the Florida Statute, discourages CNSs from relocating to our State and CNS programs are almost non-existent<br />

in Florida. Florida licensing regulations for the APRN are not consistent with the Consensus Model for APRN Regulation,<br />

resulting in delayed treatment and therapeutic interventions and hospital discharges.<br />

Recommendations for action<br />

• CNS inclusion in the FS 464.003 definition <strong>of</strong> “Advanced or specialized nursing practice”.<br />

• Prescriptive authority for CNS to be in alignment with the current prescriptive authority <strong>of</strong> ARNPs<br />

References<br />

1. Institute <strong>of</strong> Medicine. The Future <strong>of</strong> Nursing: Leading Change, Advancing Health. Washington, DC: National Academies<br />

Press; 2010.<br />

2. Federal Trade Commission Staff Letter To The Honorable Daphne Campbell, Florida House <strong>of</strong> Representatives,<br />

Concerning Florida House Bill 4103 and the Regulation <strong>of</strong> Advanced Registered Nurse Practitioners (64.67 KB)<br />

3. Lyon,B. Advanced Practice Registered Nurse Compact: A Call to Action With a Primer on the Regulation <strong>of</strong> CNS Practice.<br />

(2003). 17(4)p. 185-187.<br />

4. Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse specialist services. In CMS<br />

Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R75BP.pdf.<br />

Accessed June 8, 2014.<br />

5. Centers for Medicare and Medicaid Services (2013). Detailed written orders for covered items. In Medicare Program<br />

Integrity Manual. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c05.pdf.<br />

Accessed June 8, 2014.<br />

6. National Association <strong>of</strong> Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the<br />

Clinical Nurse Specialist.<br />

7. National Council <strong>of</strong> State Boards <strong>of</strong> Nursing. (2011). Title XVIII: APRN scope <strong>of</strong> nursing practice. Accessed June 22, 2012<br />

at https://www.ncsbn.org/1455.htm<br />

8. National Council for State Boards <strong>of</strong> Nursing (2008). Consensus model for APRN regulation: Licensure, accreditation,<br />

certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf. Accessed<br />

June 8, 2014.<br />

9. O’Grady, E. (2008) Advanced Practice Registered Nurses: The Impact on Patient Safety and Quality, in AHRQ, Patient<br />

Safety and quality: An evidence-based handbook for nurses (ed. Ronda G. Hughes) 2-606.<br />

10. Ponto, J., Sabo, J., Fitzgerald, M.A., & Wilson, D.E., (2002). Operationalizing Advanced Practice Registered Nurse<br />

Legislation Perspectives From a Clinical Nurse Specialist Task Force. Clinical Nurse Specialist, 16(5), p 263-269.<br />

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Continuous Observation in the Acute Care Setting<br />

Submitted by Wuesth<strong>of</strong>f Bargaining Unit/Local 713<br />

Author: Matthew Price, RN, BSN, CCRN<br />

Statement <strong>of</strong> concern or issue<br />

<strong>2015</strong> Florida Nurses Association<br />

Reference Proposals <strong>2015</strong><br />

Standards for Continuous Observation <strong>of</strong> Patients in Acute Care Settings Do Not Exist putting patients and staff at risk.<br />

Rationale<br />

i. background information<br />

Continuous Observation is used in Acute Care settings for various reasons. Observers can be used to prevent falls, monitor<br />

aggression, prevent suicide, improve delirium, alcohol or drug withdrawal precautions, Baker Act, Marchman Act, etc.<br />

In 2010, The Joint Commission established general guidelines for the assessment and safety <strong>of</strong> patients that are at for<br />

suicide in Emergency Departments and Medical/Surgical Units. These guidelines failed to clearly define what instrument<br />

should be used to assess this population and what interventions should be taken once the patient is assessed. The Joint<br />

Commission gave a general recommendation <strong>of</strong> using the SAD PERSONS scale. Many tools have been created to assess<br />

patients at risk for suicide but no one tool has been researched to be best for determining which patients that attempt<br />

suicide.<br />

More and more patients have medical conditions that preclude them from being admitted to the Acute Psychiatric/<br />

Behavioral Unit. This transition <strong>of</strong> care to inpatient medical units puts psychiatric patients at risk <strong>of</strong> escalation including:<br />

self-harm, harm to others, or a worsening <strong>of</strong> their psychiatric condition.<br />

Outside <strong>of</strong> suicide, falls may be prevented or harm lessened by having a continuous observer. In 2014, the Pennsylvania<br />

Patient Safety Authority found that while falls did not decline with sitter use, falls-with harm did decline.<br />

The cost <strong>of</strong> providing one to one observation has been prohibitive for many institutions so some have been creative in their<br />

use <strong>of</strong> paid observers and have them viewing patients from hallways or placing them in rooms with multiple patients. The<br />

paid observers usually have little or no training to monitor these patients. The Pennsylvania Patient Safety Authority has<br />

shown in its research that a clearly defined program with proper training can pay for itself in reduction <strong>of</strong> falls with harm<br />

and decrease in severity <strong>of</strong> injury.<br />

ii. pertinent definitions<br />

Intermittent Observation-rounding on a patient at risk at defined time intervals (usually 15minutes)<br />

Constant Observation-one observer my observe more than one patient<br />

1:1-observer in the room and no physical barriers between the patient and staff member.<br />

Intensive Psychiatric Observation-requires staff to keep their eyes on the patient and remain within arms reach <strong>of</strong> the<br />

patient at all times in an adequately lighted area.<br />

(Observation Levels from Johns Hopkins Psychiatry Policy)<br />

iii. overview on nursing role/function<br />

Nursings’ role is to assess throughout the continuum <strong>of</strong> care, develop a plan <strong>of</strong> care, implement interventions, and evaluate<br />

their effectiveness. This role includes interventions that prevent or reduce harm to patients at risk until the patient is<br />

declared medically stable.<br />

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<strong>2015</strong> Florida Nurses Association<br />

iv. legal/ethical considerations<br />

Patients deserve to be safe during medical treatment and not ensuring the patient’s safety may lead to harm or even death.<br />

We have an ethical duty to serve the whole patient: mental, physical, spiritual, etc. Litigation related to falls has been<br />

on the increase because it is seen as negligent to avoid providing a safe environment for our patients due to the cost <strong>of</strong><br />

providing paid observers.<br />

v. consequences to patient care<br />

The implementation <strong>of</strong> clearly defined standards for continuous observation will clarify patients at risk and best practices<br />

to improve patient care and safety.<br />

Statement <strong>of</strong> Position<br />

Let it be said, that the Florida Nurse Association supports National Safety Standards regarding the use <strong>of</strong> Continuous<br />

Observation in Acute Care Settings. The National Standards include: minimum education/training <strong>of</strong> observers, evaluation<br />

tools to determine patients at risk, Sitter/ Staffing Observation Level based on quantitative evaluation tool, criteria for<br />

reducing Sitter/ Staffing Observation Level based on quantitative evaluation tool, and minimum staffing levels for each<br />

patient population and Observation Level.<br />

Recommendations for action<br />

1. Advocate for policy that will protect patients, nurses, and healthcare workers when providing Continuous Observation<br />

<strong>of</strong> Patients in Acute Care Settings.<br />

2. Advocate for policy for minimum education/training level <strong>of</strong> sitters/safety companions.<br />

3. Define types <strong>of</strong> patients requiring observation.<br />

4. Define Levels <strong>of</strong> Observation based on objective assessments using standardized tools.<br />

5. Advocate for minimum staffing levels when providing continuous observation.<br />

References<br />

1. Bagley, S. 2013. Identifying Patients at Risk for Suicide: Brief Review. Making Health Care Safer II: An Updated Critical<br />

Analysis <strong>of</strong> the Evidence for Patient Safety Practices. Agency for Healthcare Research and Quality. (AHRQ).<br />

2. Carr F. 2013. The Role <strong>of</strong> Sitters in Delirium: an Update. Canadian Geriatrics Journal. Vol. 16: 1.<br />

3. Degelau J, Belz M, Bungum L, Flavin PL, Harper C, Leys K, Lundquist L, Webb B, Institute for Clinical Systems<br />

Improvement (ICSI). 2012. Prevention <strong>of</strong> fall (acute care). Health care protocol.<br />

4. Jan<strong>of</strong>sky, J. 2009. Reducing Inpatient Suicide Risk: Using Human Factors Analysis to Improve Observation Practices. J<br />

Am Acad Psychiatry Law 37:15-24<br />

5. Knoll J. 2012. Inpatient Suicide: Identifying Vulnerability in the Hospital Setting. Psychiatric Times.<br />

6. Pa Patient Saf Advis 2014 Mar, 11(1):8-14.<br />

7. Top Emerg Med. 2005 October ; 27(4): 302-312.<br />

8. VA Office <strong>of</strong> Inspector General. 2011. Attempted Suicide During Treatment West Palm Beach VA Medical Center. Report<br />

No. 11-01052-233<br />

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<strong>2015</strong> Florida Nurses Association<br />

Reference Proposals <strong>2015</strong><br />

Nurses’ Responsibility and Ethical Duty in Prison Healthcare<br />

Submitted by Deborah Hogan, MPH, RN<br />

Whereas, In the 1976 Supreme Court decision, Estelle v Gamble, the Court held that deprivation <strong>of</strong> health care constitutes<br />

cruel and unusual punishment, a violation <strong>of</strong> the Eighth Amendment. (1) The Supreme Court further ruled that this rule<br />

applies regardless <strong>of</strong> whether the medical care is being provided by a state agency or private medical contractors. (5) The<br />

court also found that prison health systems are obligated to treat all “serious medical needs”. (5)<br />

