The Nursing Voice - January 2016

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ANA\C is an affiliate of the american nurses’ association

Volume 21 • Issue 1

January, February, March 2016

President’s Perspective

Special Points of


• Promoting a Healthy

California: The Stethoscope

Challenge is on!

page 3

• How We Grow Future Leaders

page 5

• Seven Nurses Inducted into The

American Academy of Nursing

page 6

The Earlier, The Better:

Developing Leadership

Through Active Participation

page 8

Corinne MacEgan, BSN, RN, CHPN

President ANA\C


Happy New Year to you all!

I hope this coming year brings

you realization of your goals

or, at the very least, excellent

progress. Personally, I will

be finishing my MSN and

will welcome the extra time

to dedicate to this profession

and to all of you. I rarely make

resolutions, however the joy

I’ve found through working

with ANA\C has inspired me

to communicate more with

nurses and legislators in order to

advance knowledge throughout

our state and country.

Corinne MacEgan,


As of this writing, we are assembling our new office

at the Senator Building. We’re also organizing a special

meeting which will be held in place of the General

Assembly, and appreciate all of you who assisted us with

your patience and forthrightness as we have continued

through our transitions. By the time this newsletter

will reach your mailbox, we will have strengthened

relationships with several other professional nursing

organizations, many of which are represented in this

newsletter. We hope to unify as one profession and one

voice, with the benefit of having experts in a wide variety

of specialties. It always amazes me how far and wide the

nursing profession has expanded!

Other highlights for 2016 include:

• A fantastic October General Assembly in Redondo


• Member highlights in the newsletter and on the


• Speaking of websites, we’ll have a brand new

website designed by Brenda Brozek, a nurse leader

with years of communication expertise.

• RN Day at the Capitol (formerly known as Lobby

Day) in Sacramento this April

• Further integration of new graduate RNs into

leadership and legislation

The goal of open communication with you, our


As our newsletter continues to improve, I would like to

invite you to submit photos and articles regarding awards,

the good work you are doing throughout the state, and the

positive light that nursing has brought to your community.

It is my hope that we can continue to inspire one another

and further our own education and involvement with our

patients, colleagues, legislators, and physicians in order to

provide the best possible care to California citizens.

Again, Happy New Year. I hope that 2016 is the best

year yet!

• ANA\C News

page 9

• Nurses Leading the Way for A

Healthy America

page 11


current resident or

Presort Standard

US Postage


Permit #14

Princeton, MN


Thomas Ward, RN,

Immediate Past President, CNSA

I have heard it said that

leadership is a process and I have

to say that I experienced that

first hand over the last year. My

journey in California Nursing

Students Association (CNSA)

started when I ran for Secretary

of my school chapter. I thought

that being on the Board would

be a great opportunity to

give back to my fellow

students and learn more

about leadership in

nursing. After attending

National Student Nurses Association’s (NSNA)

annual convention in Nashville I realized that I

wanted to do even more, so when the opportunity

arose to run for CNSA President, I dove right in.

Serving as the President this year has been

one of the most rewarding experiences in my life.

I was privileged to meet and work with some

of the most amazing student nurse leaders and

inspirational nurse mentors. I have had many years


Thomas Ward, RN

of management experience but have always known that

there is a difference between managers and leaders, so I

set a goal for myself at the beginning of my term: learn

what it means to be a leader. I also wanted to see people

and leaders coming together and using their voices to

influence change, as I had never before served on a board.

I think that the most important thing that I have taken

away from this is how important it is for our profession to

have strong, transformational leaders. I saw first-hand how

involving students in the process and working with them

to create a mutual vision made a tremendous difference

in their interest and involvement. This has helped me

tremendously as my management experience tended to

lead me more in the direction of the authoritarian leader

and while I think that method has its time and place, I now

know that in many circumstances it is far less effective.

I will never forget the lessons that I learned in

leadership, collaboration and motivation. I hope to take

what I have learned into my career as it progresses into

nurse management and then as a Nurse Practitioner. As

I transition from school into practice I plan on getting

involved with ANA\C and maybe serve on that board

one day as well! I also strongly believe in the Nurses on

Boards initiative and hope to continue my involvement

with advocating for healthcare, patients and continued

nurse leadership throughout California and the nation.

Page 2 • ANA\C The Nursing Voice January, February, March 2015

Article Submittal to ‘The Nursing Voice

ANA\California accepts and encourages

manuscripts and editorials be submitted for

publication in the association’s quarterly newsletter,

The Nursing Voice. We will determine which

letters and articles are printed by the availability

of publication space and appropriateness of the

material. When there is space available, ANA\C

members will be given first consideration for

publication. We welcome signed letters of 300 words

or less, typed and double spaced and articles of 1,500

words or less, typed and double spaced. ANA\C

will accept larger narrative if space permits. For

more information please email TheNursingVoice@

anacalifornia.org or call 916.447.0225.

ANA\California’s official publication, ‘The

Nursing Voice’ editorial guidelines and due dates for

article submittal is as follows.

1. Letters, Articles and Manuscripts should be

word processed and double-spaced on one side

of 8 ½ x 11 inch white paper. Manuscripts should

be emailed to Editor at TheNursingVoice@


a. Letters, Articles and Manuscripts should

include a cover page with the author’s

name, credentials, present position, address

and telephone number. In case of multiple

authors, list the names in order in which

they should appear.

ANA\C Wants To See You….


