Utah Nurse - November 2015

The Official Publication of the Utah Nurses Association
Many Roles. One Profession.
UTAH NURSE
Volume 24 • Number 4
November, December 2015, January 2016
Inside
Medicaid
Expansion
Page 3
The Window
to the Body:
Oral Health
Page 4
Vaccines
Across the
Lifespan
Page 6
www.utnurse.org
Attention UNA
Members
You can now find us on Facebook. Just search Utah
Nurses Association and look for the page with the
UNA logo. We will be posting updates for upcoming
events and information on conventions in our blog.
Quarterly publication direct mailed to approximately 30,000 RNs and LPNs in Utah.
PRESIDENT’S MESSAGE
I was recently in St George for a visit with my family
and I had a great time seeing all the things there are to
do. Despite a few days of hot weather, we really enjoyed
all town had to offer. It reminded me how important it is
for each and every one of us to take care of ourselves.
Although my family has often driven through the St.
George area on the way to other places, this was the
first time we stayed for a visit. I found it regenerating and
rejuvenating.
St. George is one of many truly beautiful places in
Utah. Now that school is back in session and families are
back in the busy groove of fast paced lives, it is important
to stop and take some time to review the wonderful
summer you had with your families. Remember to seek
out those times that allow us
to enjoy not just our families
and friends, but also find
time to talk to those you
work with and to share time
with colleagues as well as
family.
In times of stress and fast
paced life, it is imperative to
stop and take time to take
care of ourselves as well.
We spend our careers taking
care of others; it is time to
take care of ourselves.
Catherine Coverston
ATTENTION HOME HEALTH NURSES...
The UNA board is seeking insight into present-day home-health
nursing practice. If you currently work in home-health would
you please respond to the following questions (please send
responses to una@xmission.com – all responses will be kept
strictly confidential):
1. What is current nursing practice expectations of RNs
who work in home-health agencies?
2. How many and what type of unlicensed assistive personnel do RNs delegate to?
3. What types of patient care activities are currently delegated to unlicensed assistive personnel?
4. If the unlicensed assistive personnel have questions (during working hours), what is the RN
availability to answer the questions?
Members of the UNA board are not as familiar as you are with current home-health nursing practice
and seek input from our members who participate in this area of nursing. If there is anything else
that you feel would help us better understand home-health nursing practices, please feel free to add
it to your response.
Thank you so much.
UNA Board of Directors
We need
your input!
current resident or
Presort Standard
US Postage
PAID
Permit #14
Princeton, MN
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Content
1 President’s Message
2 From the Editor
3 Special Session on Medicaid Expansion
4 The Window to the Body: The Effect of Oral Health on Overall Health
5 On the National Front
6 Vaccines Across the Lifespan
9 In Memoriam
11 GRC Committee News
11 From the Membership Committee

Page 2 • Utah Nurse November, December 2015, January 2016
FROM THE
EDITOR
Aimee McLean, BSN, RN, CCHP
Hello fellow Utah nurses! Fall us upon us and with the
changing colors in the leaves, we will see some changes
at the UNA as well. The yearly election has now passed
and we will be welcoming in a few new board members
and others will take on new positions. As always, we
continue to encourage each and every one of you to join
the UNA and to participate in leadership for our state.
Each and every voice is important and we would love to
hear from all of you. I encourage letters to the editor with
things that excite you or infuriate you or just interest you.
If it is important to you it is likely important to many other
nurses across the state. We understand that life is busy
and sometimes we are not in a position to fully participate
in professional organizations, but most of us can find
a few minutes to write an email or send a letter. Our
careers are not only our livelihood; they are our passions.
As you read this issue, please also be thinking of things
that are important to you as a nurse or things you would
be interested in learning more about. Then drop us a
quick line to let us know what you think. Let me know
what you enjoyed, what you didn’t and what you would
like to see in future issues. Fall is a time for change; help
us to change in a way that better supports you and all
you do. Have a wonderful holiday season!
Nephi, Utah
Orthopedic Surgery | General Surgery
24/7 Emergency Department
Obstetrical Care | Radiology w/MRI
Respiratory Therapy | Full-Service Lab
Physical & Occupational Therapy
Home Health & Hospice
Big Hospital Services with Small Home Town Care
Our Nurses Make A Difference
Become Part of Our Team!
Located just off Interstate 15 and only 30
minutes from Provo, Utah’s third largest city,
Nephi offers a quiet, small town lifestyle with
easy access to big city amenities.
It’s the perfect place to live and work.
www.cvmed.net | Nephi, Utah | 435-623-3105
PUBLICATION
The Utah Nurse Publication Schedule for 2016
Issue
Material Due to UNA Office
Feb/March/April 2016 December 7, 2015
Guidelines for Article Development
The UNA welcomes articles for publication. There is
no payment for articles published in the Utah Nurse.
1. Articles should be microsoft word using a 12 point
font.
2. Article length should not exceed five (5) pages
8 x 11
3. All reference should be cited at the end of the
article.
4. Articles (if possible) should be submitted
electronically.
Submissions should be sent to: una@xmission.com or
Attn: Editorial Committee | Utah Nurses Association
4505 S. Wasatch Blvd., Suite 330B
Salt Lake City, UT 84124
Phone: 801-272-4510
NIGHTINGALE
TRIBUTE
The basic Nightingale
Tribute to be offered in
a nurses funeral will take
about two minutes to deliver
and can fit in many different
areas of any funeral service. The
words, pronouns and content can and should
be changed to meet the circumstances. The
presentation of a white rose by the speaker
or by all nurses in attendance is an optional
salute to the nurse. To read and print the basic
tribute, please go to: http://www.ksnurses.
com/the-nightingale-tribute.html or go to the
Kansas State Nurses Association and look under
the publication tab.
utnurse.org
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Utah Navajo Health System, Inc.
We are a not-for-profit Community
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in neighborhoods throughout the
northern portion of the Navajo Nation
and southeastern Utah. We provide
primary health care to men, women,
and children, regardless of citizenship
status, nationality or ability to pay.
