2016 NE Book of Reports

2016 

Book of Reports 

Annual Membership Meeting 

October 1, 2016

2016 Nebraska Nurses Association 

TABLE OF CONTENTS 

Board of Directors . .............................................................................. 3 

NNA Mission, Vision, and Core Priorities. ............................................................. 3 

Annual Membership Meeting Agenda ............................................................... 5 

Proposed Standing Rules. ......................................................................... 7 

Nominations Report and 2016 Slate of Candidates ...................................................... 9 

Proposed Legislative Platform 2016. ................................................................. 11 

Officer Reports 

President ................................................................................... 15 

Vice President ............................................................................... 19 

Secretary .................................................................................. 21 

Budget . ................................................................................... 22 

Committee Reports 

Legislative Advocacy and Representation Committee (LARC) . ........................................ 24 

Nursing Professional Development Committee (NPDC) .............................................. 25 

Governance, Finance and Membership Committee (GFMC) . .......................................... 27 

MIG Oversight Committee (MIGOC). ............................................................. 28 

Continuing Education Approval Committee. ........................................................ 28 

Other Reports 

Director of State Affairs . ...................................................................... 29 

Midwest MSD Membership Task Force ........................................................... 30 

Nebraska Nurses Foundation. .................................................................. 30 

NNA-PAC . ................................................................................. 31 

American Nurses Advocacy Institute (ANAI). ....................................................... 32 

ANA Membership Assembly Report ............................................................. 32 

Organizational Affiliates . ....................................................................... 34 

New Business 

Reference Proposals. ......................................................................... 35 

Proposed Amendments – Bylaws. ............................................................... 39 

Region Map. .................................................................................... 47 

Map of Divot Convention Center. ................................................................... 48 

Printed and Published for the Nebraska Nurses Association by Arthur L. Davis Publishing Agency, Inc. 

517 Washington, P.O. Box 216, Cedar Falls, IA 50613, (319) 277-2414 

www.NebraskaNurses.org 

Published by: 

Arthur L. Davis 

Publishing Agency, Inc. 

1


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2


BOARD OF DIRECTORS 

Teresa Anderson – President 

Anna Mackevicius – President-Elect 

Lina Bostwick – Vice President 

Connie Morrill – Secretary 

MJ Petersen – Treasurer 

Linda Stones – Chair, Legislative Advocacy and Representation Committee (LARC) 

Douglass Haas – Chair, Nursing Professional Development Committee (NPDC) 

Lois Linden – Chair, Governance, Finance and Membership Committee (GFMC) 

Lina Bostwick – Advisor, MIG Oversight Committee (MIGOC) 

NNA MANAGEMENT AND STAFF 

Melissa Florell, MSN, RN – Director of State Affairs 

Robyn Kniffen, Administrative Assistant 

NNA LOBBYIST 

Don Wesely, O’Hara Lindsay Government Relations 

NNA MISSION, VISION, CORE PRIORITIES 

Mission of NNA: 

• Nebraska Nurses advancing our profession to improve health for all. 

Vision of NNA: 

• Nebraska Nurses Association will be a proactive voice for nurses and an advocate for improved 

health for all 

Core Priorities – NNA: 

• C – Collaboration 

• A – Advocacy 

• R – Recognition 

• E – Education 

3


4

Saturday October 1, 2016 

Opening Session 

Introductions 

Presentation of Agenda 

Proposed Standing Rules 

Announcements 

President’s Address 


Annual Membership Meeting Agenda 

Reports 

President Report 

Vice President Report 

Secretary Report 

Budget 

Committee Reports 

Legislative Advocacy and Representation (LARC) 

Nursing Professional Development (NPDC) 

Governance, Finance and Membership (GFMC) 

MIG Oversight Committee (MIGOC) 

Other Reports 

MSD Report 

CE Approver and Provider Unit 

MSD Membership Task Force 

Director of State Affairs 

Nebraska Nurses Foundation 

NNA-PAC 

American Nurses Advocacy Institute 

ANA Membership Assembly 

Organizational Affiliates 

ENA 

NNP 

Discussion/Action Items 

Slate of Candidates – Nominations from the Floor 

Candidate Forum (President Elect, Treasurer, and ANA Representative Candidates 

(Each candidate will have 3 minutes to speak to why they want to be elected 

to their respective position) 