Have you or one of your colleagues been

recognized for an accomplishment, elected

to office, won an award, received a grant or

scholarship, launched a new venture? Tell us

about it! Send name, address, phone number,

headshot (jpeg) and news to –

E-mail to:


Mail to:

ANA\California ‘IN THE NEWS’

1121 L Street, Suite 406

Sacramento, CA 95814

Fax to:


b. The Nursing Voice reserves one-time

publication rights. Letters, Articles and

Manuscripts for reprint will be accepted if

accompanied with written permission.

c. The Nursing Voice reserves the right to edit

Letters, Articles and Manuscripts to meet

style and space limitations.

d. Letters, Articles and Manuscripts may be

reviewed by the Editorial Staff.

e. Letters, Articles and Manuscripts submitted

by members’ of ANA\C will be given first

consideration when there is an availability

of space in the newsletter.

f. Letters, Articles and Manuscripts submitted

to ANA\C will be published as space allows

unless content is of a timely nature.

g. Letters, Articles and Manuscripts printed in

The Nursing Voice do not necessarily reflect

the views of ANA\C, its membership, the

board of directors or its staff.

2. Photographs should be in jpeg format and

emailed with the name of the Letter, Articles

or Manuscript referenced in the subject line.

Email to TheNursingVoice@anacalifornia.org

Photographs should be of clear quality. Write the

name(s) of the persons displayed in the photo in

the order in which they appear in the body of the


3. E-mail all narrative to TheNursingVoice@


Help us stay in touch:

Do you have a new address or

e-mail address?

You can help American Nurses Association\California

‘stay in touch’ by updating your contact information. Call

ANA\C at 916-447-0225, e-mail us at anac@anacalifornia.

org or return this form to:

TheNursing Voice

c/o ANA\C

1121 L Street, Suite 406

Sacramento, CA 95814

ANA\C Member Identification No. (if applicable)


Name: __________________________________________

New Address:____________________________________



Old Address:_____________________________________



New E-mail Address: _____________________________

*** This is not to update your license information with

the Board of Registered Nursing.

Go to www.rn.ca.gov


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American Nurses Association\California is an

Affiliate of the American Nurses Association

The Nursing Voice is the official publication of the

American Nurses’ Association\California

ANA\C is located in

The Senator Office Building

1121 L. Street, Suite 406

Sacramento, CA 95814

Office 916-346-4590 – Fax 916-400-3599

Association E-mail anac@anacalifornia.org

The Nursing Voice Editor

E-mail thenursingvoice@anacalifornia.org



Corinne MacEgan, BSN, RN, CHPN - President

Melanie Krupa-Kelly, RN, MSN, CNOR - Treasurer

Anne Hughes, APRN, PhD, FAAN - Secretary


Mary Ellen Dellefield, PhD, RN - Nursing Practice Director

Phillip Bautista, BSN, RN, PHN - Membership Director

Elizabeth O. Dietz, EdD, RN, CS-NP -

Legislative Director


ANA\California Interim Executive Advisor:

Robin Schaeffer, MSN, RN, CAE

ANA\California Lobbyist, Roxanne Gould

ANA\California Staff: Markéta Houšková, RN, MAIA, BA

The official publication of the ANA\C shall be

The Nursing Voice.

The Nursing Voice is published quarterly starting in January;

copy must be received by the first (1st) of November,

February, May, and August to be included in the next

publication. The publication is complimentary to ANA\C

members, schools of nursing and their nursing students,

affiliates of the association and their memberships. If you

would like to submit a letter, article, or manuscript, for

publication please read ‘Article Submission for The Nursing

Voice’ in this issue for submission details.

Reprints and Submissions: ANA\C allows reprinting of

newsletter material. Permission requests should be directed to

the ANA\C office in Sacramento. (916) 447-0225.

Advertising: Advertising Rates Contact – Arthur L. Davis

Publishing Agency, Inc. 517 Washington St., PO Box 216,

Cedar Falls, IA 50613, 800-626-4081, sales@aldpub.com.

ANA\C and the Arthur L. Davis Publishing Agency, Inc.

reserves 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 ANA\C 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. ANA\C 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.

Copyright© by the American Nurses Association\California.


Published by:

Arthur L. Davis

Publishing Agency, Inc.

January, February, March 2015 ANA\C The Nursing Voice • Page 3

Promoting a Healthy California: The Stethoscope Challenge is on!

Robin Schaeffer, MSN, RN, CAE

Interim Executive Advisor

Did you know that the

public continues to rate nurses

as the most trusted profession

according to the Gallup survey

which ranks professions based

on their honesty and ethical

standards? If nurses are the

most trusted profession, then

doesn’t it make sense that we

have an informal contract

with society to deliver the art

and science of nursing to the

best of our ability? How many

nurses came out to defend the

credibility of our profession and

Robin Schaeffer,


one of our own, Kelly Johnson, RN (Miss Colorado) when

an ignorant statement about a stethoscope was made by

Joy Behar on national TV?

The ANA\C California challenge is on and you are part

of it! Let’s take all the stethoscope energy expended by

nurses (and supporters of nurses) and keep the advocacy

momentum going here in California. Keeping updated

about state and national initiatives will give you the

opportunity to choose at least one area of focus that you

are passionate about and put your volunteerism, talent

and energy to work in that area. Your ANA\C Board of

Directors has been working hard to assure that the work

that is done every day by our current ANA\C volunteers

and staff is delivered to you via an updated and robust

communication plan. However we need more of you to

get involved. Our new ANA\C website will be ready to

launch in January, 2016. It will be filled with current

news, initiatives and ways for you to volunteer your time

and expertise. The best part is that we will keep your time

commitments to a minimum.

Have you visited the ANA website within the past 6

months? Please take advantage of our alignment with

ANA by visiting www.nursingworld.org. You will find a

wealth of information on nursing and health issues that

are important to you and your colleagues. Here are some



ANA’s abiding commitment to the human rights

dimensions of health care can be found here.