To view current openings and apply online, visit
www.unhsinc.org
Usually, a healthcare provider’s license is their most important
asset. Disciplinary and malpractice action taken against that
license not only becomes public information, but can have
a devastating impact on one’s ability to practice. Catherine
Larson has over 20 years of experience defending providers in
these matters. Her expertise can help guide you through this
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www.strongandhanni.com
clarson@strongandhanni.com • 801.532.7080
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9350 South 150 East, Suite 820, Sandy, UT 84070
2015 BOARD OF DIRECTORS
President
Catherine Coverston, PhD, RN
Past President
Kathleen, Kaufman, MS, RN
First Vice President
Peggy H. Anderson, MSN, RN
Second Vice President Aimee McLean, BSN, RN, CCHP
Secretary
Alana Jacobs, PhD, APRN
Treasurer
Karen de la Cruz, MSN, RN, AACNP/FNP
DIRECTORS AT LARGE
Sharon K. Dingman, DNP, RN
Amy Marie White, BSN, RN
STAFF MEMBERS
Office Manager
Continuing Education
Lobbyist
Editor
COMMITTEE
CHAIRS & LIAISONS
Lisa Trim
Open
Justin Stewart
Aimee McLean, BSN, RN, CCHP
By-Laws
Continuing Education
Open
Finance
Karen de la Cruz, MSN, RN, AACNP/FNP
Government Relations
Kathleen Kaufman, MS, RN
Membership
Sharon K. Dingman, DNP, RN
Nominating Ginette (Ginny) Pepper PhD, RN, FAAN, FGSA
Marguerite Brown, MS, RN
Monte Roberts DNP, RN
UTAH NURSES FOUNDATION
President
Marianne Craven, PhD, RN
Kathleen Kaufman, MS, RN
Catherine Coverston, PhD, RN
ANA MEMBERSHIP
ASSEMBLY REPRESENTATIVES
Catherine Coverston, PhD, RN
Donna Richards, PhD, RN
PRODUCTION
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Arthur L. Davis Publishing Agency, Inc.
Editor and Publisher are not responsible nor liable for editorial
or news content.
Utah Nurse is published four times a year, February, May,
August, November, for the Utah Nurses Association, a
constituent member of the American Nurses Association. Utah
Nurse provides a forum for members to express their opinions.
Views expressed are the responsibility of the authors and are
not necessarily those of the members of the UNA.
Articles and letters for publication are welcomed by the
editorial committee. UNA Editorial Committee reserves the
right to accept of reject articles, advertisements, editorials, and
letters for the Utah Nurse. The editorial committee reserves
the right to edit articles, editorials, and letters.
Address editorial comments and inquiries to the following
address:
Utah Nurses Association, Attn: Editorial Committee
4505 S. Wasatch Blvd., Suite 330B
Salt Lake City, UT 84124
una@xmission.com, 801-272-4510
No parts of this publication may be reproduced without
permission.
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reserve the right to reject any advertisement. Responsibility for
errors in advertising is limited to corrections in the next issue
or refund of price of advertisement.
Acceptance of advertising does not imply endorsement
or approval by the Utah Nurses Association of products
advertised, the advertisers, or the claims made. Rejection
of an advertisement does not imply a product offered for
advertising is without merit, or that the manufacturer lacks
integrity, or that this association disapproves of the product
or its use. UNA and the Arthur L. Davis Publishing Agency,
Inc. shall not be held liable for any consequences resulting
from purchase or use of an advertiser’s product. Articles
appearing in this publication express the opinions of the
authors; they do not necessarily reflect views of the staff,
board, or membership of UNA or those of the national or local
associations.

November, December 2015, January 2016 Utah Nurse • Page 3
All but Seven Republican Legislators Vote “NO”
to Special Session on Medicaid Expansion in 2015
(Fiscal bottom-line outweighs human lives.)
Kathleen Kaufman, GRC Chair
RyLee Curtis, Senior Health Policy Analyst
at the Utah Health Policy Project
The closed door meeting of the Republican caucus
on October 13th has shown the true lack of courage
in our Republican legislators. Seven voted in favor
of an interim session to decide the matter…the rest
voted no – a lack of support voted in private without
accountability to the public. No chance to debate in
public, no chance for the public to hear legislators’
actual positions. YOU need to determine how your
Republican legislator voted, hold them accountable,
and REMEMBER this lack of faith in the open
democratic process. There will be no interim session
to consider this crucial legislation and more Utahns
will die waiting for care.
Some history: In the aftermath of the U.S. Supreme
Court (SCOTUS) ruling that protected the Affordable
Care Act’s (ACA) premium subsidies for over 80,000
Utahns, prospects were looking up for finally closing
Utah’s Medicaid coverage gap. (Now approximately
53,000 minimum wage, part time employees are
the people who still need covered by a Medicaid
expansion-type plan.) With the SCOTUS ruling,
generous providers who have been giving care
essentially for free will have many patients now able
to buy subsidized commercial insurance and the
providers will receive commercial insurance rates for
their care. This is an improvement for the providers’
bottom line.
“This ruling lets us really kind of ramp it up,” House
Speaker Greg Hughes, (R-Draper) told reporter Glen
Mills at ABC-4. “It’s not going to be in the next week
or so, but now I think we’re a lot closer than we were
prior to knowing what the landscape would look like.”
By “us,” Speaker Hughes is referring to the “Gang of
Six,” a special group of policymakers created on the
last day of the 2015 legislative session to negotiate a
solution to Utah’s coverage gap by a July 31 deadline.
The gang, made up of Gov. Herbert, Lt. Gov. Cox,
President Niederhauser, Speaker Hughes, Sen.
Shiozawa, and Rep. Dunnigan has been meeting
regularly ever since.
But July 31st came and went, quickly, and without
a solid proposal. Instead the gang put forth what they
called a conceptual framework on which all the gang
could agree. Basically they agreed on three things: 1)
they all wanted to close the Medicaid gap completely
and offer coverage to low-income Utahns earning
between 0-133% FPL; 2) they wanted to draw down
the full federal funding available to the state under
the ACA to implement expansion; and 3) they wanted
to assess the industries that will benefit most from
expansion, and have them help pay for the program
(think hospitals, providers, pharmacies, and the like).