Whereas, Courts have determined that a “serious medical need” is at issue when “(6) whether a reasonable doctor or patient<br />

would perceive the medical need in question as important and worthy <strong>of</strong> comment or treatment; (5) whether the medical<br />

condition significantly affects daily activities; and (6) the existence <strong>of</strong> chronic and substantial pain.” (7) Additionally,<br />

courts will be likely to find a “serious medical need” if a condition “has been diagnosed by a physician as mandating<br />

treatment or ... is so obvious that even a lay person would easily recognize the necessity <strong>of</strong> a doctor’s attention.”(7)<br />

Whereas, The Palm Beach Post has reported that since the State <strong>of</strong> Florida transitioned all prison healthcare services to<br />

private, for provide healthcare corporations the death rate <strong>of</strong> inmates has risen from 12.8% to 57%, with 30 inmates dying<br />

in seven months.(1)<br />

Whereas, Of those prison deaths reported Illness related deaths accounted for the majority (88%) <strong>of</strong> deaths in state prisons.(2)<br />

Whereas, The data available on the health <strong>of</strong> prisoners indicates that the quality <strong>of</strong> health is not optimal and does not<br />

parallel the health <strong>of</strong> the general population (4), and<br />

Whereas, The correlation between transition <strong>of</strong> prison healthcare service provider and increased morbidity and mortality<br />

within the prison health system suggests that inadequate or inappropriate healthcare services are being provided to<br />

prisoners within the new prison healthcare systems as a result <strong>of</strong> policy changes by prison healthcare providers, and<br />

Whereas, Nurses are subject to moral distress due the ethical conflict created by dual loyalty to the patient while also being<br />

required to fulfill the requirements <strong>of</strong> the employer, and<br />

Whereas, Consistent with the American Nurses Association Code <strong>of</strong> Ethics for Nurses <strong>2015</strong> Article 3.5, (8) “Nurses must be<br />

alert to, and must take appropriate action in ALL instances <strong>of</strong> incompetent, unethical, illegal or impaired practice or actions<br />

the place the rights or best interests <strong>of</strong> the patient in jeopardy.”<br />

Therefore, be it resolved that, The Florida Nurses Association will continue to advocate for appropriate health care for<br />

those inmates in the prison system. This will include, but not be limited to:<br />

1. Promoting legislative action to ensure proper healthcare provision, and<br />

2. Coordinating efforts with other entities working to ensure safe and appropriate prison healthcare delivery.<br />

And be It Further Resolved that, The Florida Nurses Association will continue to educate the community regarding:<br />

1.) Ethical and legal standards regarding prisoner healthcare;<br />

2.) Existing prison healthcare systems;<br />

3.) Negative prisoner healthcare outcome date,<br />

4.) Ethical and legal obligations <strong>of</strong> the state to provide all prisoners with adequate and appropriate health care services.<br />

References<br />

1.) <strong>FNA</strong> Position Statement to the ANA, <strong>2015</strong> ANA Membership Assembly<br />

2.) Noonan, Margaret, and Ginder, Scott, “Mortality in Local Jails and State prisons, 2000-2012-Statistical Tables, ”Bureau<br />

<strong>of</strong> Justice Statistics, October 2014.<br />

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3.) Jotterand, Fabrice & Wangmo,Tenzin ( 2014), “The Principle <strong>of</strong> Equivalence Reconsidered: Assessing the Relevance <strong>of</strong> the<br />

Principle <strong>of</strong> Equivalence in Prison Medicine,” The American Journal <strong>of</strong> Bioethics, 14:7, 4-12.<br />

4.) Davis, Mary, “Keeping Pace: ANA’s revised Code <strong>of</strong> Ethics for Nursing,” American Nurse Today, Volume 10, Number 3,<br />

p.16.<br />

5) West v. Atkins, 487 U.S. 42, 57-58 (1988); Richardson v. McKnight, 521 U.S. 399 (1997).<br />

6) Estelle v. Gamble, 429 U.S. 97, 103 (1976).<br />

7) Hill v. DeKalb Regional Youth Detention Ctr., 40 F.3d 1176, 1187 (11th Cir. 1994)<br />

8) American Nurses Association (<strong>2015</strong>) Code <strong>of</strong> Ethics for Nurses with Interpretive Statements, http://nursingworld.org/<br />

DocumentVault/Ethics_1/Code-<strong>of</strong>-Ethics-for-Nurses.html<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>FNA</strong> Membership Comparison<br />

1978-2014<br />

Year<br />

Membership Count<br />

1978 4060<br />

1979 3950<br />

1980 4045<br />

1981 4536<br />

1982 4700<br />

1983 4800<br />

1984 5026<br />

1985 5517<br />

1986 5763<br />

1987 6019<br />

1988 6333<br />

1989 7370<br />

1990 7880<br />

1991 8018<br />

1992 7244<br />

1993 6913<br />

1994 7114<br />

1995 7026<br />

1996 7281<br />

1997 7120<br />

1998 7120<br />

1999 6443<br />

2000 7237<br />

2001 7126<br />

2002 6745<br />

2003 6836<br />

2004 6145<br />

2005 6335<br />

2006 6245<br />

2007 6579<br />

2009 6256<br />

2010 5285 (Loss <strong>of</strong> VA units)<br />

2011 4810<br />

2012 4582<br />

2013 4663<br />

2014 4792<br />

Current<br />

5077 (June)<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>FNA</strong> Structural Units<br />

Florida Nurses Foundation (FNF)<br />

Florida Nurses Political Action Committee(FNPAC)<br />

Labor Employment Relations Commission (LERC)<br />

Florida Nurses Leadership Academy (FNLA)<br />

Bylaws Committee<br />

Membership Committee<br />

Reference Committee<br />

Leadership Development Committee<br />

Nurse Licensure Compact Committee<br />

Ebola Task Force<br />

Workforce Violence/Horizontal Violence Task Force<br />

Safe Nurse Staffing Task Force<br />

Men in Nursing Task Force<br />

Public Health Infrastructure Task Force<br />

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<strong>2015</strong> Florida Nurses Association<br />

Board <strong>of</strong> Trustees<br />

Patricia Messmer, President<br />

Hollywood, FL<br />

Jaibun Earp, PhD, ARNP, CNE, Vice President<br />

Tallahassee, FL<br />

Germinia Rio, DNSC, ARNP, CPH - Treasurer<br />

Jacksonville, FL<br />

Regina Mirabella, RN, MSN, Secretary<br />

Hudson, FL<br />

TRUSTEES<br />

Fran Downs, ARNP, PhD.<br />

Miami, FL<br />

Janice Hess, ARNP, DNP<br />

Lake Helen, FL<br />

George Byron Peraza-Smith, DNP, GNP-BC, CNE<br />

Tampa, FL<br />

Daleen Penoyer, PhD, RN, CCRP, FCCM<br />

Orlando, FL<br />

Debra Wagner, ARNP<br />

Jacksonville, FL<br />

Gratitude to Brandy Lehman and Kay Fullwood to their years <strong>of</strong> service to the Foundation.<br />

In support <strong>of</strong> the mission <strong>of</strong> the Florida Nurses Association (<strong>FNA</strong>), the Florida Nurses Foundation (FNF) promotes optimal<br />

health care for Florida citizens through prudent stewardship <strong>of</strong> entrusted funds and through creative philanthropy focused<br />

on outcomes that support and advance the pr<strong>of</strong>ession <strong>of</strong> nursing. The FNF exists to promote nursing and delivery <strong>of</strong><br />

healthcare through the advancement <strong>of</strong> research education and practice. Each year funds are provided to registered nurses<br />

and students for scholarships and research grants. The FNF was established by <strong>FNA</strong> members in 1983. The first grants were<br />

given in 1986 at the <strong>FNA</strong> Convention. The FNF focus has evolved over time to include contributions to support nursing<br />

education and research and to provide assistance to nurses in need.<br />

Today the FNF initiatives are to:<br />

1) Develop financial support for scholarships and research;<br />

2) Advance knowledge <strong>of</strong> the nursing pr<strong>of</strong>ession;<br />

3) Encourage nursing research and career development;<br />

4) Assist nurses in need;<br />

5) Educate nurses regarding advocacy and public policy through the Barbara Lumpkin Institute.<br />

FNF <strong>of</strong>fers several ways for and friends <strong>of</strong> nursing to build for the future: Named Fund: $10,000 Individuals or groups can<br />

contribute toward the establishment <strong>of</strong> a named fund:<br />

Leadership Circle: $1,000 and above<br />

Gold Circle: $500 and above<br />

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<strong>2015</strong> Florida Nurses Association<br />

Silver Circle: $250 and above<br />

Bronze Circle: $100 and above<br />

Patron: $50 - $100<br />

Donor: Less than $50<br />

Any member receives a Distinctive Foundation pin for all donations over $25.00<br />