Legislative Platform 2016 (LARC Chair Linda Stones) 

Reference Proposal – Continuum of Care for Older Adults 

Amendments – Bylaws 

Composition, Roles, and Responsibilities of Committees 

Installation of New President 

Closing remarks – Anna Mackevicius 

Announcements 

Adjournment 

5


Rock County Hospital 

Rock County Long Term Care 

located in Bassett, NE, has opportunities for 

RNs and LPNs 

Contact 

Katie Aase, RN, BSN, Director of Nursing - Hospital 

402-684-3366 or kaase@rockcountyhospital.com 

Brittany Heyden, RN, Director of Nursing - Long Term Care 

402-684-2991 or bheyden@rockcountyhospital.com 

102 E. S. Street • Bassett, NE 68714 

Fax: 402-684-3677 • www.rockcountyhospital.com 

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6


PROPOSED STANDING RULES 

Rule 1 

Rule 2 

Rule 3 

Rule 4 

Rule 5 

Rule 6 

Rule 7 

Rule 8 

All NNA Members and guests will be admitted to the Annual Membership Meeting. Each 

member will be identified with a name badge ribbons (NNA Member). 

NNA member or guest will rise, address the Chair (“Madame President”), giving name and 

upon recognition may speak. 

NNA members will have two (2) minutes to speak on each topic and may not speak in debate 

more than twice on the same question or topic on the same day or longer than three (3) 

minutes. Guests will have one (1) minute to speak on each topic and may not speak more 

than once on the same question or topic on the same day or longer than one minute. 

Suggested amendments to presented ballot items will be in writing and shall be sent to the 

Chair immediately following presentation of the amendment. 

Business interrupted by a recess of the meeting shall be resumed at the next meeting at the 

point where it was interrupted. 

Consensus on amendments to ballot items will be reached through a voice vote of members 

in attendance. Guests may not vote on consensus polls. 

Additional self-nominations for NNA Board Officers, ANA Representatives and/or Committees 

must be received before 5:00 pm on the day preceding the Convention (Thursday, September 

29, 2016) and must include a completed Leadership Profile. 

Voters unable to rise will be provided a voting card consistent with the ADA act. 

NNA Bylaws regarding Standing Rules: 

ARTICLE XIII 

STANDING RULES 

Standing Rules may be amended at the Annual Membership Meeting by a majority vote by those 

present and voting without previous notice. 

7


8


2016 NNA SLATE OF CANDIDATES 

Officer Positions: 

• Nominees for President-Elect - 

• Nominees for Treasurer - 

Lina Bostwick, RN, MSN, EdD, CNE 

Nolan Gurnsey, RN 

Douglass Haas, MSN, APRN, AGACNP-BC, CCRN 

Joley Goodman, MSN, RN 

Cathy Smith, RN 

Kristina Smith, APRN-AGNP, NP-C, MSN, RN 

Committee Positions: 

• Legislative, Advocacy, and Representation Committee (LARC): 

o Nominee – West Region – 

Jordan Caldwell, MHA, RN 

o Nominee – North Region – 

Kathleen Davis, RN 

o Nominee – South Region – Rita Weber, RN, MSN 

o Nominees – East Region – 

Monique Summers, ADN, RN 

Echo Perlman, MSN, RN 

o Nominee-At-large – 

Jacki Steckelberg, RN, BSN 

• Nursing Professional Development Committee (NPDC): 

o Nominees – Nursing Practice – Amanda Mesloh, RN 

o Nominee – Nursing Faculty (2) – Jacy Henk, RN, BSN, MSN 

o Nominees – Prof. Education (2) – Karen Morgan, RN, BSN, MSN, BA, MEd 

Katie Messner, BSN, RN 

• Governance, Finance, and Membership Committee (GFMC): 

o Nominee – Nursing Practice – Paula Molzen, RN 

o Nominee – Nursing Faculty – Margo Minnich, DNP, RN 

o Nominee – Rural Nursing – Danielle Reab, RN, BSN 

o Nominee – Urban Nursing – Jan Tubbs, RN, MS, MSN 

ANA Membership Assembly Representative: 

o Nominee – 

Linda Stones, RN, BSN, MS, CRRN 

9


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10


NEBRASKA NURSES ASSOCIATION 

2016 LEGISLATIVE PLATFORM 

Underlying Beliefs 

For long over a decade, the public has recognized Nursing as the most trusted and ethical profession 

in the United States (Cipriano, 2015). This represents both the strong solidarity and responsibility 

the profession carries. Therefore, it is imperative that nurses across healthcare, serve as formal and 

informal leaders. 