The gang had also announced its continued desire
to call a special session in October to finally provide
coverage to Utahns who desperately need it.
October is now here and 53,000 low-income
Utahns are still living in the Medicaid coverage gap,
Utahns want our lawmakers to buckle down to fix
it. Utah’s coverage gap is a man-made disaster that
requires effective public policy that is not beyond
the reach of our legislature. Many of our red state
neighbors are ready for a red state solution to the
coverage gap, and Utah seemed very close to
delivering a working template. Our state had an
unprecedented opportunity to lead on the biggest
health care dilemma facing 21 legislatures across the
country.
With the King v. Burwell court decision behind us,
the realistic policy-based challenges the Gang needs
to overcome are 1) budgeting the overall cost of the
program, and 2) determining who bears the risk if the
cost goes over projections.
In interviews, both Sen. Brian Shiozawa and
Speaker Greg Hughes indicated a desire to have
hospitals, providers, and the pharmaceutical
industries help the state mitigate the risks of
potential cost overruns. While this seemed to be
good news, it may have been a clever ploy to build
up provider resistance so the bill could not pass.
Some providers and facilities bitterly complained at
being assessed for providing Medicaid care. They
protest that they already are being reimbursed at
very low rates by Medicaid. Are they overlooking
that many of their former charity patients will now
have subsidized commercial insurance that will now
reimburse them at regular commercial rates? And
the former charity patients who go on Medicaid
actually would have SOME payment at admittedly
low Medicaid rates.
We expect the Gang of Six to develop a funding
system that engages the state to put its “skin in
the game.” So long as the plan follows the key
principles of closing the coverage gap completely
with a comprehensive health benefit and bringing the
maximum amount of tax dollars back to the state—
we are on board with finding payment options. We
think a great place to start is to review the significant
cost budget savings other states achieved after they
expanded Medicaid. And look at the potential savings
in our correction system in Utah that serves as the
largest mental health facility in Utah – paid for totally
with tax dollars.
This article is a collaboration between Kathleen
Kaufman, GRC Chair, and RyLee Curtis, Senior
Health Policy Analyst at the Utah Health Policy
Project.
INTERNET NURSING
UTAH NURSES ASSOCIATION receives its Internet
services due to a generous grant from XMission,
Utah’s largest and best local Internet Service
Provider. For more information on XMission’s
services and pricing visit XMission on the Web at
www.xmission.com or call 801-539-0852.
Please visit the Utah Nurses
Association’s Web Page!
utnurse.org
Visit our site regularly for the most current updates
and information on UNA activities. You can
obtain a listing of Continuing Education Modules
available through UNA or a listing of seminars and
conferences that offer CE credits.
www.nursingALD.com
Your always-on resource for nursing jobs, research, & events.
• Search job listings in all 50
states, and filter by location
& credentials
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of articles and content
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Nurses – Welcome to Wyoming!
Wyoming Behavioral Institute, an 85-bed acute care
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Page 4 • Utah Nurse November, December 2015, January 2016
The Window to the Body:
The Effect of Oral Health on Overall Health
Kristi Merrill, RDH Utah Department of Health Oral Health Program Intern
According to the CDC, approximately 47.2% of adults in the U.S. ages 30 or older
have been diagnosed with some form of periodontal disease (CDC, 2015c). Periodontal
disease is an infection of the tissues that surround and stabilize teeth so they can
function in their proper place. Periodontal disease can affect not only the gum tissue
but also the alveolar bone of the jaw, both of which are responsible for supporting the
teeth (Kuo, p. 417).
Why should nurses be concerned about the condition of a person’s oral
health?
Many diseases are in various ways, affected by oral health. The mouth is the
beginning of the gastrointestinal tract and is an entry window to the body. Oral health
can be a determining factor in prognosis of diseases happening within the body. It is
also a place where bacteria are constantly present, and vascularity running to teeth
and gum tissue serves as a conduit for infectious bacteria to travel from the mouth
to the rest of the body, affecting it systemically. If a person has poor oral hygiene
and a systemic disease, this compromises a person’s oral as well as overall health.
Nurses can play an important role in their patients overall health by understanding and
identifying the relationship between oral health and systemic disease.
Diabetes
Proper management of diabetes is very important to promote and protect both
oral and systemic health. With the increasing prevalence of diabetes, collaboration of
healthcare providers has become even more important as health issues are addressed.
In 2011, approximately 20.8 million people in the United States had been diagnosed
with diabetes, an increase from 5.5 million in 1980 (CDC, 2015b). Due to their chronic
inflammatory characteristics, both diabetes and periodontal disease are exacerbated
by increased inflammatory marker levels, which are elevated when these conditions are
not adequately managed. Thus, if periodontitis is uncontrolled, then diabetes is less
controllable and vice versa (Kumar, 2015). Because of this relationship, periodontitis is
We Need RNs!
Moab Regional Hospital is seeking dedicated,
qualified and experienced individuals with current
and unencumbered RN licensure in Utah (or compact
state) to work in Acute Care.
New Grads are encouraged to apply. MRH is eligible
for some student loan forgiveness programs.
For more information, please visit mrhmoab.org
or contact Katherine Sullivan,
Director of Human Resources at
katherines@mrhmoab.org or 435-719-3600
Moab Regional Hospital
Moab Regional Hospital is a busy 17-bed
Critical Access Hospital and is the leading
healthcare facility in Southeastern Utah,
serving thousands of patients each year.
EOE
now considered a complication of diabetes. If a patient with diabetes has uncontrolled
periodontitis, it can induce insulin resistance and result in poor glycemic control (Kuo,
p. 420). Diabetic patients have an exaggerated response to periodontal pathogens
due to the increase in circulating inflammatory mediators. When diabetes is unstable,
it promotes the breakdown of collagen. This breakdown occurs around teeth in the
gum tissue and in the bone support surrounding teeth, resulting in tissue destruction
and eventually tooth loss. Decreased wound healing is another complication of
diabetes, which may contribute to existing periodontal condition by slowing healing.