FNF Endowed Scholarships<br />

District 4 Florida Nurses Scholarship/Research Award<br />

District 8 Charlotte Anzalone Scholarship<br />

Ruth Jacobs District 46 Scholarship (formerly Districts 13 & 33)<br />

District 14 Marcy Klosterman Memorial Scholarship Fund<br />

District 6 (formerly District 18) Generic Scholarship Fund<br />

District 20 The Evelyn Baxter Memorial Fund<br />

District 21 Louise Fiske Memorial Scholarship Fund<br />

District 24 Erma B. Kraft Scholarship Fund<br />

District 46 Olive Ramsey Memorial Scholarship Fund<br />

Edna Hicks Fund Scholarship<br />

Mary York Scholarship Fund<br />

Nina Brookins Scholarship Fund<br />

Eleanor Bindrum Scholarship Fund<br />

Charlotte Liddell Scholarship Fund<br />

Undine Sams and Friends Scholarship Fund.<br />

Ruth Finamore Scholarship Fund<br />

Connie Dorry ARNP Memorial Fund District V<br />

Great 100 Nursing Scholarship Nursing- Northeast Florida<br />

Agnes Naughton RN-BSN Fund<br />

District 3 Scholarship (Increased to $20,000 endowment)<br />

Ingeborg Mauksch Scholarship<br />

Research Grants<br />

Evelyn Frank McKnight Grant<br />

Frieda Norton District 5 Charitable Trust Grant<br />

Undine Sams and Friends Research Grant<br />

Blanche Case Research Grant<br />

Edna Hicks Research Grant<br />

District 20 The Evelyn Baxter Memorial Grant<br />

Imogene King Research Grant<br />

Nurses in Need Fund<br />

The Nurses in Need Fund was established by the nurses <strong>of</strong> <strong>FNA</strong> to be able to give small grants to help nurses in immediate<br />

need <strong>of</strong> help. An initial fundraiser was held at a past convention with a donation from the District 5 Nurses Charitable trust<br />

along with a challenge at the House <strong>of</strong> Delegates that year. Since then the Foundation has helped numerous nurses with<br />

issues such as rent, or even license renewals. Nurses must be able to document the need and funds available depending on<br />

completion <strong>of</strong> the application. The Foundation encourages <strong>FNA</strong> members to donate to help colleagues in crisis.<br />

Undine Sams Fund for Nurses in Need<br />

Maureen Finney Nurses in Need Fund<br />

Katherine Gutwald/Lillian Smith District 9 Fund<br />

Paula Massey Nurses in Need Fund (reached $10,000- Trustees voted to raise $5000 more to increase amount given.)<br />

Debbie Wagner coordinated the Nurses in Need program for the past several years and has worked to make sure the funds<br />

were distributed appropriately. This year the process was expanded to<br />

This year there were 2 research grant applicants and over 37 valid scholarship applicants. Scholarships and grants will be<br />

awarded at this Membership Assembly.<br />

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<strong>2015</strong> Florida Nurses Association<br />

FNPAC 2014<br />

(FLORIDA NURSES POLITICAL ACTION COMMITTEE)<br />

BOOK OF REPORTS<br />

SEPTEMBER <strong>2015</strong><br />

2014 was a busy year for the FNPAC Board <strong>of</strong> Directors as it was an election year. Early voting and vote by mail initiatives<br />

have enhanced the urgency to vet candidates early in order to make endorsement decisions.<br />

The PAC trustees performed telephone interviews <strong>of</strong> candidates to determine primary election endorsements and decide<br />

how financial contributions would be allocated.<br />

The PAC held a daylong meeting during General Assembly to interview candidates via telephone who endured through the<br />

primary process and were headed to the general election. We voted on whom to endorse and agreed on monetary donations<br />

to help in those campaigns.<br />

During the endorsement and campaign cycles we worked closely with our lobbyists to determine regional needs and reach<br />

out to members for support for our candidates.<br />

Press releases were sent announcing our endorsements.<br />

We coordinated political activities with the HP-SIG as a means to reach out further to our membership.<br />

We thank all who participated in this process and provided us with feedback regarding candidates. The grassroots<br />

information and support is vital to a productive endorsement process.<br />

Bonnie Sklaren, RN, MSN, ARNP<br />

Chair, FNPAC<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>FNA</strong>/OPEIU<br />

Labor and Employment Relations Council<br />

Local 713<br />

Shands Hospital at the University <strong>of</strong> Florida (Gainesville)<br />

Wuesth<strong>of</strong>f Memorial Hospital (Rockledge)<br />

Pr<strong>of</strong>essional Health Care Unit (State Unit)<br />

Florida State University – University Health Services (Tallahasee)<br />

Florida International University (Coral Gables)<br />

Labor and Employment Relations Commission<br />

Deborah Hogan – Chair <strong>of</strong> LERC<br />

Jeanie Demshar, Esq. – Director <strong>of</strong> Pr<strong>of</strong>essional Practice Advocacy and Labor Relations<br />

The <strong>FNA</strong> Labor and Employment Relations Council (LERC) brings all <strong>of</strong> the <strong>FNA</strong> unions together to make decisions that<br />

will strengthen our membership. This past year, for LERC, has been one <strong>of</strong> rebuilding and solidifying the base. The<br />

different bargaining units have all been through change and challenges and are ready for the future! We are looking<br />

forward to the fifth annual Labor Leadership Institute that will be held on September 30 through October 1, <strong>2015</strong>,<br />

in Orlando. We have national speakers lined up to speak on numerous issues, including but not limited to, internal<br />

organizing, negotiations, grievances, and employment law. We encourage our members to attend as the conference provides<br />

a venue to share workplace concerns, meet fellow members, and learn about collective bargaining and becoming involved in<br />

your organization.<br />

LERC has been working with the Office and Pr<strong>of</strong>essional Employees International Union (with whom LERC affiliated<br />

in July 2013) to increase membership in each bargaining unit. We are working on a new organizing campaign, and<br />

membership drives are being scheduled for each unit across the state <strong>of</strong> Florida.<br />

This past year saw a lot <strong>of</strong> activity on the labor front. The Pr<strong>of</strong>essional Health Care Unit (state unit) took center stage as<br />

it has been functioning in a tense environment at the state level. The state government has made and continues to make<br />

every effort to downsize the workforce and minimize the workplace benefits <strong>of</strong> our state unit members. Debbie Hogan, the<br />

President <strong>of</strong> the state unit, and Jeanie Demshar, the <strong>FNA</strong> Director <strong>of</strong> Labor Relations, have worked hard on behalf <strong>of</strong> our<br />

collective bargaining members and the Association in this arena.<br />

The <strong>FNA</strong> and the State <strong>of</strong> Florida recently reached a tentative agreement for a two-year contract with a reopener in 2016<br />

for wages and five other articles. While we did not achieve the economic gains we sought, we were able to keep the job<br />

security provisions which are so critically important in these troubling times for public employees. The unit’s goal is to<br />

increase membership before negotiating with the state in 2016 for the reopener. The state unit will hold elections for new<br />

<strong>of</strong>ficers in <strong>2015</strong>.<br />

The Shands Unit is doing well. There has been an increase in membership, and the existing contract is effective through<br />

April 2017 with reopeners each year. The parties recently met for the <strong>2015</strong> reopener, and the changes to the contract<br />

were ratified by the membership. The unit has its own website and Facebook page which has been very effective in<br />

communicating with members.<br />

The Wuesth<strong>of</strong>f unit is also doing well, and we have seen an increase in membership in that unit. The existing contract is<br />

effective through February 2017 and does not contain a reopener. The Wuesth<strong>of</strong>f unit will hold elections for new <strong>of</strong>ficers in<br />

<strong>2015</strong>.<br />

The <strong>FNA</strong>’s contract with the University Health Services at the Florida State University is effective through June 2017. The<br />

parties recently met for the <strong>2015</strong> reopener, and the changes to the contract were ratified by the membership. Elections for<br />

new <strong>of</strong>ficers will be held in <strong>2015</strong>.<br />

LERC’s most recent unit includes the nurses at Florida International University in Coral Gables. The three year contract<br />

with the University is effective through 2017.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Florida Nurses Leadership<br />

Academy<br />

Annual Report – 2014-<strong>2015</strong><br />

Submitted by: Denise McNulty, DNP, MSN, RN-BC, ARNP<br />

The Florida Nurses Leadership Academy (FNLA) is a partnership program <strong>of</strong> the Florida Nurses Association (<strong>FNA</strong>) and<br />

the Florida Nurses Foundation (FNF) with the purpose <strong>of</strong> developing future nursing leaders. The goal is to provide tools,<br />

education and opportunities to registered nurses to assist them in becoming active members and skillful leaders in the<br />

Florida Nurses Association.<br />

The <strong>FNA</strong> Leadership Development Committee was restructured and charged with the task for revamping the FNLA. The<br />

Committee Members are: Denise McNulty, Murielle Joseph, Rose Rivers, and Palma Iacovitti.<br />

The Committee revised the FNLA application, eligibility criteria, and expectations at the end <strong>of</strong> 2014 and are pleased and<br />

proud to announce that six Florida Registered Nurses were selected for the <strong>2015</strong> Florida Nurses Leadership Academy!<br />

The six FNLA Associates are: Jennifer Avros (Southwest Region), Marlene Brennen (Southeast Region), Pamela Delano<br />

(Northeast Region), Carmen “Vicky” Framil (South Region), Marc Rupp (West Central Region), and Debra Stiffler (Northeast<br />