Nurses have a responsibility to educate the public and legislators on issues that impact the health of 

Nebraskans and our communities. The Nurses Association views the call to educate and communicate 

as a priority. 

Nurses are the largest healthcare sector in the United States, and a profession that contributes to the 

science, advocacy, health, and well-being of Nebraskans and our communities; 

As Nebraska nurses, we believe that all individuals have a right to basic healthcare; and, therefore, we 

support legislation that promotes equal access to healthcare for all individuals; 

As Nebraska nurses, we believe that preventative measures can result in a better quality of life and 

reduce the lifetime costs of healthcare. We support legislation that promotes prevention and wellnessrelated 

activities and services; 

As Nebraska nurses, we are professionals; and, as such, we are responsible for maintaining competency 

and practice standards that are current through the utilization of evidenced-based principles. 

Based on the above underlying beliefs, the NNA adopts the Following Legislative Platform: 

1. NNA will strongly support the essential role that Registered Nurses play in care delivery in all settings. 

NNA will actively pursue any legislation that advocates for the well-being of the nurse to ensure: 

a. Safe work environments; 

b. Adequate training and ongoing competence; 

c. Fair and transparent licensing; 

d. Clear and well-defined scope of practice, maintaining educational preparations and scientific 

knowledge which are unique to nursing; 

e. Removal of barriers that negatively impact nursing’s scope of practice, for both RNs and 

Advanced Practice Registered Nurses (APRNs); 

f. Economic stability and improved compensation for nurses. 

g. Coordination of care; and 

h. Participation in decision making that involves other groups providing nursing care. 

11


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service settings. 

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Fall Conference and Annual Meeting 

October 19-20, 2016 in Lincoln, NE 

Imperial Manor, Parkview Heights is a 58 bed licensed Skilled 

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With long term and rehabilitation services provided to 

Medicare, Medicaid, private insurance, and Veteran 

residents, we strive for excellence in quality of care 

and quality of life as evidenced by winning the 

American Health Care Association’s Bronze Quality 

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We are currently looking for New Grads or Experienced 

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12


2. NNA will support activities, which are implemented to advance the goals outlined in the 2010 Institute 

of Medicine Report, “The Future of Nursing”: 

a. Nurses should practice to the full extent of their education and training; 

b. Nurses should achieve higher levels of education and training through an improved education 

system that promotes seamless academic progression; 

c. Nurses should be full partners in redesigning health care in the United States and Nebraska; 

d. Ensure effective workforce planning and policy making through better data collection and 

improved information infrastructure; and 

e. NNA supports continued funding for nurse education and scholarship that promotes the 

professional growth of nurses. 

3. NNA will influence access to safe, cost-effective, quality healthcare services through NNA participation 

in local, county, state, and federal decision-making bodies. NNA will do this by: 

a. Participating in coalitions with healthcare providers and organizations that support the goals of 

assuring safe, quality care outcomes for all Nebraskans; and 

b. Monitoring/promoting legislation to assure that the standards for safe, quality patient care are 

not compromised. 

References 

Cipriano, P. (2015, December 29). Re: Leveraging the expertise of America’s most trusted profession 

[Online news aggregate]. Huff Post Politics. Retrieved from http://www.huffingtonpost.com/ 

pamela-f-cipriano-phd-rn-neabcfaan/leveraging-the-expertise-_b_8886198.html.%20n 

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from 

http://books.nap.edu/openbook.php?record_id=12956&page=R1 

13


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• Doula services 

• Prenatal, childbirth, and parenting education 

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• Professional counseling 

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14


PRESIDENT’S REPORT 

Teresa L. Anderson, EdD, MSN, RNC-OB, NE-BC 

As I conclude four years as President of the Nebraska Nurses’ Association (NNA), I reflect on our 

journey toward relevance, sustainability, member value and voice. I am proud to be able to enumerate 

our successes in achieving both the overall strategic goals of the association and my final set of 

annual President Goals. 