This occurrence can continue to cycle and hinder management or worsen the diabetic
condition (Kumar, p. 256). Management of both conditions is necessary when both are
present. It is therefore important for all healthcare providers to be able to identify the
presence of inflammation and poor oral health in diabetic patients so they can seek the
treatment they need to manage their health.
Cancer
Cancer is a disease that can change every aspect of a person’s life, including their
oral health. Nurses can play an important part in the identification of oral cancer. The
most common oral cancers found are related to the use of tobacco. Although oral
cancer is fairly rare (2-4%), about 75% of oral cancers are caused by tobacco use
(CDC, 2013). In 2013, approximately 42.1 million adults in the US smoked (CDC, 2015a).
Statistics from 2012 show that of every 100 adults, 4 used smokeless tobacco (CDC,
2015d). The head and neck area is very vascular and oral cancer can easily spread
to vital organs like the lungs, heart, and brain. Oral cancer screenings are part of the
dental hygiene standard of care. Nurses can perform the same screenings and also
discuss smoking cessation with their patients.
Dental Infections
In addition to periodontal disease, presence of tooth decay is relevant to all
healthcare providers. In 2009, Utah hospitals saw over 8,700 patients in emergency
departments for visits addressing dental and jaw concerns (Pew, p. 4). Patients are
going to emergency departments for issues like tooth pain and sepsis from a dental
infection because they delay treatment for their problems until they become major
issues. These patients aren’t able to receive adequate treatment in the emergency
department because hospitals aren’t equipped to provide dental care. Pew Center on
the States (2012) reports that “A study of low-income patients with toothaches found
that among those who went to an emergency room, 80 percent needed subsequent
care from a dentist” (p. 3). This occurrence creates a burden for emergency
departments and time and effort may be wasted when patients aren’t seen in
appropriate clinics.
According to the Pew Center on the States (2012), poor oral health affects children’s
academic performance due to missed school days. This can also translate to adults
missing work due to dental problems, which affects their income. Patients’ everyday
lives are affected by the state of their health, including what is happening in the mouth.
As more healthcare providers are able to assist with early identification of dental
problems, referrals can be made so patients can be treated in settings more suitable to
fit their needs.
Identifying Infection
In efforts to promote wellness, nurses can be great advocates for oral health.
Nurses can help minimize the effects of oral infections like cavities and gum disease
through prompt identification and referral to dental care providers. Healthy gum
tissue is light pink, is tight to the teeth, does not bleed and is not painful. Signs and
symptoms of infection include plaque and calculus (tartar) accumulation, red, swollen
gum tissue, bleeding, gum recession, and aching or loose teeth (Kuo, p.420). If these
are identified, regular visits to the dentist every six months should be encouraged as
well as consistent home care, including with brushing twice a day for two minutes and
flossing once a day.
Oral health is important to systemic health and the overall wellbeing of patients
as described in the selected examples. Patients can truly benefit from nurses
evaluating oral care as part of their assessment of the patients overall health. Oral
health promotion is being integrated interprofessionally through programs like Smiles
for Life. It was developed as a national oral health curriculum, and is endorsed by
the American Dental Association, American Dental Hygiene Association, American
Academy of Pediatrics, National Association of Community Health Centers, and many
others (Smiles for Life, n.d.). Its online source, www.smilesforlifeoralhealth.org, has free
educational modules for health professionals to use as they learn how to integrate oral
health promotion. With the large workforce of over three million nurses and over 150,
000 nurse practitioners (Dolce, p. 1), evaluation and referral for dental care can be
improved greatly as nurses understand their role in oral health promotion.
Resources
A Costly Dental Destination Hospital Care Means States Pay Dearly. (2012). Pew Children’s
Dental Campaign, 1-22.
Dolce, M., Haber, J., & Shelley, D. (2012). Oral Health Nursing Education and Practice Program.
Nursing Research and Practice, 1-5.
Fast Facts. (2015, April 15). Retrieved July 30, 2015, from http://www.cdc.gov/tobacco/data_
statistics/fact_sheets/fast_facts/index.htm#ref
Kumar, M., Mishra, L., Mohanty, R., & Nayak, R. (2014). “Diabetes and gum disease: The diabolic
duo”. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 255-258.
Kuo, L., Polson, A., & Kang, T. (2007). Associations between periodontal diseases and systemic
diseases: A review of the inter-relationships and interactions with diabetes, respiratory
diseases, cardiovascular diseases and osteoporosis. Public Health, 417-433.
Number (in Millions) of Civilian, Noninstitutionalized Adults with Diagnosed Diabetes, United
States, 1980–2011. (2013, March 2). Retrieved July 30, 2015, from http://www.cdc.gov/
diabetes/statistics/prev/national/figadults.htm
Oral Cancer. (2013, July 10). Retrieved July 30, 2015, from http://www.cdc.gov/OralHealth/
publications/factsheets/oral_cancer/oc_facts.htm
Periodontal Disease. (2015, March 10). Retrieved July 30, 2015, from http://www.cdc.gov/
OralHealth/periodontal_disease/index.htm
Smiles for Life: A National Oral Health Curriculum. (n.d.). Retrieved August 1, 2015, from http://
www.smilesforlifeoralhealth.org
Smokeless Tobacco Use in the United States. (2015, July 13). Retrieved July 30, 2015, from
http://www.cdc.gov/tobacco/data_statistics/fact_sheets/smokeless/use_us/#national

November, December 2015, January 2016 Utah Nurse • Page 5
ON THE NATIONAL FRONT
UNA sent Angela York to represent the state of Utah at
the ANA-C/SNA Annual Lobbyist Meeting in Washington
DC. Hot topics trending nationally included Medicaid
Expansion, the AARP Family Caregiver Act, the Nurse
Licensure Compact, APRNs -making the business
case, transition to practice, best models; Community
Paramedics delivering home health care in rural settings,
mandatory immunizations and many more.