Region). Congratulations to our <strong>2015</strong> FNLA Nurses! We are all very proud <strong>of</strong> you!<br />

We would also like to thank six Nursing Leaders who have agreed to serve as Mentors for the six FNLA Associates:<br />

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

• Linda Howe (Mentor for Marlene Brennen)<br />

• Leah Kinnaird (Mentor for Pamela Delano)<br />

• Sue Hartranft (Mentor for Carmen “Vicky” Framil)<br />

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

• Marsha Martin (Mentor for Debra Stiffler)<br />

As part <strong>of</strong> the enhancements for the FNLA, each Leadership Development Committee Member has adopted a Mentor/<br />

Mentee dyad to serve as additional support as needed throughout the year.<br />

We wish our FNLA Associates all the very best and continued success on this leadership journey!<br />

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<strong>2015</strong> Florida Nurses Association<br />

Bylaws Committee <strong>2015</strong><br />

Bylaws were reviewed and the proposed bylaws changes were published in the June Issue <strong>of</strong> The Florida Nurse for review.<br />

Per the Bylaws, proposed changes must be presented to the membership at least 30 days prior to the Assembly. After some<br />

discussion, only one change was proposed this year related to adding a position on the <strong>FNA</strong> Board <strong>of</strong> Directors for a New<br />

Graduate Position in order to encourage new grads to engage with the association.<br />

Lisa Fussell, Chair<br />

CJ Birge<br />

Margaret Jerome<br />

Julieta Ducasa<br />

Ernest Klein<br />

Barbara Russell – Chair<br />

Membership Committee<br />

Ryan Silverman<br />

Natasha Khan<br />

Linda Allen<br />

George Byron Smith<br />

Vivienne Treharne<br />

Cynthia Barnes<br />

Note: Ryan Silverman was an FNSA Board member who renewed after the free year. He immediately volunteered to serve on<br />

this committee and was subsequently diagnosed with a brain tumor. Ryan passed away earlier this year. He will be missed.<br />

The Membership Committee met and reviewed past Membership strategies and current practices. The staff shared the<br />

Membership Recruitment practices within the <strong>of</strong>fice. The committee made several recommendations as follows:<br />

Return to the “every member get a member” program that was previously named at the Star Campaign. It was suggested to<br />

add some incentives to the program so it was decided that a $25 gift card would be awarded for every 5 members recruited<br />

by a member. The two top members from both the non-collective bargaining and the collective bargaining members would<br />

be awarded complementary registration and one free room night at the Membership Assembly. We would revive the Star<br />

Campaign where members would be awarded their stars at the Membership Assembly. (See results below). It was further<br />

decided to reward faculty with a $25 gift card for every 5 students that renewed after the free year. (See results below),<br />

It was also decided to develop a script that volunteer members could use to call members who were inactive or deleted to<br />

recruit them back into the association. This script has been completed and has been utilized in some recruitment efforts.<br />

It was also proposed that we heavily promote the ADP option (monthly payment from the checking account) as the<br />

preferred way to pay. We did several promotions in The Florida Nurse and moved it to the top <strong>of</strong> the application on the<br />

website and on the print applications.<br />

Heavily promote the steps in the new grad memberships: Free or pay the reduced dues monthly over two years, second<br />

year reduced monthly payment (slightly higher). Non- FNSA members may also use this option to pay dues ( reduced<br />

monthly). They are billed at the FULL rate in the third year.<br />

There was discussion regarding reviving the <strong>FNA</strong> member attending Pinning Ceremonies and giving a welcome from <strong>FNA</strong><br />

and/or pinning the FNSA grads with the <strong>FNA</strong> pin. This is still being done to some extent. And we attend or find a local<br />

member to attend when this is requested.<br />

The staff also shared that there are several in-house strategies that are being employed, such as:<br />

• Revised renewals with an insert reminding members <strong>of</strong> the benefits.<br />

• Personal notes on renewals when feasible.<br />

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<strong>2015</strong> Florida Nurses Association<br />

• Email Reminders in addition to the renewal notice. Pink envelope for final notice.<br />

• New “text” renewal reminder in addition to the above ( some people do not open snail mail very frequently and also do<br />

not open email. )<br />

The Committee and Staff will continue to evaluate current membership recruitment and retention practices and work to<br />

maintain current members and increase our numbers by bringing in new members.<br />

Star Campaign <strong>2015</strong><br />

For many years now <strong>FNA</strong> has recognized members who recruit new members to the<br />

organization. This year the top three winners will get a complimentary registration to the<br />

Membership Assembly and one night’s lodging. The categories <strong>of</strong> participation are Non-<br />

CBU Member, Collective Bargaining Member and Faculty members who has the greatest<br />

number <strong>of</strong> students renew after the free year. Congratulations to our winners, Palma<br />

Iacovitti, Nan Genender and Linda Howe. These members will also get a $25 Visa gift card<br />

for every 5 members recruited.<br />

Full Memberships<br />

Palma Iacovitti 7 (Non-CBU Winner)<br />

Nan Genender 23 (CBU Winner)<br />

Marsha Martin 9<br />

Denise McNulty 3<br />

Leah Kinnaird 1<br />

Alex Leader 1<br />

Kathy “bill” Donovan 1<br />

Edward Briggs 1<br />

Jill Tahmooressi 1<br />

Pamela Aragon 1<br />

Marla Sutton 1<br />

Mark Welz 2<br />

Marie Ettiene 1<br />

Cynthia Harris 1<br />

Daniel Berman 1<br />

Michelle Proebsting 1<br />

FNSA “Free” Memberships<br />

Renewals after the free year<br />

Linda Howe 65 Linda Howe 8<br />

Rosanne Sonshine 55 Anthony Pennington 2<br />

Debbie McGregor 38 Lawrence Herrington 1<br />

Katie Kiger-Creslein 32 Gene Majka 1<br />

Kathleen Cappo 30<br />

Camille Baldwin 30 No Sponsor Listed 86<br />

Rebecca Pleasant 28<br />

Kathryn Whitson 5<br />

Carol Blakeman 6<br />

Marla Sutton 1<br />

Pamela Aragon 1<br />

Linda Fritzinger-Hearn 1<br />

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<strong>2015</strong> Florida Nurses Association<br />

Reference Committee<br />

Anne Peach, MSN, RN<br />

Following the 2014 Membership Assembly, task forces based on the Reference Proposals passed at the meeting were<br />

appointed by the president.<br />

A call for Reference Proposals for the <strong>2015</strong> Assembly went out via several email blasts and in the June issue <strong>of</strong> The Florida<br />

Nurse. A downloadable version <strong>of</strong> the manual was posted in the email blast as well as on the <strong>FNA</strong> Website. At the time<br />

<strong>of</strong> this printing, two proposals have been submitted for review. The committee will review and revise the proposal and<br />

prepare them for the Assembly.<br />

The approved reference proposals will be found in this publication or available at the Membership Assembly.<br />

Leadership Development Committee<br />

See the report under Florida Nurses Leadership Academy Report.<br />

Nurse Licensure Compact Task Force<br />

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

This committee met to discuss the issues surrounding considering Florida joining the Compact . There have been changes<br />

to the compact to address the concerns by past Florida Board <strong>of</strong> Nursing Members.<br />

These include questions about the fiscal impact on our state as well as the issues surrounding Criminal Background Checks<br />

for nurses traveling across state lines.<br />

The current model consists <strong>of</strong> a compact for both registered nurses and advanced practice nurses. . It appears that the<br />

criminal background checks process has been elevated to meet or exceed the requirements currently required by the Florida<br />

Board <strong>of</strong> Nursing.<br />

The group determined that if adopted by the Board <strong>of</strong> Nursing, this would not occur until the 2017 Legislative Session. It<br />

was agreed that the goal <strong>of</strong> the group would be to gather information and to create educational materials and articles to be<br />

published in The Florida Nurse to educate nurses about the Compact.<br />

Members <strong>of</strong> the group will be working to insert articles in the coming year.<br />

Special Interest Groups (SIGS)<br />

HEALTH POLICY SPECIAL INTEREST GROUP (HP-SIG)<br />

2014 ANNUAL REPORT<br />

SEPTEMBER <strong>2015</strong><br />

HP-SIG MISSSION STATEMENT:<br />

The Health Policy Special Interest Group (HP-SIG) is <strong>FNA</strong>’s leader <strong>of</strong> grassroots initiatives for public policy change that<br />

enhances the heath and welt being <strong>of</strong> all Floridians. It encourages and supports all nurses to become engaged in the policy<br />

and legislative process to improve the health status <strong>of</strong> our communities and the practice and working environments <strong>of</strong><br />

nurses.<br />

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<strong>2015</strong> Florida Nurses Association<br />

HP-SIG GOALS AND OBJECTIVES:<br />

1. Developing and maintaining a network for communication through <strong>FNA</strong> Regions to educate and inform <strong>FNA</strong><br />

members in public policy issues.<br />

2. Developing and maintaining education and information resources regarding health policy and legislation among<br />

all stake holders.<br />

3. Promoting and supporting health policy agendas that benefit all Florida RN’s, APRN’S regarding their scopes <strong>of</strong><br />

practice, patient advocacy and quality outcomes and work environment safety.<br />

