ANA\C is an affiliate of the american nurses’ association
Volume 21 • Issue 1
January, February, March 2016
Special Points of
• Promoting a Healthy
California: The Stethoscope
Challenge is on!
• How We Grow Future Leaders
• Seven Nurses Inducted into The
American Academy of Nursing
• The Earlier, The Better:
Through Active Participation
Corinne MacEgan, BSN, RN, CHPN
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.
BSN, RN, CHPN
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
• ANA\C News
• Nurses Leading the Way for A
current resident or
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….
IN THE NEWS
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 –
ANA\California ‘IN THE NEWS’
1121 L Street, Suite 406
Sacramento, CA 95814
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
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:
The ‘Nursing Voice’
1121 L Street, Suite 406
Sacramento, CA 95814
ANA\C Member Identification No. (if applicable)
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 firstname.lastname@example.org
The Nursing Voice Editor
ANA\C 2015 BOARD OF DIRECTORS
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 -
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, email@example.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
Copyright© by the American Nurses Association\California.
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
MSN, RN, CAE
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
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
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
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.
– FOOTPRINTS ON THE SAND ARE NOT MADE
BY SITTING DOWN
Page 4 • ANA\C The Nursing Voice January, February, March 2015
BJ Bartleson, RN, MS, NEA-BC
Vice President – Nursing & Clinical Services, CHA
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
RN, MS, NEA-BC
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
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
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
BSN, RN, PHN
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
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
DNP, RN, FCCM
UCSD Medical Center
PhD, MSN, BSN, RN, PHN
Charles R. Drew University of
Medicine and Science
Judith F. Karshmer
PhD, RN, PMHCNS, BC
University of San Francisco
University of California,
PhD, MS, RN, CNS
DNP, MBA, RN, CNL,
University of San Francisco
Diana Lynn Woods
PhD, RN, APRN-BC
Azusa Pacific University
Mary Dickow, Linda Burnes-Bolton,
Shirley Evers-Manly and Raymond Phillips
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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: email@example.com
January, February, March 2015 ANA\C The Nursing Voice • Page 7
Licensed Vocational Nurse
Full-Time Tenure Track Position
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
• 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
Staff Nurse II
Clinical Nurse II
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.
· 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.
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.
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
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 firstname.lastname@example.org
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!
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
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
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 email@example.com.
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!
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.
Kimberly Arnett, RN
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
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
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 firstname.lastname@example.org
Long Term Care:
Director of Nursing • MDS Coordinator • Registered Nurses
MGGH is located in the small friendly,
affordable community of
• 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
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
• Flex Elect Medical & Dependent
• 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
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