Topics: Revision to the Code of Ethics, Moral

Courage, Genetics and Genomics, End of Life Issues

and more

Health and Safety

A Healthy Work Environment is one that is safe,

empowering, and satisfying.

Topics: Healthy Nurse, Health Work Environment,

Bullying and Workplace Violence, Needle Safety

Professional Issues

The world of professional nursing practice and health

policy is ever evolving to meet the new dynamics of

care needs in every setting. In order to effectively

address these changes, ANA uses Professional Issues

Panels to drive toward informed decision-making,

member engagement and active dialogue with members.

Topics: Nurse Fatigue, Care Coordination,

Workplace Violence and Incivility, Barriers to RN

Scope of Practice


For over 100 years, ANA has worked to improve

patient safety by promoting quality in nursing care

and nurses’ work lives. ANA advocates for nursing

quality through quality measurement, research and

collaborative learning. Recent efforts have included

translating traditional quality measurements into

eMeasures as well as the development of a streamlined

tool to prevent catheter-associated urinary tract

infections (CAUTIs).


Leaders do more than delegate, dictate, and direct.

Leaders help others achieve their highest potential. At

ANA, we empower nurses to be professional, competent

leaders in healthcare. Through a variety of educational

and advocacy activities, our work increases the

leadership capacity of nurses to advance health and lead


Policy and Advocacy

From state legislatures to the White House, nurses

have a unique opportunity to lend their expertise in

influencing policy at all levels of government. The

American Nurses Association ensures all 3.1 million

nurses are represented across the board and that nurses

interests are not ignored by bureaucrats who lack true

knowledge of the issues at the bedside. Being the #1

most trusted profession in the country allows nurses to

truly take charge and make a difference in the policy


It is an honor to have all of you as my nursing

colleagues. I hope it is clear that ANA\C represents

the interests of all California nurses. If you have a

colleague that is not already a member, I ask you to

invite them to join by going to www.nursingworld.org.

I close by sharing one of my favorite proverbs. It

confirms my dedication and choice to advocate for our

profession and inspires me when I start to lose focus.



Page 4 • ANA\C The Nursing Voice January, February, March 2015

BJ Bartleson, RN, MS, NEA-BC

Vice President – Nursing & Clinical Services, CHA

Building relationships

and sharing information are

increasingly important as we

create new solutions and desired

outcomes in our complex world.

I had the opportunity to meet

and talk about new relationships

with ANA\C President Corinne

MacEgan and Interim Executive

Advisor, Robin Schaeffer. I was

pleased they reached out to me

to discuss new opportunities for


BJ Bartleson,



My name is BJ Bartleson, RN, MS, NEA-BC and

I am the VP for Nursing and Clinical Services at the

California Hospital Association. The California Hospital

Association is one of the largest hospital trade associations

in the nation, serving more than 400 hospitals and health

systems. CHA provides members with representation

and advocacy in the legislative and regulatory arenas

through an agenda designed to maintain and improve

access to health, and creates a regulatory environment that

supports high-quality, cost-effective health care services.

CHA works closely with three regional associations: the

Hospital Council of Northern and Central California,

the Hospital Association of Southern California, and the

Hospital Association of San Diego and Imperial Counties.

As VP for Nursing and Clinical Services, I

provide leadership in developing, communicating

and implementing CHA policy related to nursing,

emergency services, trauma, and medication safety. As

a political advocate, relationships, particularly around

nursing, are crucial to CHA’s successful outcomes.

CHA works closely with the Association of California

Nurse Leaders, (ACNL), The American Organization of

Nurse Executives (AONE), Health Impact (formerly the

California Institute for Nursing and Health Care), the

BRN, the California Emergency Nurses Association, and

many other nursing and non-nursing groups in order to

advocate for the value of nursing in a challenging health

care environment.

I look forward to working closely with ANA\C, and

discovering ways we can enhance nursing’s contribution

to health care reform.


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January, February, March 2015 ANA\C The Nursing Voice • Page 5

How We Grow Future Leaders

Phillip Bautista,

ANA\C Membership Director

The growth of an association

follows a fairly simple formula

which is to increase the number

and quality of members in

a fashion that exceeds those

retiring out of the association.

The complexity of this simple

formula also looks at the

necessity to find ways to engage

new members, support growth

in their career, and find avenues

where they can shine within their

own amazing qualities. Part of

this complex formula is taking

Phillip Bautista,


the time to recognize and celebrate success where it is

due. I would like to take a moment to recognize some

of the successes that the New Graduate Task Force has

recently achieved.

Quan Tran Nguyen is an RN at Orange County

Global Medical Center and a RN to BSN student at CSU

Fullerton. He has been a member of the New Graduate

Task Force since graduating and becoming licensed

early this year and has been an outstanding source of

information for other new graduates. As a member, he

has thoroughly explored the research, knowledge, and

educational resources of ANA to share with other nurses

as he continues his education to complete his BSN.

He was also present to reach out to new graduates and

the future of the profession at the California Nursing

Students Association (CNSA) Annual Convention that

was held in Pomona, CA in October. During this time,

he was invited to return to his alma mater of Golden

West College so that he could share how professional

involvement has enhanced his career, supported his path

for continuing his education, and how it has impacted

his overall personal view of a professional nurse. He has

been an excellent voice for new graduates and is working

to share some of his struggles with receiving licensure

with the Association of California Nurse Leaders as they

work to identify solutions for improving the process of

receiving Authorization to Test (ATT) from the BRN.