It has been an active and productive year for the HP-SIG. We currently have 494 members. In addition to the group meeting<br />

during the 2014 Membership Assembly, we have had 10 conference call meetings over the year. We reviewed the goals and<br />

objectives <strong>of</strong> the SIG and reaffirmed our agreement to them. We filled all Regional Liaison positions. Members attended<br />

and provided input regarding our Legislative priorities during numerous Legislative Delegation meetings around the State,<br />

utilizing information packets provided by <strong>FNA</strong>. There was a special election in Jacksonville in which members actively<br />

participated in, in an effort to elect a Representative sensitive to our issues who was endorsed by our Political Action<br />

Committee. They were successful. Many members participated in Advocacy Days (formerly Lobby Days) in March 2014<br />

again in an effort to communicate our issues to the elected <strong>of</strong>ficials.<br />

Members expressed a desire for more educational opportunities. To that we sponsored several Webinars covering varied<br />

topics: Media training, Navigating the <strong>FNA</strong>4 ACTION PACKET, Preparation for Advocacy Days.<br />

We had regular Legislative Updates from our lobbyist Alisa LaPolt while the Legislature was in session.<br />

It was a good year and we all look forward to continued success and participation. Thank you to all who have helped make<br />

this SIG successful and productive.<br />

Bonnie Sklaren, RN,MSN,ARNP<br />

Facilitator<br />

Clinical Nurse Specialist SIG Report<br />

Theresa Morrison, Facilitator The CNS-SIG met by tele-conference nine times this year, excluding the two time we didn’t<br />

quite get the invite and connection working we had productive dialogue. We revised the 2014 Reference Proposal and<br />

Membership Assembly presentation. We wrote a section <strong>of</strong> the Nurses4Action and published about the CNS role in Florida<br />

in the Florida Nurse. Our attendance varied from three to seven, varying nurses at each meeting<br />

Ethics SIG Report<br />

Jean Davis, EdD, DNP, HCRM, PHCNS-BC, FNP-BC<br />

SIG Chairperson<br />

The Ethics Special Interest Group (SIG) focus this year has been on the revised Code <strong>of</strong> Ethics for Nurses published by<br />

ANA in January. The new edition <strong>of</strong> the Code with interpretive statements serves as a reminder <strong>of</strong> how we can apply our<br />

pr<strong>of</strong>essional ethics to our daily practice. We applaud ANA for updating this important publication and declaring <strong>2015</strong><br />

Nursing’s Year <strong>of</strong> Ethics!<br />

The Ethics SIG is small but evolving, welcoming, and committed to making ethics applicable to everyday nursing practice.<br />

We are always interested in having new members join us—from novice to expert. So, please join our monthly Thursday<br />

evening conference calls by contacting <strong>FNA</strong> to receive the dial in information regularly.<br />

The Ethics SIG mission to promote the highest standards <strong>of</strong> ethical practice is fostered through our monthly conference call<br />

meetings. We have lively discussions <strong>of</strong> ethics challenges in our practice and ways to foster ethical discussions in clinical<br />

practice.<br />

In addition to our monthly conference calls, efforts to highlight Nursing’s Year <strong>of</strong> Ethics and changes to the Code this year<br />

the SIG has:<br />

• Developed a poster on the revised Code and Year <strong>of</strong> Ethics events which has been displayed at <strong>FNA</strong> meetings this year.<br />

• Planned for spotlighting the application <strong>of</strong> the Code to the mandatory post-travel Ebola direct screening by Florida<br />

Department <strong>of</strong> Health through the 3rd annual August ethics webinar<br />

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<strong>2015</strong> Florida Nurses Association<br />

• Planned for a skit-based discussion presentation <strong>of</strong> the Code with an emphasis on students nurse participation at<br />

Membership Assembly this year,<br />

Future plans include continuing monthly conference calls in January through May, August, and October; hosting annual<br />

webinars each August; publishing articles in The Florida Nurse on a rotating basis with the other SIGs; and recruiting<br />

additional active members to join in discussing and spreading the word on applying ethics in everyday nursing practice.<br />

Join the Ethics SIG calls the 4th Thursday <strong>of</strong> each month from 7 to 8 PM by contacting <strong>FNA</strong> to be put on the email list.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Other Nursing Groups and Organizations<br />

Florida Center for Nursing<br />

Florida Nursing Students Association (FNSA)<br />

QUIN Council<br />

Florida Coalition <strong>of</strong> Advance Practice Nurses (FL-CAPN)<br />

Florida Cancer Control & Research Advisory Council<br />

(CCRAB)<br />

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<strong>2015</strong> Florida Nurses Association<br />

Florida Center for Nursing<br />

The Florida Center for Nursing Report will be found in your convention materials.<br />

Florida Nursing Students Association<br />

Tiffany Massey, RN<br />

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

FNSA began an exciting year after one <strong>of</strong> the most successful and well<br />

attended conventions in the history <strong>of</strong> the organization. The board hit<br />

the ground running, working to plan the Summer Leadership Retreat, the<br />

Preconvention Workshop and the Annual Convention that will be held<br />

October 22-24 at the Hilton Oceanfront Resort in Daytona Beach.<br />

We attended the NSNA convention in Phoenix, Arizona. We once again<br />

had the largest delegation present and we presented several resolutions<br />

which were all adopted. We were extremely proud to attend a House <strong>of</strong><br />

Delegates presided over by our own Kelly Hunt, the NSNA President who<br />

hails from University <strong>of</strong> North Florida.<br />

FNSA Board Member Marlen Lukatsky, gave a presentation at the convention on Global Initiatives in Nursing. We were<br />

pleased that two Florida students were elected to the NSNA Board <strong>of</strong> Directors, Sabrina Lozier, as Imprint Editor and Jae<br />

Kook Lim as Breakthrough to Nursing Director. We were thrilled to have a prominent presence at the national level.<br />

We would like to thank the many <strong>FNA</strong> members who support us including many <strong>of</strong> our faculty advisors. We appreciate the<br />

partnership and we will continue to encourage our colleagues to join <strong>FNA</strong> when they graduate.<br />

Our convention with the theme Breaking out <strong>of</strong> Your Shell, promises to be a great event with educational sessions as<br />

well as some fun activities for students. We will hold our Annual House <strong>of</strong> Delegates and elect new <strong>of</strong>ficers to begin this<br />

exciting journey again.<br />

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<strong>2015</strong> Florida Nurses Association<br />

QUIN Council<br />

Quality and Unity in Nursing<br />

This year QUIN Council continues to focus on communication between groups and inclusion <strong>of</strong> state level nursing<br />

organizations in to the Council. The new leadership structure has been effecting in creating continuity and stabilizing<br />

the activity <strong>of</strong> the group. This year the Intervention Project for Nurses has joined QUIN and will be attending their first<br />

meeting at this <strong>2015</strong> Membership Assembly. QUIN meetings have moved around the state in concert with Board <strong>of</strong> Nursing<br />

meetings or other nursing events.<br />

The members have united over issues such as the funding for the Florida Center for Nursing and communicating pertinent<br />

information such as the current status <strong>of</strong> LPN’s and LPN programs in the state. Several articles have been submitted to The<br />

Florida Nurse on these issues and will continue on the future.<br />

The members <strong>of</strong> QUIN have discussed doing some work on Transitions within nursing, which not only encompasses<br />

transition to practice but discussion also centered around the seasoned nurse who may not be able to meet the demands<br />

<strong>of</strong> 12 hour shifts but is still able to make a valuable contribution to nursing. Additionally, transitions across specialties or<br />

practice area were discussed.<br />

This year marks the 25th Anniversary <strong>of</strong> QUIN and the group developed a logo and will celebrate this milestone at the<br />

QUIN meeting in October.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Florida Coalition <strong>of</strong> Advanced Practice Nurses<br />

Report 2014-<strong>2015</strong><br />

The Florida Coalition <strong>of</strong> Advanced Practice Nurses (FCAPN) is a think-tank and strategizing group <strong>of</strong> APN member<br />

organizations in Florida. The Coalition met four (4) times this year in Miami, Tampa, Gainesville, and Orlando. The<br />

organizational representatives met to discuss and develop strategies for advocating the advancement <strong>of</strong> key State legislation<br />

that addresses nurse practitioner practice. In back-to-back years, the nurse practitioner legislation has progressed to<br />

the floor <strong>of</strong> both Houses <strong>of</strong> the Florida Legislature. Last year, a piece <strong>of</strong> legislation passed through the Florida House <strong>of</strong><br />

Representatives, which would have provided partial full-practice authority. Time ran out before the Senate could address<br />

the bill and the bill did not past out <strong>of</strong> committee. However, this year, legislation that would have permitted nurse<br />

practitioners to prescribe controlled substances, passed through the Florida Senate. The House ended the session three days<br />

ahead <strong>of</strong> schedule leaving many bills to die on the floor, including the Senate approved bill. The Coalition has much to<br />

celebrate and to build on the momentum <strong>of</strong> the past two years.<br />

The Coalition has spent some <strong>of</strong> the year redefining its purpose and clarifying its goals for the next year. The following<br />

goals were being drafted prior to this report and include, to:<br />

1. provide a forum for Advanced Practice Nursing groups in Florida to discuss and create a unified position on issues<br />

and concerns that effect the practice <strong>of</strong> Advanced Practice Nursing in Florida.<br />