Strategic Goals met between 2012 – 2016: 

• Membership increase (from 707 joint members in 2012 to 865 joint members in May 2016) 

• Streamlined membership – joint-membership only 

• Streamlined governance – four active and productive committees, a 10-member engaged 

Board of Directors 

• Membership support – Regional Membership Liaisons, Multi-State Division (MSD) Membership 

Task Force (grace period cards, new member survey and calls, welcome packet, database 

management), Mutual Interest Groups (three active geographic groups) 

• Financial solvency – balanced budgets since 2013 with a healthy cash reserve, support for 

professional development, technology upgrades, social media, and two part-time staff members 

• Strong NNA-PAC, successful legislative priorities with successes in several key areas – nurse 

practitioner scope of practice, whistleblower legislation, sustaining the helmet law, licensure of 

surgical first assistant technologists, and others 

• The creation of the Nebraska Nurses Foundation as a 501c3 non-profit with a highly engaged 

Board and activities 

• Active participation in the Midwest MSD with economies of scale for back-office operations 

and more 

• A strong MSD CE Approver and Provider Unit 

2016 President’s Goals 

1. Continue the final phase of the NNA Governance transition and support the successful definition and 

implementation of new structures and processes approved at the 2015 NNA House of Delegates. 

District Funds Distribution – Funds have been distributed by the NNA Board with consideration of 

District preferences. Overall, most of the funds will be split between 2016, 2017, and 2018 budgets 

as follows, General Fund/Membership & Marketing – $15,617; Mutual Interest Groups – $15,508; 

Technology – $5,654; and Contingency Funds – $14,882. Scholarship funds, totaling $12,907, were 

forwarded to the Nebraska Nurses Foundation (NNF) for distribution. 

Mutual Interest Groups (MIGs) – Three groups formally applied and were approved as 2016 MIGs, 

Region 1 – Scottsbluff; Tri-City – Grand Island, Kearney, and Hastings area; and Lincoln Area. These 

groups have many activities planned and support is available from the NNA. The MIG Oversight 

Committee is still trying to get leverage; scheduling a meeting has been challenging. There are 

opportunities for more 2017 MIGs and events. 

Liaison Role – The four regional liaisons – Melissa Snyder, Nolan Gurnsey, Jenna Witt, and Jessica 

Zoerb – are completing training and working on activities. If you are interested in becoming a Liaison 

in the future, please let us know. As our Liaisons take on other roles in the association, they may need 

to transition out of the role. 

15


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Divots Concert Series Presents: 

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OPEN: September 17th 

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16


2. Facilitate the successful transition of new members to the NNA Board and Committees to fully use their 

time and talents to contribute to a meaningful experience and value for themselves and all NNA members. 

Board Orientation – completed at October 31st Retreat and BOD members have had greater than 

90% attendance at all scheduled meetings in 2015-2016! 

Committee Orientation – informally completed by Chairs, but a stronger process is needed. 

3. Support expanded operations and administrative functions of the NNA progressing toward a physical 

space for NNA archives, employed staff, and a strong presence in Lincoln for all nurses in Nebraska. 

NNA Office Space – as of this writing, plans look very favorable for a dedicated office space for the 

NNA within the UNMC College of Nursing building scheduled for occupancy in 2018. This facility, 

located on the University of Nebraska – Lincoln City Campus will offer close proximity to the capitol, 

the state office building, our lobbyists, and other important policy groups. 

4. Facilitate financial streamlining and long-term planning to effectively manage NNA general and 

restricted funds to the best advantage for members and a sustainable association. 

Three-Year Financial Planning – fueled by the generous disposition of funds by the Districts, the 

NNA has begun to create a three-year budget plan. $51,790 was available to support membership 

& marketing, MIGs, technology, scholarships, and contingency needs over 2016, 2017, and 2018. 

Scholarship funds were all transferred to the NNF and donors are encouraged to contribute additional 

funds for project/practice grants planned in 2017. 

5. Actively participate in the activities of the ANA Midwest MSD to contribute to the ongoing existence 

of this key structure and staff members who actively support our states and our strong collaboration. 