Jimil-Anne Linton is a member who has recently

finished her term as Communications Director for CNSA

and a psychiatric RN at Santa Barbara County Mental

Health. In December of 2014, ANA\C formally created a

policy that supports the future leaders of our profession

by providing the outgoing Board of Directors from CNSA

with one year of discounted membership in ANA\C as

new graduates. As a nursing professional association,

we recognize and commend the commitment to leading

and improving the profession from early on as student

nurses, and want to support their growth trajectory.

When she knew she would continue on in the profession,

she did not wait for her complimentary membership as a

BOD member, but joined immediately. She has been an

active voice in sharing ANA\C with her fellow nurses in

her workplace, at meetings with other psych nurses in

APNA California, with legislators and policymakers at

the 2015 RN Day at the Capitol, and with her alma mater

of National University in San Diego. She is seeking to

increase her service to ANA\C by volunteering for the

Editorial Task Force for our newsletter.

Lilian Canamo is a member who recently moved

to California from Florida. As a leader in her student

nurses association, she authored a resolution on women’s

health and carried it from the state level to the national

level. She moved to California and is currently working

at Sharp Memorial Hospital in San Diego, one of the

new graduates accepted into their residency program.

With the background of seeing a resolution supported

all the way through from a local to national spotlight,

she has a passion for how nurses can impact legislation

and serve as advocates of policy. She has also proposed

a bylaws amendment to mirror ANA at the national

level with a New Graduate Director position in our own

state. Her forward thinking and involvement have been

an inspiration to other new nurses, and she also seeks to

find ways for new graduates to participate in discussions

regarding practice issues. She hopes to be able to support

our Nursing Practice Director, Mary Ellen Dellefield, in

identifying and utilizing the energy of new graduates in

the areas of practice within the greater San Diego area.

These are just a few of the extraordinary nurses and

future nurse leaders that are filling our association.

ANA is currently exploring launching a forum

where knowledgeable nurses can share their insight,

experiences, expertise, and support with new members

via an online forum. ANA\C needs members to give a

commitment to the bright future of our profession as

mentors to our new graduates. As you can see, they have

so much to offer the profession and the association, so

please give some serious consideration towards lending

your knowledge and passion for nursing as a mentor

to new graduates. If you would like more information

on this, you can visit our Facebook page “American

Nurses Association California” or email me directly at


Thank you very much for your membership, and I

hope that you will consider mentoring our new members.

I personally know that I would not be where I am today

without my amazing nurse mentors such as Dr. Susan

Bowman and Pat McFarland and numerous other mentors

that supported me in my transition from student leader to

ANA\C Board Member. Thank you to everyone who has

supported and mentored others, your gifts are invaluable.


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Page 6 • ANA\C The Nursing Voice January, February, March 2015

Seven Nurses Inducted into

The American Academy of Nursing

Seven California nurses

were inducted as fellows into

The American Academy of

Nursing during the Academy’s

annual policy conference in

October, 2015. Congratulations

on receiving this prestigious


Judy E. Davidson


UCSD Medical Center

Shirley Evers-Manly


Charles R. Drew University of

Medicine and Science

Judith F. Karshmer


University of San Francisco

Eunice Lee


University of California,

Los Angeles

Raymond Phillips



KT Waxman



University of San Francisco

Diana Lynn Woods


Azusa Pacific University

Mary Dickow, Linda Burnes-Bolton,

KT Waxman

Shirley Evers-Manly and Raymond Phillips

KT Waxman


CAREER CARE INSTITUTE is accepting applications for full-time and part-time RN

and LVN clinical instructor positions.

LVN Clinical Instructor: Must be an RN (2+ years experience) or LVN (5+ years experience)

with an AA/ASN/BSN degree.

RN Theory Instructor: Must be RN (5+ years experience direct patient care, and 1 or more

years teaching experience in pre- or post-licensure program) with a Master’s degree or higher.

RN Assistant Theory Instructor: Must be an RN (1 year direct patient care and 1 or more

years teaching experience in pre- or post-licensure program) with a BSN degree.




For immediate consideration, please send

resumes to: dwinter@ccicolleges.edu

January, February, March 2015 ANA\C The Nursing Voice • Page 7

Licensed Vocational Nurse

Full-Time Tenure Track Position

Closes: 3/18/2016

Academic (Faculty) | Department of Nursing/Allied Health

Placement on the salary schedule will be based upon education and experience.

LVN Full-Time tenure track position — year-round program (3 semesters—Fall-Spring-Summer)

Cuesta College is situated on the Central Coast of California. The Vocational Nursing program takes place on the Cuesta

College North County Campus, located in Paso Robles. The Nursing Program is seeking faculty to join us in our pursuit

of student success and professional excellence. The program is one year, fast track, including a summer session. A

class of thirty students is admitted every year. Graduates are eligible to take the NCLEX-PN leading to licensure as a

Vocational Nurse. The nursing program has graduated more than 250 students since its inception in 2006 and boasts

high licensure exam pass rates. Instruction incorporates a state of the art simulation lab and modern technology in the

classroom. Emphasis is on hands-on care, strong teamwork and collaboration. The majority of clinical experience is in

long term care. This position is responsible, along with other faculty, for the identification and assessment of student

learning outcomes. Strong healthcare agency and community support exists.


Registered Nurse or Licensed Vocational Nurse:

• Hold a current California active license as a Registered Nurse or Vocational Nurse; and

• Hold a baccalaureate degree from an approved school; or have completed a minimum of one year full-time

teaching experience in a state approved registered nursing or vocational or practical nursing school within the

last five years; or met community college teaching requirements in California; and have a minimum of two years’

experience as a registered nurse or vocational nurse in long-term care and/or medical-surgical nursing within the

last 5 years; OR

• A combination of education and experience that is at least the equivalent of items above (candidates making

application on the basis of equivalency must submit all materials requested for an equivalency judgment, indicated

on the Equivalency Process link) AND

• Evidence of a teaching methodology course or a willingness to enroll in one;

• Meet the requirements to be approved by the Board of Vocational Nursing and Psychiatric Technicians (Section

2529); Sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability and ethnic

backgrounds of community college students; Experience in geriatric and long term care nursing;

• Knowledge of regulatory guidelines for long term care.