ANA continues to keep the same stance in regards
to the Nurse Licensure Compact. Taken from meeting
minutes, “The RN Compact approved in May 2015 is
being marketed and is referred to as the “enhanced”
Compact based on higher standards to which NCSBN
identifies as: (1) the criminal background check (CBC)
(state and federal) and (2) restriction of those from ever
having been convicted of a felony from acquiring a
multistate license.”
For background and ANA’s position which was
reaffirmed at the 2015 Membership Assembly Please
see http://www.nursingworld.org/MainMenuCategories/
Policy-Advocacy/State/Legislative-Agenda-Reports/
LicensureCompact and ANA Issue Brief: Nursing
Licensure Portability Options and Information for
Registered Nurses at http://www.nursingworld.org/
MainMenuCategories/Policy-Advocacy/Positions-and-
Resolutions/Issue-Briefs.
Do any of the above topics spark your interest?
Wondering how these national issues affect you as a nurse
here in Utah? Have an opinion on any of these matters?
If you would like to find out more, UNA would love to
have your voice in our Government Relations Committee.
Please e-mail unaleglist@xmission.com and we will send
you the latest information.
Pictured Above: Angela York (Utah), Kim Froehlich (Idaho), Robin Schaeffer (Arizona), Marketa Houskova
(ANA/California), Roxanne Gould (ANA/California), and Liz Dietz (ANA/California)
Exceptional People,
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NSHC is an equal opporunity employer affording
native preference under PL93-638. AA/M/F/D.
We are a Drug Free Workplace and background
checks are required for all positions.
Pictured Above: Representatives Angela York (Utah),
Robin Schaeffer (Arizona) and Kim Froehlich (Idaho)
Mountain’s Edge Hospital has a welcoming friendly environment for our patients
and staff. With highly qualified staff and state-of-the art technology, we provide our
community with excellent service and impeccable treatment.
Now Seeking RN Opportunities
Case Management • ER • ICU • Med/Surg
OB • OR • Outpatient Clinics • PACU • PHN
www.tchealth.org • 928-283-2432
TCRHCCHR@tchealth.org
We are currently recruiting for the following positions:
CCRNs • ICU Nurses • Registered Nurses
RN - Clinical Informatics • Telemetry Techs • Wound Care RN
RNs with at least one (1) year acute care experience.
ICU experience necessary for our High Observation Unit.
Competitive benefit package available for full-time associates.
“A new day in providing compassionate care”
Please submit your resume to:
suzanne.dessaints@fundltc.com or fax number: (702) 777-7131
8656 West Patrick Lane, Las Vegas, NV 89148
Drug Free/Smoke Free Workplace
Equal Opportunity Employer
M/F/H/V
1 hour from Grand Canyon, Monument Valley, Lake Powell, and Flagstaff.

Page 6 • Utah Nurse November, December 2015, January 2016
JOIN OUR TEAM!
William Bee Ririe Hospital
located in Ely, NV
A friendly rural community in
mountainous Eastern Nevada
RN Positions Available
$7,500 Sign On/Relocation Bonus
We offer generous benefits; State retirement (PERS);
very competitive salaries.
William Bee Ririe Hospital shall abide by the requirements of
41 CFR 60-300.5(a) and CFR 60-741(a).
Contact:
Vicki Pearce, vicki@wbrhely.org
775-289-3467 Ext. 299
or apply online at www.wbrhely.org
CLINICAL NURSING FACULTY
Full time or part time teaching opportunity in the BS nursing program
on the Career Line. Specific needs in the areas of pediatrics,
psychiatric-mental health, and adult acute care clinical courses.
Other core areas include EBP, health assessment, health systems and
policy, and pathophysiology. MS required, doctoral degree preferred.
For a career line faculty position please apply at:
https://utah.peopleadmin.com/postings/45592
Part time adjunct teaching positions also available–contact
Dr. Alexa Doig at alexa.doig@nurs.utah.edu
The University of Utah is an Equal Opportunity/Affirmative Action employer and educator. Minorities,
women, veterans, and those with disabilities are strongly encouraged to apply. Veterans’ preference
is extended to qualified veterans. Reasonable disability accommodations will be provided with
adequate notice. For additional information about the University’s commitment to equal opportunity
and access see: http://www.utah.edu/nondiscrimination/.
Vaccines Across the Lifespan
Audrey M. Stevenson PhD, MPH, MSN, FNP-BC
Although most individuals are aware of the need
for childhood vaccines, a large number of teens
and adults have not received all recommended
vaccines. These vaccines are critically needed at
all ages to prevent diseases and their sequelae
including long-term illness, hospitalization, and
even death. The percentage of adults that have
received all recommended vaccines is well below the
recommended levels needed to achieve herd immunity.
The purpose of this article is to provide nurses with
information on the importance of promoting vaccines
to individuals across the lifespan.
Vaccines are an important protective mechanism
in order to keep individuals themselves as well as
others in the community healthy. According to the
Center for Disease Control (CDC), vaccine preventable
diseases are responsible each year for an average
of 226,000 hospitalizations due to influenza with
mortality between 3,000 and 49,000 people due to
influenza and its complications, with the majority of
those being adult. There were approximately 32,000
cases of invasive pneumococcal disease in 2012, with
approximately 3,300 deaths. Currently, in the United
States, between 800,000 and 1.4 million people
suffer from chronic hepatitis B, which can lead to
complications such as liver cancer. HPV is responsible
for 17,000 cancers in women and 9,000 cancers in
men in the U.S. each year, with 4,000 women losing
their life each year from cervical cancer as a result of
HPV infection.
The factors that influence the need for vaccines
include: the age of the individual, personal health
conditions, occupation, lifestyle, international travel
and receipt of previous vaccines.
Why are Adult Vaccine Levels Low?
Older adults have traditionally had better vaccine
rates for immunizations such of influenza and
pneumococcal than younger adults and teens. Many
younger adults assume that only children and teens
need vaccine. In many cases young adults aren’t
aware that they may be missing vaccines that they
didn’t receive in childhood such as vaccines against
Hepatitis A and B. They may also not be aware that
some vaccines, such as Tetanus and Diphtheria
booster doses every 10 years to continue to provide
protection as the vaccine’s efficacy begins to wane.