MSD To Become A Corporation – Since May 2013, the (NNA) has participated in a collaborative 

pilot known as the Midwest Multi-State Division (MW MSD) with five State Nurses Associations 

(SNAs) – Nebraska, Kansas, North Dakota, Iowa and Missouri – to explore opportunities to share 

administrative, programmatic, and leadership services. The purpose of the regional model was to 

create economies of scale while maintaining strong, visible, highly impactful SNAs. The initiative 

was a shared investment between the SNAs and the ANA. The MW MSD has provided the NNA 

with unique opportunities including the adoption of CQ Roll Call advocacy outreach software; CE 

approver/provider unit consolidation and support; member communication via shared newsletters, 

social media posts, and call centers; best practices from the ANA Standards of Excellence; and 

contracted finance operations. At a face-to-face meeting in August 2015, leaders from the MW MSD 

states committed to explore a formalized corporate structure to enable the MW MSD to remain 

active after the pilot phase ends. With faith in the group, ANA agreed to continue shared funding and 

support for the model through 2016, and potentially beyond. On March 31, 2016 the NNA Board voted 

to become a member of this corporate structure to leverage back-office operations support. Also 

committing to the structure were Missouri Nurses Association (MONA) and Kansas State Nurses 

Association (KSNA). Iowa and North Dakota chose not to continue with the MSD. Recruitment of 

additional states is a priority. Initial Directors representing NNA on the MW MSD Board are Terry 

Anderson and Anna Mackevicius. 

17


We are pleased to 

support the 

Nebraska Nurses 

Association’s 

Annual Convention 

Yearbook. 

Michael N. Eppel, M.D., FACG 

David D. Lee, M.D. 

Denise L. Speich, APRN 

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Cherry County Hospital 

Seeking 

Full-Time RNs and CNAs 

We offer a competitive wage and 

benefit package. 

Contact: Kathryn Renning, DON 

Phone: 402-376-2525, Fax: 402-376-1627 

Email: krenning@cchospital.net 

Mail: Cherry County Hospital 

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Divots and Norfolk Lodge Welcome the Nebraska Nurses Association 

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18


6. Support NNA/ANA membership recruitment and retention activities to instill ownership of professional 

practice, and excitement in all Nebraska professional nurses and nursing students. 

Recruitment and Retention - Liaisons have assisted with member events and outreach this past 

year. Since October 2015, the NNA President has spoken to 13 different student/novice nurse groups 

from seven facilities and between April 25 and May 9th NNA BOD Members and Staff participated in 

18 different Nurses’ Week venues with over 1,000 nurses and nursing students attending! We have 

engaged a NSSNA officer on the GFMC Committee and spoken at the NSSNA Convention for the 

fourth year in a row. 

7. Actively collaborate with other nursing associations and groups within Nebraska to strengthen our 

affiliate program and to provide needed resources for nurses in our state. 

Collaboration with Other Nursing Groups - Besides the collaboration required for successful 

legislative advocacy, the NNA has collaborated with several other organizations. The NNA, Nebraska 

Organization of Nurse Leaders (NONL), Nebraska Assembly of Nursing Deans and Directors (NANDD), 

and Nebraska Action Coalition (NAC) hosted the “Culture of Health Summit” in October 2015. Speakers 

were Senator Sue Crawford, a strong advocate for nursing, and Courtney Phillips, Executive Director 

of the Nebraska Department of Health and Human Services. Plans are also underway for a joint 

convention with the Nebraska Nurse Practitioners (NNP) in 2017 in Kearney. Strong collaboration 

with other regional State Nursing Associations (SNAs) has resulted in a successful pilot of the ANA 

Midwest Multi-State Division. 

VICE PRESIDENT’S REPORT 

Lina Bostwick, EdD, RN, CNE 

I found my first year serving as the Vice President of NNA to be rewarding. The opportunity that has 

existed for creating relationships with nurses across Nebraska has been a phenomenal one. 

As chair of the NNA Conference Committee, the talents of those having a history with NNA and those 

new to the processes, has brought about the best of both worlds. It is equally important to have team 

members that bring fresh new ideas, as it to have those bringing the historical feasibility perspectives 

to the table. As I reflect on my application for the VP position, all of the goals I projected to act on have 

been fulfilled in some way. However, as another year comes to an end, I more than ever realize the 

importance of continuing to meet and expand upon these objectives: 

1) Support the President and the Board 

2) Recruit talent with the right skills 

3) Collaborate with teams, focus groups, MIGs, and decisions on financials as needed 

4) Collaborate on analysis of data 

5) Engage nurses, volunteers, members, possible donors, and nursing students 

6) Cultivate advocates of Nursing and for Nursing 

7) Assist in planning for the succession of leaders 

8) Cultivate Nursing on committees as advocates for safety and patient care 

I want to thank the many NNA members that have been encouraging, supportive, helpful, and most of 

all, those that have put their trust in me as I continue to discover this organization’s important impact 

on our communities. I look forward to meeting even more of our members in the coming year. 