• Master’s Degree in Nursing preferred.

• Teaching experience directly related to the teaching assignment at the community college level.

• Demonstrated understanding of, and commitment to, the mission and objectives of California Community


• Demonstrated ability to establish and maintain collaborative working relationships with colleagues, students, and

industry partners.

• Ability to contribute to the development of the Licensed Vocational Nursing policies and procedures.

• Experience using computers and/or multimedia equipment.

• Demonstrated commitment to lifelong learning and professional development.

• Demonstrated ability to employ a variety of teaching techniques and strategies to address the diverse learning

needs of students.

• Demonstrated ability to communicate effectively, orally and in writing.

Cuesta College | P.O. Box 8106 | San Luis Obispo, CA 93403

Email: cuestanursinginfo@cuesta.edu

Staff Nurse II

Clinical Nurse II

Alameda Hospital

At Alameda we are in need of nurses who

have experience in the CCU and Surgical/

Operating Room Nurses. The Staff Nurse

is a registered professional nurse who is

responsible for the direct and indirect nursing

care of the patients on their assigned unit.

John George Psychiatric Hospital

Minimum Experience: Six months experience

as a Clinical Nurse I with AHS or the equivalent

of one year full time recent experience at

a comparable level in a minimum 100-bed

hospital or in the area of specialty. Nurses

need psychiatric experience.

Additional requirements

· Wellness Recovery Model

· Therapeutic Group Facilitation

· Computer Literate

Staff Nurse II

San Leandro Hospital

Surgical or Operating Room Nurses.

The Registered Nurse is responsible for

providing nursing care to patients, including

medications and treatment.

Minimum Experience: Entry level Registered


Alameda Health System (AHS) is a major public health care provider

and medical training institution recognized for its world-class patient and

family centered system of care.

Through a welcomed partnership between patient, family and the

healthcare team, AHS provides comprehensive, high quality medical

treatment, health promotion, disease prevention and health maintenance

in an integrated system of hospitals, clinics, and health services.

For more information regarding these positions or to submit your

application, visit our Careers page or contact Krista Simkins at



Page 8 • ANA\C The Nursing Voice January, February, March 2015

The Earlier, The Better: Developing Leadership Through Active Participation

Jimil-Anne Linton, BSN, RN

My leadership development

began in my first nursing

course, when I was introduced

to some of the major

driving forces of the nursing

profession and found myself

fascinated on the subject.

In an online discussion, I

expressed great interest on

my desire to be involved and

made the statement, “I’m just

a new nursing student. I don’t

even know where to begin.”

My professor said, “Jimil, you

start early and make yourself

involved in any way you can!” So I did.

Jimil-Anne Linton,


During my last year of nursing school, I was asked

to take on the position of Communications Director for

my school. Consequently, I ran for the same position

on the CNSA Board. My active involvement in CNSA

(both local and state levels) opened opportunities for new

experiences, including participation in the California

White Paper on Nursing Education Redesign and

ANA\C’s RN Day at the Capitol. I think it was just the

willingness to walk through those doors that helped me

get into leadership.

In my early 30’s, now with an arsenal of experience

being a little older and having observed various

leadership styles in action, I have become more interested

in the growth of members on my team, which I feel

ultimately strengthens the team overall. I believe the

term is called transformational leadership, and that

is the leadership style I strive for. As a new RN, those

skills I developed in nursing school, serving on the

CNSA Board, and being exposed to various elements of

the nursing profession has instilled some confidence in my

communication with other healthcare members and nurses.

Currently, I work as a psychiatric RN for Santa Barbara

County. I have a strong passion for mental health and would

like to have PMH-RN certification someday –possibly

even a PMH-DNP, so I can use my expertise in advocating

for the improvement of mental health care. While

we’ve made significant

strides in caring for this

population, I still believe

we have a long way to

go, and I want to be part

of that movement to

make positive changes

– but I know it all starts

by getting involved.

United Indian

Health Services

Regular FT Vacant Positions:

Provider/MD or FNP/PA • OB/NA-AS Coordinator – Clinical Nurse

Registered Nurse • Diabetes Program Manager

Dietitian Manager • Laboratory Assistant

Per Diem Positions:

Medical Provider – Crescent City • Clinical Nurse – Klamath

Clinical Nurse – Crescent City • Medical Assistants • Lab Assistance

For complete job descriptions, visit unitedindianhealthservices.org.

How to apply:

Please email 1) Resume 2) Cover Letter and 3) Employment

application to UIHS-Recruiting@crihb.org or fax to (707) 825-6747.

In accordance with PL 93-638 American Indian Preference shall be given.


Concorde Career College is a nationally recognized and accredited,

for-profit education company that prepares committed students for

successful employment in a rewarding healthcare profession through

high caliber training, real world experience and student centered

support. We’re looking for people who want to make an impact at one

of the best post-secondary career training institutions in the country.

Experience the fulfillment of contributing to a nursing program that

provides quality education and training to future generations of

healthcare professionals.

Nursing instructors needed for the following locations:

• San Diego • San Bernardino • Garden Grove • North Hollywood


• Current California RN license.

• Minimum of a BSN.

• Minimum of 4 years clinical experience in the last 5 years.