Another reason that many adults don’t receive
vaccines is that they are unaware of the seriousness
of particular diseases and do not feel susceptible to
contracting the disease. Few adults today have ever
personally experienced or known anyone who has had
many of the diseases that vaccines prevent, leading
to a false perception of safety that actually harms
the entire community. Adults are also susceptible
to misinformation about the need for or safety of
particular vaccines.
How to Determine if You are Missing Needed
Vaccine?
Individuals are often unsure of the vaccines needed
for themselves or their family members. The Centers
for Disease Control and Prevention has a number
of resources to provide both individuals healthcare
professional information on vaccine topics. One tool
that is particularly helpful is a quiz on required vaccines
for adults and adolescents. (http://www2.cdc.gov/nip/
adultimmsched/)
Adult Vaccines (19 and older)
Although many adults may have received some
or all of the recommended vaccines in childhood it is
important for each individual to review their vaccine
record to ensure that they are fully protected. The
following are the vaccines recommended for individuals
18 and older:
• Influenza (yearly)
• Tetanus, diphtheria, pertussis (Td/Tdap)
• Varicella
• Zoster
• Human papillomavirus (HPV) for both Females and
Males
• Measles, mumps, rubella (MMR)
• Pneumococcal 13-valent conjugate (PCV13)
• Pneumococcal polysaccharide (PPSV23)
• Meningococcal
• Hepatitis A
• Hepatitis B
• Haemophilus Influenzae type B (HIB)
Access Points
Historically the only place that an individual could
receive a vaccine was at the individual’s healthcare
provider’s office, which has changed in recent years.
In addition to receiving vaccines at your healthcare
provider’s office, individuals can receive most the
recommended vaccines at pharmacies, Urgent Care
Centers and other community locations. In addition,
many employers recognize the importance of vaccinating
employees and provide flu and other vaccines at the
workplace.
Implications for Nurses
• Become a vaccine champion
• Be familiar with and recommend all of the vaccines
needed by your patients
• Set the example by ensuring that you have
received all of the recommended and required
vaccines to protect your health and the health of
others.
For more information and helpful vaccine tools go to:
http://www.cdc.gov/vaccines
For a vaccine app: http://www.cdc.gov/vaccines/
schedules/hcp/schedule-app.html
Symbii Home Health and Hospice is now hiring
RNs, CNAs, PTs and OTs in the following
counties: Weber, Davis, Salt Lake, Wasatch,
Utah, Carbon and Emery.
Come be a part of our fast growing team!
Please send resumes to
dnorth@symbiihealth.com or call 801-493-8926.

November, December 2015, January 2016 Utah Nurse • Page 7
Invitation to apply for the following positions:
ASSOCIATE DEGREE NURSING PROGRAM
• Nursing Program Instructor
MSN, nursing education experience required.
NURSING ASSISTANT PROGRAM
• Nursing Assistant Instructor
Long term care experience required.
View full job descriptions at:
http://www.navajotech.edu/index.php/human-resources
Contact Human Resources at 505-786-4109
The Utah
Department of Corrections
IS HIRING!
Come work in a dynamic
environment as part of a
multidisciplinary, collaborative team!
Current openings:
Physician, physician assistant,
psychiatrist and registered nurses.
We offer a competitive compensation and benefits
package, with paid holidays, vacations, sick leave,
health insurance and retirement.
SEE STATEJOBS.UTAH.GOV

Page 8 • Utah Nurse November, December 2015, January 2016
from the Board and Staff of the Utah Nurses Association

November, December 2015, January 2016 Utah Nurse • Page 9
Joann Benson passed away September 2015. She
went to LPN school in 1961 and returned again in 1977
for her RN degree at Weber State College. She worked in
the Operating Room at the University of Utah for 25 years
and retired in 1990.
Leonore Bonacci passed away August 31, 2015. She
studied nursing at St. Luke’s Hospital School of Nursing
in Chicago and graduated in 1942. During World War
II, she enlisted in the Army Nurse Corps and served in
England, France, Luxembourg, Austria and Germany. In
1945, she served in Weimar, Germany, at the liberation
of the Buchenwald concentration camp. In Utah, she
worked as a nurse in Salt Lake City and enjoyed a
long career as an operating room nurse at Carbon and
Castleview Hospitals, she retired as the OR Supervisor
and Administrator at Castleview Hospital.
Nga Trieu Carman passed away September 4, 2015.
She attended, graduated from, and was honored by the
University of Utah. She spent years caring for others
and worked in various areas such as the ICU, mental
health, pediatrics, and hospice. She also attended and
graduated from Westminster becoming a Family Nurse
Practitioner, continuing her mission to nurture the world
and care for those in need.
IN MEMORIAM
Judith Kiernan passed away July 28, 2015. Judy
served as Assistant Dean for Community Service
and Faculty Practice at the University of Utah College
of Nursing. In October of 1986, she accepted the
position as Director of Nursing for Medical/Surgical
and Rehabilitation at the Health Sciences Center.
Relentless in her pursuit of education and knowledge,
Judy then pursued her doctoral degree. She earned
her PhD in Health Service Administration in 1992 from
the University of Utah. Dr. Kiernan was presented
the 1995 Administration Award by the Utah Nursing
Association, an award given annually to an individual
who demonstrates excellence in nursing service
administration, including skills in management, decisionmaking
and dedication to continually improving the
nursing profession.
Hughlene Skousen Urry passed away August 12,
2015. Hughlene attended nursing school in Salt Lake
City, Utah, where she graduated with a Bachelors Degree
in Nursing in 1947. She spent many years serving others
as a nurse at the Salt Lake General Hospital and the
University of Utah hospital.