2. create an open, transparent, fair, unified and accessible Coalition that is supportive <strong>of</strong> Advanced Practice Nursing<br />

in Florida.<br />

3. improve the practice satisfaction <strong>of</strong> Advanced Practice Nurses working in Florida.<br />

4. increase access to healthcare services provided in Florida by Advanced Practice Nurses.<br />

Respectfully submitted July 20, <strong>2015</strong>:<br />

George Byron Peraza-Smith<br />

FCAPN – <strong>FNA</strong> Representative<br />

Florida Cancer Control & Research Advisory Council<br />

<strong>2015</strong> Summary <strong>of</strong> General membership meeting<br />

Theresa Morrison PhD CNS representing Florida Nurses Association<br />

Thank you for the opportunity and honor <strong>of</strong> representing the <strong>FNA</strong> at Florida Cancer Control & Research Advisory Council<br />

(CCRAB). Along with Florida’s surgeon general, representatives from FMA, FHA, Florida Congress, ACS, and nine other<br />

associations and universities, CCRAB addresses opportunities for statewide collaboration with the Biomedical Research<br />

Advisory Council (BRAC), Cancer Centers <strong>of</strong> Excellence, the state legislature, and the Governor’s <strong>of</strong>fice.<br />

This year was spent developing one “cancer plan” to present to the Cancer Plan Council. The CCRAB cancer plan will be<br />

used for to the Florida Cancer Treatment Plan, State Health Improvement Plan, and Tobacco Plan.<br />

Priorities addressed were genomics and clinical trials, among other topics. CCRAB anticipates filing a bill in 2016 related<br />

to the cancer plan.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Parliamentary Information<br />

Robert’s Rules <strong>of</strong> Order Newly Revised, is the parliamentary authority that shall govern the Membership Assembly. The<br />

Chair, as the presiding <strong>of</strong>ficer, rules on all matters relative to parliamentary law and procedures. The parliamentarian<br />

serves only in an advisory capacity to the presiding <strong>of</strong>ficer and members <strong>of</strong> the Membership Assembly.<br />

Participation in the business session is governed by the standing rules <strong>of</strong> the Membership Assembly.<br />

The motions that follow are defined in terms <strong>of</strong> action a member may desire to propose. Rules governing these motions are<br />

listed in Table 3 which follows:<br />

A main motion introduces a subject to the Membership Assembly for consideration and is stated: “I move that...”<br />

An amendment (primary) is a motion to modify the wording <strong>of</strong> a motion. The motion to amend may be made in one <strong>of</strong> the<br />

following forms, determined by the action desired: “I move to amend by...<br />

...striking (word(s), phrase, paragraph).”<br />

...inserting (word (s), phrase, paragraph).”<br />

...striking and inserting (word(s), phrase, paragraph).”<br />

...adding (word (s), phrase, or paragraph at the end <strong>of</strong> the motion).”<br />

...substituting (paragraph or entire text <strong>of</strong> a resolution or main motion and inserting another that is germane).”<br />

An amendment to an amendment is a motion to modify the wording <strong>of</strong> the proposed amendment and is made as follows:<br />

“I move to amend the amendment by...”The same forms for making an amendment are applicable for making a secondary<br />

amendment.<br />

The motion to commit or refer is generally used to send a pending motion (also called “the question”) to a small group<br />

<strong>of</strong> selected persons -a committee, board or commission, for example --so that the question may to consider. The motion is<br />

stated: “I move to commit the question to . . . for further study.”<br />

The motion to limit or extend debate is a motion that allows the Assembly to exercise special control over debate on a<br />

pending question and is stated: “I move to limit further debate to (minutes, certain number <strong>of</strong> speakers, certain number <strong>of</strong><br />

speakers pro and con).”<br />

The motion to close debate (previous question), if seconded and approved by a two-thirds vote, stops discussion on the<br />

pending question and is stated: “I move the previous question”.<br />

A division <strong>of</strong> the assembly may be called by any one member if the chair’s decision on a voice vote is in question. The<br />

member proceeds to the microphone and states: “I call for a division <strong>of</strong> the House”. The chair then takes a standing vote.<br />

A division <strong>of</strong> the question may be called when a pending motion relates to a single subject but contains several parts, each<br />

capable <strong>of</strong> standing as a complete proposition. The parts can be separated and each considered and voted on as a distinct<br />

question.<br />

The motion to reconsider enables a majority <strong>of</strong> the assembly to bring back for further consideration a motion that has<br />

already been voted. The purpose <strong>of</strong> reconsidering a vote is to permit correction <strong>of</strong> hasty, ill-advised, or erroneous action,<br />

or to take into account added information situation that has changed since the vote was taken. (note exception on Table 3,<br />

Rules Governing Motions).<br />

Parliamentary inquiry is a question directed to the presiding <strong>of</strong>ficer to obtain information on parliamentary law or the<br />

roles <strong>of</strong> the organization as relevant to the business at hand. A member addresses the chair and states: “I rise to point <strong>of</strong><br />

parliamentary inquiry.”<br />

Point <strong>of</strong> information is a request, directed to the chair or through the chair to another <strong>of</strong>ficer or member, for information<br />

relevant to the business at hand. The request is not related to parliamentary procedure. The member addresses the chair and<br />

states: “I rise to a point <strong>of</strong> information”.<br />

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<strong>2015</strong> Florida Nurses Association<br />

The motion to appeal the decision <strong>of</strong> the chair is made at the time the chair makes a ruling. If it is made by a member and<br />

seconded by another member, the question is taken from the chair and vested the House for a final decision. The motion is<br />

stated: “I move to appeal the decision <strong>of</strong> the chair”.<br />

Before a member can make a motion or address the assembly on any question, it is necessary that he or she obtain the floor<br />

through recognition by the presiding <strong>of</strong>ficer.<br />

The delegates must:<br />

• rise and proceed to the microphone.<br />

• address the chair by saying, “Madam Chairperson”<br />

• await recognition<br />

• give name and the Region he or she is from<br />

• state immediately the reason he or she has risen.<br />

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<strong>2015</strong> Florida Nurses Association<br />

<strong>2015</strong> Proposed Bylaws Changes<br />

Current Bylaw Proposed Change Rationale<br />

Section 2. Directors<br />

Article IV: Officers and Directors<br />

Section 2. Directors<br />

A. There shall be eight Directors<br />

representing each <strong>of</strong> eight Regions.<br />

B. The directors are elected by members<br />

and are accountable to the membership.<br />

A. There shall be eight Directors<br />

representing each <strong>of</strong> eight Regions and<br />

one additional Director who is a recent<br />

graduate.<br />

C. The directors are elected by members<br />

and are accountable to the membership<br />

This mirrors ANA and<br />

provides an opportunity<br />

for new graduate<br />

participation and input.<br />

Article IV: Officers and Directors<br />

Section 5 Duties<br />

H. The Directors shall<br />

Article IV: Officers and Directors<br />

Section 5 Duties<br />

No current bylaw exists. Add section I.<br />

Section 5. Duties<br />

H. The Region Directors shall<br />

Article IV: Officers and Directors<br />

Section 5 Duties<br />

I. The Director- Recent Graduate shall:<br />

1. Be a recent graduate <strong>of</strong> a generic<br />

nursing program within five years<br />

or less.<br />

2. Serve as facilitator <strong>of</strong> the New<br />

Graduate Special Interest Group<br />

(SIG)<br />

3. Serve as liaison between the new<br />

graduates and the <strong>FNA</strong> Board <strong>of</strong><br />

Directors<br />

4. Coordinate activities for members<br />

who are recent graduates <strong>of</strong> their<br />

initial nursing program<br />

5. Serve as a member <strong>of</strong> the<br />

Membership Committee<br />

To delineate the recent<br />

graduate position from<br />

the existing directors.<br />

To add a position that<br />

specifically addresses<br />

the new graduate<br />

and creates function<br />

and involvement<br />

for this sector <strong>of</strong> the<br />

membership with<br />

specific needs. The five<br />

year span gives time<br />

for the graduate to have<br />

acclimated to work life.<br />

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<strong>2015</strong> Florida Nurses Association<br />

Index <strong>of</strong> <strong>FNA</strong> Position Statements<br />

1983-2014<br />

1. Practice<br />

• Changing DNR (Do Not Resuscitate) to AND (Allow Natural Death) 2011<br />

• Nurse Residency Program 2011<br />

• Removal <strong>of</strong> Barriers to Nurse Practitioner Practice 2011<br />

• Medication Administration by Unlicensed Assistive Personnel 2007<br />

• Retention <strong>of</strong> the Mature/Experienced Nurse 2003<br />

• Nursing Workforce Safety: No Lift Environments and Safe Patient Handling and Movement Initiatives 2003<br />

• Advancing Registered Nurse’s Satisfaction 2001<br />

• Public Health Nursing – Keep Florida Healthy 1998<br />

• Nursing Quality Indicators for Health Care 1995<br />

• Promoting Volunteerism within the Nursing Pr<strong>of</strong>ession 1993<br />

• Cultural Diversity in Nursing 1993<br />

• Cigarette Smoking 1993<br />

• Pursue Funding for Adequate Immunization to Florida’s Children 1992<br />

• Women’s Need for Universal Access to Care 1992<br />

• Utilization <strong>of</strong> ARNP’s in Nursing Homes 1992<br />

• Prescriptive Privileges for Nurse Practitioners in Florida 1991<br />

• Prescribing Controlled Substances - ARNP’s 1991<br />

• Case Management 1990<br />

• Public Health Nursing Leadership in Home Visiting Programs in Florida 1990<br />