Contact: Recruitment Department

Phone: 877-866-2340 • Fax: 877-866-2344

Apply online at http://jobs.concorde.edu or

send resume to jobs@concorde.edu



To apply:

Are you a nurse that likes to teach,

facilitate growth, and provide

leadership in a dynamic team

setting? Consider a job on the

beautiful north coast of California.

We want you to be part of our family!

Clinic RN

M–F, clinic hours, requires

current CA RN license, work

in an outpatient setting,

EMR experience. Located in

Willow Creek, CA.

Visit our website at



Oak Valley Hospital District is searching for full-time and per diem ER Registered Nurses in Oakdale

California. OVHD offers a culture that is focused more on that one on one patient and caregiver

experience. If you’re looking for an organization that truly believes in honoring and taking care of its

team members which in turn offers excellent patient care outcomes, Oak Valley Hospital District is your

employer of choice.

Our full-time RN position offers a competitive salary and excellent benefits. We also offer a pension

plan of 15.9% and no cost life insurance at five times annual salary to a maximum of $500,000. Sign

on bonuses are also offered.

A little about us, with nearly 550 employees and in a growth mode, Oak Valley Hospital District is a

full service, non-profit public hospital created to provide residents of Oakdale, and the surrounding

rural communities, with access to superior quality medical care. We also operate four community

health centers providing primary care medical services and plan to expand this business as well. As an

organization we take care of nearly 90,000 patients a year.

If you’re interested in learning more about what we

have to offer and the incredible opportunity

to join our team,

please email your resume to Brian Beck,

Vice President of Human Resources,


Earn your Master of Nursing in

Health Systems & Organizational Leadership

The Health Systems & Organizational Leadership program prepares

nurses for roles in a variety of organizational settings from acute care,

to long term care, community care and beyond. Skills gained will allow

nurses to lead in formal executive and front-line positions, quality

improvement, project management or other positions where systemslevel

management and leadership is needed.

Join this fully online program offered by Oregon Health & Science

University to take your next step in your nursing career. Learn more at:






January, February, March 2015 ANA\C The Nursing Voice • Page 9

ANA\C News

Mary Ellen Dellefield,

Director of Nursing Practice

A Brief Introduction

One of the strengths of ANA\C is that, although our members have a wide range

of clinical expertise and educational backgrounds, we are able to unite because of our

common bond as registered nurses (RN). As the director of nursing practice, I want to

share my perspective of RN practice that has evolved over the years. It has been shaped

by my specialization in skilled nurse facilities, commonly referred to as nursing homes

(NHs). These settings are staffed primarily with paraprofessional nursing staff (i.e.

certified nursing assistants and licensed vocational nurses). The combination of the RN,

LVN, and CNA is referred to as the nursing skill mix, comprised of nurses having diverse

backgrounds in education, scope of practice, and certification.

Before I worked in NHs, I was employed in acute care settings for six years. In 1983, I

moved from Chicago to San Diego and was looking for a job. At that time, the job market

was very tight. There were few opportunities for employment in nursing management, an

interest of mine. I decided that it would be interesting to apply for a director of nursing

position at a local NH. I had never been to a NH but thought that it was pretty amazing

that so few RNs were expected to take care of so many residents. Working with a largely

paraprofessional nursing skill mix focused my attention on the unique benefits and value that

RNs bring to members of the nursing skill mix and, ultimately, the NH resident. This is a

particularly relevant issue in NHs because LVNs are frequently used as substitutes for RNs.

Over the past 30 years, I have worked in for-profit, not-for-profit, and governmental

nursing homes, board and cares, and adult day healthcare settings. I have learned that it

is important for RNs to value direct (care at the bedside) and indirect care (those activities

done away from the bedside on behalf of the resident) equally. All care is important; one

type is not better than the other. Indirect care includes documentation, management, and

supervision. These care activities need to be linked with supporting clinical processes and

outcomes that affect both residents and nursing staff. It presents a problem if a RN manager

is unable to explain how such activities provide support for achievement of relevant quality


If our education and our practice act define our unique skill set as including coordination

of care and critical thinking (i.e. nursing process), then we need to demonstrate these skills

in ways that are complimentary to the composition of the nursing skill mix. For example, I

have often heard NH RNs say that only a RN may assess a patient. Arguably, this belief has

contributed to a common deficit in RN NH practice – that of not listening to and valuing

clinical observations made by CNAs and/or LVNs. Paraprofessionals have perceived this as

a lack of respect; this perception has been a major contributor to CNA turnover in NHs.

In fact, all nursing staff use observation to collect data and perform their work. They

problem solve situations that are within their scope of practice or certification. They must

know when it is important to share data with the RN. That is, a judgment is required that

goes beyond their level of expertise and scope of practice. The RN uses these data as one

of several sources upon which she makes a judgment about a resident’s health status. In

essence, the RN needs the observations of the other members of the nursing skill mix to

make a competent assessment.

This may seem obvious to many. Unfortunately, it has contributed to many operational

problems in NHs. The nursing care delivery system used in NHs needs to maximize

the competencies of all nursing staff. The RN’s responsibility is to use and support staff

strategically to create a coherent and ‘coordinated’ care experience for the NH resident.

I think that it is very important for RNs working in any setting with paraprofessional

nursing staff to be very clear about the value that they are adding to the patient’s or

resident’s experience. They need to be clear about why it is that a RN is needed to

perform indirect care activities, as opposed to a non-clinical staff member. RNs need to

competently use their nursing skill mix more strategically, whether it is in a NH or any

other clinical setting. We need to demonstrate that the RN is the professional best prepared

to perform and to coordinate the direct and indirect care provided by all levels of nursing

staff employed in NHs. The public needs to know how the RN makes unique contributions

to the NH nursing skill mix. This empirical evidence will be used to persist in our efforts to

ensure that Medicare and

Medicaid beneficiaries are

provided with around- theclock

RN care in NHs.