2016
TELEMEDICINE
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MARCH 21–23
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• No Campus
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Telehealth:
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Visit www.nrtrc.org
Call 406-237-8665
for information
MSN Online Program
• Classes That Fit
Your Schedule
• Competitive
Tuition
BSN-LINC: 1-877-656-1483 or bsn-linc.wisconsin.edu
MSN-LINC: 1-888-674-8942 or uwgb.edu/nursing/msn
You work hard developing your educational programs
Make your best exceptional
Learn how to apply at www.utnurse.org/Education
• PN-RN Program
Ephraim & Richfield Campuses
• LPN Program
Ephraim, Nephi & Richfield Campuses
Affordable housing and
tuition assistance is
available.
Contact us today for
more details!
Melissa Blackner:
435-893-2232
Or Amber Epling:
435-893-2228
melissa.blackner@snow.edu
www.snow.edu/alliedhealth
We are seeking Registered Nurses
in the following areas and locations:
• Home Health (Tucumcari and Clovis) • ICU (Clovis)
• Case Management (Clovis) • Outpatient (Clovis)
• Med Surg/ER (Clovis and Tucumcari) • Pediatric (Clovis)
• Nursing Leadership (Clovis)
We offer an excellent compensation
and benefits package.
We are an equal opportunity employer and all qualified applicants will
receive consideration for employment without regard to race, color, age,
religion, sex, national origin, sexual orientation, gender identity,
disability status, protected veteran status, or any other characteristic
protected by law.
For more information contact:
www.phs.org
(575) 769-7339 or (575) 769-7166
PHS is committed to ensuring a drug-free workplace

Page 10 • Utah Nurse November, December 2015, January 2016
Nursing Grant-in-Aid Scholarships – Utah Nurses Foundation – Guidelines
The guidelines listed below shall be followed to assist in ensuring the best possible coordination
of efforts in receiving and processing nursing student requests for scholarships. Scholarships will be
awarded for tuition and books only.
SCHOLARSHIP INFORMATION
• Scholarships must be postmarked by June 1 or October 1 of each calendar year to be
considered.
• Applicants will receive notice of the Board’s recommendations by July 15 and October 15 of
each calendar year.
• Recipients are only eligible to receive scholarships twice.
• Applicants must abide by the criteria listed below.
GENERAL SCHOLARSHIP CRITERIA
The applicant must:
• Have a cumulative grade point average, which is equivalent to a 3.0 or higher on a 4.0 scale.
• Be a United States citizen and a resident of Utah.
• Have completed a minimum of one semester of core nursing courses prior to application.
• If a student in undergraduate nursing programs, be involved in the school’s chapter of the
National Student Nurses Association.
• If a registered nurse completing a Baccalaureate Degree or an Advanced Nursing Degree, be
a member of Utah Nurses Association (state only) or a member of Utah Nurses Association/
American Nurses Association.
• Submit a personal narrative describing his/her anticipated role in nursing in the state of Utah,
which will be evaluated by the Scholarship Committee.
• Submit three original letters of recommendation. Letters submitted from faculty advisor and
employer must be originals addressed to the Utah Nurses Foundation Scholarship Committee.
• Be enrolled in six credit hours or more per semester to be considered. Preference will be given
to applicants engaged in full-time study.
• Demonstrate a financial need. All of the applicant’s resources for financial aid (scholarships,
loans, wages, gifts, etc.) must be clearly and correctly listed (and include dollar amounts and
duration of each source of aid) on the application
• The Scholarship Committee shall consider the following priorities in making scholarship
recommendations to the Board of Trustees
◦ RNs pursuing BSN
◦ Graduate and postgraduate nursing study
◦ Formal nursing programs - advanced practice nurses
◦ Students enrolled in undergraduate nursing programs
• The Applicant is required to submit the following with the completed application form:
• Copy of current official transcript of grades (no grade reports).
• Three letters of recommendation.
◦ One must be from a faculty advisor and
◦ One must be from an employer. (If the applicant has been unemployed for greater than
1 year, one must be from someone who can address the applicant’s work ethic, either
through volunteer service or some other form.)
◦ At least one should reflect applicant’s commitment to nursing.
◦ All must be in original form and must be
◦ Signed and addressed to the UNF scholarship committee.
• Narrative statement describing your anticipated role in nursing in Utah, upon completion of the
nursing program.
• Letter from the school verifying the applicant’s acceptance in the nursing program.
• Copy of ID from National Student Nurses Association or Utah Nurses Association with
membership number.
AGREEMENT
In the event of a scholarship award, the nursing student agrees to work for a Utah Health Care
Facility or Utah Educational Institution as a full-time employee for a period of one year, or part-time
for a period of two years.
Student recipient agrees to join the Utah Nurses Association within 6 months of graduation at the
advertised reduced rate.
If for any reason the educational program and/or work in Utah is not completed, the scholarship
monies will be reimbursed to the Utah Nurses Foundation by the nursing student.
Date:
Name:
Present
Address:
Permanent
Address:
NURSING GRANT-IN-AID SCHOLARSHIPS
Application
Street City State Zip
Street City State Zip
Telephone Home
Work
Number:
Please indicate school of nursing to which you would apply a UNF scholarship.
Starting Date:
Expected Graduation Date:
Current and previous nursing experience (if applicable) - Attach Resume
Where did you obtain your information about UNF and its scholarship program?
Reason for scholarship need.
Description of scholarship amounts requested
(itemize tuition and books for each quarter or semester as well as financial support available).
Please use this format and attach to application.
Semester Expense Description Amount Requested Financial Support Available
$ $
Estimated total for academic year: $ $
List amounts of all other financial support available (i.e. awards, loans, gifts, scholarships,
tuition reimbursements, wages, parents, spouse). Please attach to application.
The undersigned applicant agrees that if this application is accepted and an award made, the
applicant will be bound by the terms and conditions of the award. The applicant certifies that the
above statements are true and correct and are given for the purpose of obtaining a UNF
scholarship. The Utah Nurses Foundation is authorized to verify the statements contained herein
and all information contained on this application will be held in confidence.
Signature:
Date:
Send completed application to:
UTAH NURSES FOUNDATION
c/o Utah Nurses Association
4505 South Wasatch Blvd #330B
Salt Lake City, UT 84124
If you have any questions regarding the application, you may send an email to
una@xmission.com.