• Recognizing and Supporting Aerospace Nursing 1989<br />

• Teenage Sexual Responsibility 1988<br />

• Opposition to AMA’s RCT Concept 1988<br />

• 70/90 Coalition 1988<br />

• Long Term Care 1988<br />

• Reaffirmation <strong>of</strong> 1985 Resolution to Promote Nursing Participation in Multidisciplinary Ethics Committees 1998<br />

• Guidelines for Cancer Chemotherapy and Nursing Practice 1986<br />

• Role <strong>of</strong> the Pr<strong>of</strong>essional Nurse in the Planning, Organization and Delivery <strong>of</strong> Disaster Services 1985<br />

• Responsibility for Clients Requiring Nursing Services in the Home Health Setting 1985<br />

• Reduction in Medicare Home Health Care Visits Potentates Health Hazard 1985<br />

• Position on Gerontological Nursing 1983<br />

• Public Health Nurses Authority to Dispense Medication 1983<br />

• Patient Teaching 1983<br />

• Organ Donor Program 1983<br />

2. Health Care Policy/Legislation<br />

• Addressing the Public Health Infrastructure in Florida 2014<br />

• Statement on Unity Among Nurses 2011<br />

• Support <strong>of</strong> Health System Reform 2010<br />

• Commission on Excellence in Health Care’s Legislative Actions: Implications for Nursing 2001<br />

• Proposal to Support the Florida Commission on Mental Health and Substance Abuse 2001<br />

• Medication Waste In Long Term Care Facilities 1999<br />

• Medicaid Fee Increase in Home Health Settings 1999<br />

• Education on End <strong>of</strong> Life Decisions 1998<br />

• Reaffirmation <strong>of</strong> Need for Child Safety Restraints 1998<br />

• Improper Use <strong>of</strong> the Term “Nurse” 1998<br />

• Medical and Nursing Services for Ventilator Dependent Adults Over the Age <strong>of</strong> 21 Years 1998<br />

• Adequate Nursing Staffing Based on Acuity in Skilled Nursing Facilities 1998<br />

• Background Checks for All Staff Across All Health Care Settings 1998<br />

• Adequate Staffing in Home Health Settings 1998<br />

• ARNP Scope <strong>of</strong> Practice and the Life Prolonging Procedure Act <strong>of</strong> Florida 1996<br />

• Registered Nurses Administering Over-the-Counter Medications As An Independent Nursing Function 1996<br />

• Reinforcing Public Health Nursing in a Restructured System 1994<br />

• Universal Access to Care 1990<br />

• Equal Access to Health Care 1989<br />

• Individual Responsibility for Legislation 1985<br />

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<strong>2015</strong> Florida Nurses Association<br />

3 Regulatory<br />

• Support <strong>of</strong> Medicaid Expansion for Florida 2014<br />

• Nurse’s Right to Privacy 2001<br />

• Nurse Aide Competency Evaluation Testing 1996<br />

• Licensure and Regulation <strong>of</strong> Registered Nurses 1995<br />

• Advanced Practice Licensure in Florida 1994<br />

• RN and EMT Licensure and Practice 1985<br />

• Florida Board <strong>of</strong> Nursing Sunset Law 1985<br />

• Impaired Nurse Program 1985<br />

4 Education<br />

• Oversight Of Nursing Educational Programs 2010<br />

• Cigarette Smoking and Tobacco Use Prevention 2005<br />

• Innovations in Joint-Faculty Positions 2001<br />

• Telehealth/Telenursing 1999<br />

• Universal Nursing Languages 1998<br />

• Expansion <strong>of</strong> RN Mobility Programs in Florida 1996<br />

• The Prevention and Elimination <strong>of</strong> Lead Poisoning in Children 1996<br />

• To Faculty and Administrators <strong>of</strong> Nursing Education Programs for Content on Ethics to be<br />

Enhanced in Curricula 1985<br />

• Reaffirmation <strong>of</strong> <strong>FNA</strong> Educational Position 1985<br />

• The Pr<strong>of</strong>essional Nursing Association Represents Technical and Pr<strong>of</strong>essional Nurses 1984<br />

• Role <strong>of</strong> the Pr<strong>of</strong>essional Nurse in the Educational Process 1984<br />

• Titling and Licensure <strong>of</strong> Registered Nurse in Florida 1984<br />

• Strategies for Implementation <strong>of</strong> Two Levels <strong>of</strong> Nursing Practice 1984<br />

• Continuing Education 1984<br />

5 Workplace/E&GW <strong>of</strong> Nurses<br />

• Increasing the Number <strong>of</strong> Male Registered Nurses & Advanced Registered Nurse Practitioners 2014<br />

in the State <strong>of</strong> Florida 2014<br />

• Workforce Advocacy for Safe Patient Handling: Beyond Legislation 2007<br />

• Effects <strong>of</strong> Physical and Emotional Fatigue on Nurses in the Workplace 2007<br />

• Eradication <strong>of</strong> Horizontal Violence and Bullying in Nursing 2007<br />

• Safe and Secure Work Environment 2005<br />

• Safe Staffing 2005<br />

• ANA’s Principles for Nurse Staffing Applied to Florida Hospitals 2001<br />

• Models <strong>of</strong> Voluntary Overtime 2000<br />

• Blameless Medication Error Reporting Systems 2000<br />

• Controls To Promote Needle Safety 1999<br />

• Latex Allergy 1999<br />

• Shared Accountability in Today’s Work Environment 1998<br />

• Identification <strong>of</strong> Registered Nurses as Distinct Health Care Providers 1995<br />

• Health Care Ergonomics for Nurses 1995<br />

• Registered Nurse Staffing Patterns 1995<br />

• Supervision <strong>of</strong> New Graduates 1993<br />

• Positioning Nursing in Restructuring the Workplace 1993<br />

• Implementation <strong>of</strong> the OSHA Standards on Occupational Exposure to Bloodborne Pathogens<br />

for State Employees 1992<br />

• Guidelines for Practice for the Nurse with a Bloodborne Disease (HIV, AIDS, HBV) 1992<br />

• Bloodborne Pathogens/Tuberculosis and Nursing Students 1992<br />

• Third Party Reimbursement 1991<br />

• Nurses’ Responsibility for Safe Practice 1989<br />

• Third Party Reimbursement 1989<br />

• Nursing Shortage 1987<br />

• Insurance Claims Information and Data Collection 1987<br />

• Affordable Pr<strong>of</strong>essional Liability Coverage 1987<br />

• Malpractice Crisis 1987<br />

• Pr<strong>of</strong>essional Liability Insurance 1985<br />

• AORN Statement 1984<br />

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<strong>2015</strong> Florida Nurses Association<br />

• First Surgical Assistant 1984<br />

• Adequate RN Staffing in Long-term Care Facilities 1984<br />

• Medication Administration in Long-Term Care 1984<br />

• Statement on the Role <strong>of</strong> the Community Health Nurse 1984<br />

• Administration <strong>of</strong> Medications by Unlicensed Personnel 1984<br />

• Employment <strong>of</strong> Graduate Nurses 1984<br />

• Identifying Nursing Costs 1983<br />

• Nurses Participation in Health Care Cost Containment 1983<br />

• Worker’s Compensation 1983<br />

• Employee’s Right to Know Hazards in the Workplace 1983<br />

• Liability Insurance 1983<br />

• Establishing a Safe Work Environment by Prevention <strong>of</strong> Workplace Violence and by Establishing 2013<br />

Response and Recovery Strategies<br />

6 Consumer Advocacy/Ethics<br />

• <strong>FNA</strong>’s Health Literacy Statement 2010<br />

• Preparation for Disaster Response 2007<br />

• Increasing Nurses’ Awareness <strong>of</strong> Public Cord Blood Donation 2007<br />

• Obesity in Children <strong>of</strong> Florida 2005<br />

• Opposition <strong>of</strong> Geriatric Specialist Assistant in Long Term Care 2003<br />

• Patient Privacy in an Electronic Age 2000<br />

• Proposal to Support the Runaway Act <strong>of</strong> 2000 2000<br />

• Support Tort Reform In Long Term Care (LTC) Regarding Caps on Attorney Fees 1999<br />

• Domestic Violence 1995<br />

• Human Rights <strong>of</strong> Citizens in Need <strong>of</strong> Mental Health Care 1995<br />

• Human Rights <strong>of</strong> Older People and the Florida Mental Health Act 1995<br />

• Curbing the Public Health Epidemic <strong>of</strong> Handgun Violence in Florida 1994<br />

• Prohibition <strong>of</strong> Corporal Punishment in Schools 1992<br />

• Domestic and Workplace Violence 1992<br />

• Client’s Rights Regarding Administration <strong>of</strong> Artificial Sustenance 1987<br />

• To Promote Nursing Participation in Multidisciplinary Ethics Committees 1985<br />

• Nurse Intervention in Child Abuse Investigation and Treatment 1985<br />

• Elderly Abuse 1984<br />

• Client’s Rights Regarding Treatment and Care 1983<br />

• Child Passenger Safety 1983<br />

7 Communicable Diseases<br />

• Influenza Immunizations 2007<br />

• Prevention and Control <strong>of</strong> Emerging Infectious Diseases 2003<br />