There are many other

important issues to

champion regarding RN

practice in California. I

recognize this and the

importance of staying

informed about all issues

affecting other care

settings and levels of RN

practice. Each of us needs

to advance our specialty’s

interests while remaining

mindful of the concerns of

all RNs practicing in our


Exciting opportunities for Registered Nurses

at Aurora Santa Rosa Hospital!

Registered Nurses $40.23 - $56.13 base/hour + $1,500* Bonus

We are currently seeking Registered Nurses to work (Noc’s) and

PM’s in our modern acute psychiatric facility. Deliver patient

care under appropriate supervision to patients with psychiatric,

emotional or addictive disease disorders. Psychiatric experience

required. New RN graduates may meet these requirements if they

have completed a psychiatric rotation as part of nursing school or

have psychiatric experience in another role.

*$1,500 bonus paid $500/hire $500/six months and $500/one year

Please apply online at www.aurorasantarosa.com

“Empowering people to

embrace healing for fulfilling

and productive lives”

Assistant/Associate Professor (Tenure Track)

California State University, Long Beach is currently recruiting faculty with a

doctoral degree and strong background in one of the following specialty areas:

• Public health nursing/epidemiology/global population health

Nursing and health systems management/health policy

• Family nurse practitioner

• Adult-gerontology acute care nurse practitioner

Information regarding specific qualifications and the application process can be

accessed at the following website:


CSULB seeks to recruit faculty who enthusiastically support the University’s strong

commitment to the academic success of all of our students, including students of color,

students with disabilities, students who are first generation to college, veterans, students

with diverse socio-economic backgrounds, and students of diverse sexual orientations and

gender expressions. CSULB seeks to recruit and retain a diverse workforce as a reflection

of our commitment to serve the People of California, to maintain the excellence of the

University, and to offer our students a rich variety of expertise, perspectives, and ways of

knowing and learning.

Page 10 • ANA\C The Nursing Voice January, February, March 2015

New American Nurses Association Resource Helps RNs Make

the Case for Optimal Nurse Staffing

SILVER SPRING, MD – To achieve quality care, better

patient outcomes and financial stability, optimal nurse

staffing should be viewed by health care employers as a

necessity rather than an option—particularly as health

care reforms and new regulations take hold.

That is a key message reflected in a new white paper

commissioned by the American Nurses Association

(ANA) and developed by Avalere Health, LLC in

collaboration with nurses and policy experts.

Nurses at all levels and in all settings can use the white

paper, “Optimal Nurse Staffing to Improve Quality of

Care and Patient Outcomes,” as a resource to advocate for

and implement sound, evidence-based staffing plans.

“Nurses on the front lines are in the best position to

determine the staffing needed for safe and equitable,

quality care, but they consistently tell us they must fight

for optimal nurse staffing. This white paper is our way

of providing evidence to support the need for changes in

nurse staffing across all health care settings,” said Pamela

F. Cipriano, PhD, RN, NEA-BC, FAAN, president of the

American Nurses Association.

The white paper highlights studies that demonstrate

how appropriate nurse staffing helps to achieve both

clinical and economic improvements, from reducing

medication and other errors to shortening patients’

hospital length of stay.

The evidence from hundreds of studies—and the

white paper—make it clear that there is a relationship

between staffing and patient outcomes,” said Matthew

McHugh, PhD, JD, MPH, RN, FAAN, an associate

professor at the University of Pennsylvania School of

Nursing who helped develop the paper. “If there are not

enough nurses at the bedside, bad things are likely to


The white paper also examines the various forces that

have impacted discussions about nurse staffing and health

care, from Affordable Care Act provisions and Institute of

Medicine reports to changing patient demographics.

This paper specifically notes that existing staffing

systems are often antiquated and lack flexibility to

adjust to factors such as patient complexity, a rise in

admissions, discharges and transfers, and the physical

layout of the unit. It further addresses efforts by ANA

and other organizations to advocate for federal regulation

and legislation promoting flexible staffing plans, and

highlights ANA activities to support transparency and

public reporting of staffing data.

For example, the Registered Nurse Safe Staffing Act

(H.R. 2083/ S.1132), endorsed by ANA, would require

Medicare-participating hospitals to establish registered

nurse (RN) staffing plans using a committee, comprised

of a majority of direct-care nurses, to ensure patient safety,

reduce readmissions and improve nurse retention.

“We in nurse leadership have to be able to defend

our budgets [for optimal staffing],” said Bob Dent,

DNP, MBA, RN, NEA-BC, CENP, FACHE, senior vice

president and chief operating officer at Midland Memorial

Hospital in Texas. “We need to be able to tell our boards

of trustees and other administrators: “If we want to be able

to deliver quality care to our community, then here is the

staffing we need and here is the evidence [that supports

that decision].”

The paper is the first in a series aimed at addressing the

value of nursing care and services.

Individuals can learn more and access the white paper

executive summary here. Members of the media can

obtain the full white paper by sending a request to Ms.

Jemarion Jones at jemarion.jones@ana.org.

Take your career to new heights with Department of State Hospitals Coalinga!

California’s newest mental health hospital opened in August of 2005 and is

located in the beautiful rural community of Coalinga. Right on the edge of

the Coastal Mountain Range in the heart of California, Coalinga is an ideal

location to settle into a new career!

We are seeking qualified Public Health Nurses to join our team. Potential

candidates must be licensed as a Registered Nurse and hold a valid certificate

as a Public Health Nurse in the State of California. Experience: Two years of

experience as a public health nurse.