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Plan to attend Promise Hospital’s RN open house
on November 19th and 20th from 9–3 or reach out to
Joseph.Anderson@Promisehealthcare.com • (801) 408-2116
Best of State
2015 Winner
Nursing
www.promise-saltlake.com
Southwest Region
Indian Health Service
The Southwest Region Indian Health Service
is seeking Registered Nurses in multiple
specialties including Medical/Surgical, ER,
OB/L&D and Leadership Roles. Bring your
innovative spirit to improve the health status of
our Native American population.
Why Nurses Choose IHS:
• Loan Repayment Program –
Up to $20,000 annually
• Competitive Salaries
• 10% evening/night differential
• 25% weekend differential
• 26 vacation days
• 13 sick days, 10 Federal holidays
• Numerous health plans to choose;
continue in retirement
• Transfer opportunities–1 license/50 states
• Outstanding Federal Retirement Plan,
and much more
Our nursing career opportunities are available
in rural and urban locations throughout
the states of Arizona, Nevada and Utah.
The Southwest Region also has the largest
Medical Center in the Indian Health Service
located in downtown Phoenix.
Nurses interested in a rewarding career, please contact
Kevin Long at 602-364-5178, or
email Kevin at Kevin.long@ihs.gov.
I hope we’ll talk soon.
Your Southwest adventure awaits you.

November, December 2015, January 2016 Utah Nurse • Page 11
Join UNA Today!
Visit
www.utnurse.org
GRC COMMITTEE NEWS
Kathleen Kaufman, MS, RN, GRC Chair
The interim session has moved on and we have heard
passionate testimony about legalization of medical marijuana
in the Health and Human Services Committee hearings.
The upcoming meeting will most likely be about care for the
elderly in this state with AARP pushing for greater delegation
to CNAs in the home and Rep. Rebecca Chavez-Hauck
presenting information on death with dignity. To see what
the Interim schedule is, go to www.le.utah.gov and open
the calendar. The scheduled material for each committee is
posted by at least 24 hours before the interim meeting…and
sometimes several days earlier.
The major topic left on the interim agenda will be the care
of the elderly. Two meetings of the HHS committee have
already covered possible legalization of medical marijuana in
Utah and the first session of the interim focused on liability
issues for health care providers and possible expansion of
the Medicaid drug list to include more psycho-active drugs.
Of course the elephant in the room is the hanging issue of
increasing access to healthcare for the poor in Utah. Please
see the article on Medicaid Expansion in this newsletter.
Please take action. Call or email, or do both, YOUR legislator
and explain your position. Always begin the subject line with
“Constituent is concerned about….” This tells the legislator
you are important to them. Include you address with zip
code so they KNOW you are a constituent. Hold YOUR
legislator accountable and do convey your appreciation as
well as you criticism.
The Government Relations Committee is looking
for someone to step up into leadership position in this
committee. We have one person who is willing to be cochair.
Would you like this opportunity and challenge? We do
all our work online so you do not need to travel and most
work is done during the 45 day general session in January,
February, and March. Some years there are many issues
touching nurses and healthcare in Utah…some year not
so many. If you are interested, please contact Lisa Trim in
the UNA office. Lisa will pass your interest on to Kathleen
Kaufman who, due to health issues, is going to have to step
down from this position. I have enjoyed working with this
committee and I hope to stay active on the Hill…I will be glad
to mentor you if needed—Kathleen.
Provo Canyon School is looking
for RNs to join our team, working
together to hope, heal, and inspire.
Basic knowledge of normal/abnormal
psychology is helpful.
Camp Laurel, a private, co-ed, residential camp in Maine seeks
a Nurse Manager, Charge Nurses and Staff Nurses. Often
claimed as one of New England’s premier summer camps,
Laurel boasts excellent facilities and a well-staffed medical
team. NPs, RNs, LPNs and Recent Grads are all welcomed to
apply. Excellent Salary, Travel Allowance, Room and Board.
For more information visit www.camplaurel.com,
email staff@camplaurel.com or call 800-327-3509.
FROM THE
MEMBERSHIP
COMMITTEE
Contributing authors
Sharon K. Dingman, DNP, RN, Chair
Lori Goucher, MSN, RN
Angela York, BSN, RN
Hello Members,
The Membership Committee continues to listen to our
members and respond to the 2014 Survey regarding the
members interests and accomplishments. As members,
if you have news about what the UNA members are
doing in your area, please send us an email so we
may include you and your activities in our Membership
Updates in the Utah Nurse in the future. Continue to
watch the UNA Website for news updates.
We are in the works of updating the content of UNA’s
website. Part of UNA’s mission to “advocate, educate
and be a voice for all nurses in Utah,” involves having
an online presence with quality resources. If you have
suggestions, questions or comments on items we should
include or improve upon with our online community—
please let us know by calling into our office or emailing our
membership committee at unamembership@xmission.com.
Our intern from the University of Utah, Angela York,
has completed her internship with a project geared
towards teaching new and existing members of UNA
how to inform policy with advocacy tools online. Please
stay tuned to the website regarding this valuable
resource for our members.
For more information and to apply,
visit us directly at:
www.provocanyon.com/careers
RNs Needed
Expanding community-based
ambulatory healthcare center needs
• RN Care Coordination Supervisor
• RN – triage (2)
• RN – staff (2)
Send CV to
careers@chanevada.org
RN–BSN
Already licensed as a
Registered Nurse?
If you are looking to expand your
education and take the next step in your
nursing career, contact us today.
Online Classes Available
Applications will be accepted for
FALL 2016 from April 18 – July 1.
Contact us for
more information
hafenka@uvu.edu
801-863-6317
www.uvu.edu/nursing

Page 12 • Utah Nurse November, December 2015, January 2016
NURSING EDUCATION
UTAH STATE UNIVERSITY IS SEEKING APPLICANTS for
Nursing Program Coordinator at Our Tooele Campus.
For more information about available opportunities,
please visit jobs.usu.edu.