• Prevention Strategies to Reduce Pregnancy and Sexually Transmitted Diseases Among Teenagers 1998<br />

• Women and AIDS 1993<br />

• Tuberculosis 1992<br />

• Nursing and Human Immunodeficiency 1992<br />

• Reporting <strong>of</strong> HIV Exposure Data to HRS 1990<br />

• Promotion <strong>of</strong> Increased Nursing Research on AIDS and HIV Disease 1990<br />

• U.S. Travel Restrictions on HIV-Infected Visitors 1990<br />

• Nursing Case Management for People with HIV/AIDS 1989<br />

123


<strong>2015</strong> Florida Nurses Association<br />

History <strong>of</strong> <strong>FNA</strong> Lamplighters<br />

25 Years <strong>of</strong> Continuous Membership<br />

1988-<strong>2015</strong><br />

<strong>2015</strong><br />

Carol S. Boyington<br />

Valerie Browne<br />

Gloria Castenholz<br />

Helen Cook<br />

Marie Cowart<br />

Kathy Donovan<br />

Darlene Edic-Drawford<br />

Catherine Evans<br />

Goldie Fralick<br />

Nancy Frizzell<br />

Eileen Froehlich<br />

Mary Goodwin<br />

Nancy Hayes<br />

Myrtle Henry<br />

Janice Hess<br />

Bonnie Hesselberg<br />

Rhea Hurwitz<br />

Susan Irvin<br />

Barbara Johnson<br />

Sue D. Littell<br />

Stephanie Moore<br />

Lucille Pica<br />

Carolyn Rackmill<br />

Susan Ricci<br />

Cynthia Schneider<br />

Diane Scott<br />

Suzanne Sendelbach<br />

Diana Swihart<br />

Bonnie Taggart<br />

Joyce Thompson<br />

Denise Townsend<br />

Darlene Tucker<br />

Margaret Varnadore<br />

2014<br />

William Ahrens<br />

Karen Goodsen<br />

Patricia Cordell<br />

Helene DeFrancesco<br />

Kathy Ebener<br />

Denise Heineman<br />

Shirley Hill<br />

Linda Howe<br />

Christina McClean<br />

Jean Penny<br />

Maria Seidel<br />

Constance Upshaw<br />

2013<br />

Carol Blakeman Doris Edwards Maria Seidel<br />

2012<br />

Frances Aronovitz<br />

Barbara Chasco-Papale<br />

Alice Evans<br />

Jeanne Sandy Oestreich<br />

Susan V. White<br />

Mary Alice Yoham<br />

2011<br />

Pat Arcidiacono<br />

Nora Howard Beauchamp<br />

Barbara Brownfield<br />

Mary Lou Brunell<br />

Phyllis Bullard<br />

Marlene Cataylo-Chance<br />

Sally Chester<br />

Victoria Chin Sang<br />

Myrna Crawford<br />

Frankie Geiger<br />

Miriam Hirschberg<br />

Marilyn Howard<br />

Barbara Judkins<br />

Teresa Knight<br />

Valerie Kolbert<br />

Lizzie Lenon<br />

Katherine Mason<br />

Maura Miller<br />

Diana Openbriar<br />

Yvonne Parchment<br />

Sharon Parrish<br />

Madine Rawe<br />

Mary Beth Reardon<br />

Ellen Sanders<br />

Winnie Schmeling<br />

George Byron Smith<br />

Susan Stone<br />

Carolyn Vallone<br />

Emma Wood<br />

Jacqueline Weniger Woods<br />

2010<br />

Janice H<strong>of</strong>f<br />

2009<br />

Judith Erickson<br />

Jeanne Siegel<br />

2007<br />

Banke Ayileka<br />

Judith Davies<br />

Johnna Dettis<br />

Paddy Faucher<br />

Inez Fielding<br />

Susan Hartranft<br />

Carol Hayes-Christiansen<br />

Leslie Homsted<br />

Jeanne Hopple<br />

Merrily LeVee<br />

Ellicene Phillips<br />

Janet Townsend<br />

Willa Fuller<br />

124


<strong>2015</strong> Florida Nurses Association<br />

2005<br />

Doug Banks<br />

Lee Barks<br />

Gail Borovsky<br />

Marianna Cowle Church<br />

Ann-Lynn Denker<br />

Eileen Dondero<br />

Jo Emmons<br />

Kay Fullwood<br />

Donna Giannuzzi<br />

Billie Hammill<br />

Dorothy Hummell<br />

Jean Irwin<br />

Frances Jennings<br />

Sophie Karas<br />

Imogene King<br />

Diana Koch<br />

Sue Ann Korsberg<br />

Sue Leger-Krall<br />

Dierdre Krausse<br />

Ann Marie McCrystal<br />

Wynyard McDonald<br />

Linda Brown<br />

Darlene Fritsma<br />

Sharon Koch-Parish<br />

Susan Leonard<br />

Michael Nilsson<br />

Jean Penny<br />

Audrey Ryal<br />

Frances Smith<br />

Jackie Spivey<br />

Mary Tittle<br />

Jill Winland-Brown<br />

2003<br />

Sunny Conn<br />

Charlene Long<br />

Doris Mattera<br />

Lucille Rhim<br />

Mary Salka<br />

Margery Shake<br />

Sue F. Lee<br />

Janice L. Gay<br />

Diane C. Hersh-Dickey<br />

Gail B. Cass-Culver<br />

Jean Wortock<br />

Betty A. Wajdowicz<br />

Mary Kay Habgood<br />

Nancy Breen<br />

2001<br />

Isobel Bierbower<br />

Joan Burritt<br />

Maurine Butler<br />

Janet Hatt<br />

Ella Jackson<br />

Barbara Janosko<br />

Sande Gracia Jones<br />

Deborah Greenfield<br />

Katherine McLamb<br />

Edna Nastasy<br />

Barbara Reinhold<br />

Alma Stitzel<br />

2000<br />

Barbara Barden<br />

Carol Christiansen<br />

Marianna Church<br />

Joyce Cimmento<br />

Judith Dvorak<br />

Ann Jackson<br />

Gwen McDonald<br />

Susan Pennacchia<br />

Patricia Quigley<br />

Barbara Redding<br />

Vivian Ross<br />

Gerri Twine<br />

Martha Sue Wolfe<br />

Mary Zinion<br />

1999<br />

Margaret Ayres<br />

Frances Kate Dowling<br />

Arlene Heilig<br />

Levanne Hendrix<br />

Edna Hicks<br />

Juanita Payne<br />

Gladys Pratt<br />

Carol Riley<br />

Lucille Robertson<br />

Florence Roper<br />

Betty Taylor<br />

1998<br />

Charlotte Dison<br />

Grace Donovan<br />

Shirley Edwards<br />

Arlena Falcon<br />

Diana Jordan<br />

Donna Pfeifer<br />

Barbara Russell<br />

Shirley Edwards<br />

1997<br />

Claydell Horne<br />

1995<br />

Rudy Schantz<br />

Helen Surer Shering<br />

Rachael Steinmuller<br />

May E. Stafford<br />

Gladys Gilliam<br />

Eileen K. Austin<br />

Kathleen Jones<br />

Ann Marie Clyatt<br />

Maryrose Owens<br />

Charlotte Kelly<br />

Susan Leonard<br />

1993<br />

Patricia Duffy<br />

Hazel Gilley<br />

Marie Grey<br />

Harold MacKinnon<br />

Etta McCulloch<br />

Elizabeth Ren<br />

Melanie Stewart<br />

Muriel Watkins<br />

Betty (Thelma) Watts<br />

1991<br />

Margaret Ayres<br />

Arlene Heilig<br />

Levanne Hendrix<br />

Deborah Hogan<br />

Barbara Lumpkin<br />

Betty Taylor<br />

Carol L. Riley<br />

Lucille Robertson<br />

125


<strong>2015</strong> Florida Nurses Association<br />

1990<br />

Gertrude Lee<br />

Martha Kaufman<br />

Frances Haase<br />

1989<br />

Emily Birnbaum<br />

Mary Bolton<br />

June Borden<br />

Grace Fox<br />

Ruth Gay<br />

Phyllis Kurtz<br />

Beryl Long<br />

Erma (Trudy) Maurer<br />

Sarah McClure<br />

Rose Schniedman<br />

Norma Sims<br />

1988<br />

Isle Benedetti<br />

Eleanor Call<br />

Louise Fiske<br />

Joan Lawlis<br />

Adele Miller<br />

Reine Nichols<br />

Jean Ready<br />

Florence Roper<br />

Lillabelle Rundell<br />

Donna Schwier<br />

<strong>FNA</strong> Diamond Awards<br />

50 Years <strong>of</strong> Continuous Membership<br />

<strong>2015</strong><br />

Barbara Lumpkin<br />

Betty Wajdowicz<br />

2012<br />

Ida Mizel-Gilula<br />

Ann Marie McCrystal<br />

2011<br />

Clare Good<br />

Claydell Horne<br />

Pat Messmer<br />

2010<br />

Barbara T. Curtis<br />

2007<br />

Selina Frost<br />

Genevieve Larsen<br />

Jeane Stockheim<br />

126


<strong>2015</strong> Florida Nurses Association<br />

127


<strong>2015</strong> Florida Nurses Association<br />

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