As a State of California employee you will enjoy a competitive benefits

package that includes the following:

• Paid Holidays

• Paid Sick & Vacation/Annual Leave

• Medical/Dental/Vision and Disability Insurance

Interested applicants please contact us today!

Exam Link: https://jobs.ca.gov/JOBSGEN/4MH2502.pdf

Department of State Hospitals - Coalinga

24511 W Jayne Ave Coalinga, CA 93210

Personnel Department - 559-935-4305

Or visit us online:

www.dsh.ca.gov or www.jobs.ca.gov

Equal Opportunity & Affirmative Action Employer

• 457/401K Savings Plus Program

• 2 Professional Development Days

• Much, much more!

RNs Needed

Expanding multi-site community-based

ambulatory healthcare center needs

• Triage Nurse (2) for call center

• Nurse Manager to oversee MA Supervisors &

RN Care Coordination Supervisor & Staff

Send CV to


We are a busy wellness

center in Riverside,

California looking for

a Nurse Practitioner.

Please contact

Kimberly Arnett, RN

at kimberlyarnett@


or visit us at


January, February, March 2015 ANA\C The Nursing Voice • Page 11

Nurses Leading the Way for A Healthy America

H.R. 379 / S. 1205 National Nurse Act of 2015 Gaining Traction in Congress

Teri Mills, RN, MS, CNE

Nurses in California and across the country believe

they know how to slow rates of chronic disease and thus

reduce Medicare and Medicaid costs. Their solution:

Involve more nurses in PREVENTION. Their proposal is

to designate an existing position, the Chief Nurse Officer

of the U.S. Public Health Service as the National Nurse

for Public Health. By doing so, Congress will provide

more impetus to promote the Medical Reserve Corps,

strengthen existing public health infrastructure, and

mobilize available resources of willing nurses and other

healthcare workers within each community to deliver and

reinforce messages of disease prevention.

Congresswoman Eddie Bernice Johnson (D-TX), who is

also a nurse, and Congressman Peter King (R-NY) agree,

introducing H.R. 379 The National Nurse Act of 2015 on

January 14, 2015. The bill has already garnered bipartisan

support in Congress and there is now a companion bill, S.

1205, in the Senate co introduced on National Nurses Day

by Senator Jeff Merkley (D-OR) who co-chairs the Senate

Nursing Caucus and Senator Shelley Moore Capito (R-WV).

Currently, over 110 organizations, including the American

Nurses Association and ANA/C have endorsed the bill.

As a national advocate for nursing actions to champion

public health in all communities, the National Nurse

for Public Health would collaborate with the Office of

the Surgeon General to identify and address national

health priorities.

Teri Mills MS, RN, CNE, President of the National

Nursing Network Organization (NNNO) states, “We

are delighted to have strong bipartisan support for this

legislation, and because it does not require any appropriation

of funds, we hope Congress can agree to pass this soon.

As Congress and the President continue to grapple with

National Nursing Network Organization Board Members Meet with Congresswoman Eddie Bernice

Johnson (TX-30-D) to discuss strategy for advancing the National Nurse Act

our country’s budget crisis, it would be wise to consider

the financial impact that the seven most common chronic

diseases have on our economy.”

Diabetes, cancer, and heart disease, and underlying

causes such as obesity and tobacco use, affect more than

130 million Americans and contribute greatly to our outof-control

healthcare costs. According to the Partnership

to Fight Chronic Disease, these conditions cost more than

$1 trillion a year, and if there is no change, could balloon

to nearly $6 trillion by 2050. Preventable and highly

manageable chronic diseases account for 75 cents of every

dollar we spend on healthcare in the U.S, every day, every

year. Even more daunting, chronic disease costs consume

more than 90 cents of every dollar spent on Medicare

and Medicaid. In contrast, we spend less than 5 cents on


For more information and to find out ways that you can

get involved please visit http://nationalnurse.org or email


John C. Fremont Healthcare District

Critical Access Hospital

Short distance from Yosemite National Park

Now Hiring!

LVNs, RN in ER and Home Health, PA, FNP,

Physical Therapist, CNA, CHHA

Check out our positions available

at www.jcf-hospital.com and/or

email your resume to hr@jcf-hospital.com

Long Term Care:

Director of Nursing • MDS Coordinator • Registered Nurses

MGGH is located in the small friendly,

affordable community of

Hawthorne, Nevada.

• Eligible for HRSA NurseCorps Loan


• Great Benefits including Retirement!

• $5,000 Sign On Bonus!

Please visit www.mtgrantgenhospital.org to

download an application and for more info.

Fax Resumes to 775-945-0725

Page 12 • ANA\C The Nursing Voice January, February, March 2015

California Department of

Public Health

The Center for Health Care Quality,

Licensing & Certification (L&C) Program

is recruiting for

Registered Nurses to fill

Health Facilities Evaluator Nurse Positions

Offering Comprehensive State Benefits:

• Flexible Schedule

• Paid Holidays

• Extensive Education/Training

• Paid Sick & Vacation/Annual Leave

• Two Professional Development Days

• 457/401(k) Savings Plus Program

• Retirement Options

• Disability Insurance

• Medical/Dental/Vision

• Flex Elect Medical & Dependent

Care Account

• Annual Salary ranges from

$64,080 - $83,412

District Office Locations:

Bakersfield Riverside San Jose

Chico Sacramento Santa Rosa/Redwood Coast

East Bay (Richmond) San Bernardino Ventura


San Diego North and South


San Francisco

State employment requires passing an eligibility examination

and a hiring interview.

Nursing employment opportunities are continuously available statewide and the

online eligibility examination can be accessed anytime.


If you have questions regarding available positions,

please email the L&C Personnel Liaison Unit at


or call 916-322-9905

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