19


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20


SECRETARY’S REPORT 

Connie Morrill, BSN, RN 

The NNA Board began the year with an all day retreat on October 31, 2015 in Grand Island, Nebraska. 

At that meeting, the Board mapped out strategic direction for 2016. 

Throughout the year, the Board met on October 31, November 19, December 15, January 19, February 

15, March 31, April 19, May 17, July 19, August 16, September 29*, and October 2* with approval of key 

initiatives to move the organization forward: 

• Dissolved District 7 in lieu of a seated Board in that area. 

• Made appointments to fill open Committee positions 

• Approved updates to the Nebraska Nurse format and added a page for the Nebraska Nurses 

Foundation (NNF) 

• Updated the policy and procedure manual 

• Moved scholarship funds to NNF with selection by NPDC 

• Supported the development of NNA-PAC Bylaws and seating a Board for the PAC 

• Approved three MIGs – Region 1, Tri-City, and Lincoln-Area 

• Facilitated electronic archive of NNA documents 

• Changed status of Director of State Affairs to an employee and hired a PT Administrative 

Assistant (payroll processes contracted with MONA) 

• Set up Committee emails and business cards for Chairs 

• Approved the development and implementation of a NNA mobile device app 

• Approved distribution of District funds 

• Approved a balanced budget 

• Launched radio marketing and Kearney billboard (to rotate annually) for Nurses’ Week 

• Approved Carol Wilson funds to support convention registrations for NNA members ($90) 

• Approved NNA becoming a member state of the Midwest MSD corporation and appointed 

Teresa Anderson as principle director for NNA on the MSD Board for 2016 – 2017 

• Offered a free NNA membership In each region from among those attending Nurses’ Week 

events 

• Supported a strong Nurses’ Week presence across the state including contact with over 1,000 

nurses and nursing students 

• Voted to participate, if selected, in the ANA Value Pricing Pilot 

• Recommended appointments to the Center for Nursing and Center for Nursing Foundation 

Boards 

• Approved changes in LARC regions to those used by the Regional Member Liaisons 

• Voted to rebrand NNA in alignment with ANA new branding 

• Appointed Anna Mackevicius as 2nd director on the Midwest Board 

• Approved Legislative Award for Senator Lindstrom 

* meetings tentative at time of printing 

21


22


23


LEGISLATIVE ADVOCACY 

AND REPRESENTATION COMMITTEE (LARC) 

Linda Stones, RN, BSN. MS, CRRN- Chair 

Committee Members Active in 2016: Kari Wade, Lorie Kelly-Norton, Anne Obermiller, Terri Mitchell, 

Kathy Davis, Joan Nelson and Rita Member. 

Staff Members: Don Wesely (Lobbyist), Melissa Florell (Director) and Robyn Kniffen (Assistant) 

This year was a short session for the Nebraska Legislature but a very busy one for NNA’s LARC. The 

members reviewed and took action on several bills during the session. They were also involved in 

several 407 reviews for scope of practice changes, updated the legislative platform and, with staff 

support, held a successful Nurses Day at the Legislature. 

Legislative Session: 

Committee members reviewed 440 bills that were introduced in this year’s session. Several key bills 

of note were LB 721 which was the Surgical First Assistant (SFA) bill. This would allow SFAs to be 

licensed. NNA worked hard to ensure that physician supervision of these licensed professionals 

would protect nurses and to ensure that these changes did not negatively impact Surgical Nurse First 

Assistants. The bill passed with NNA’s inputs intact. LB 750 which was referred to as the Whistleblower 

bill was supported by NNA and was passed. This law protects the confidentiality of individuals who 

report other professionals in accordance with the Uniform Credentialing act. Three very brave nurses 

came forward and spoke on behalf of this bill which was instrumental on the bill moving forward. 

LB 900 was an attempt to repeal the motorcycle helmet law. NNA opposed this bill and it failed to 

advance. LB 1030 was also supported. This provides some financial support for the purchase of 

amino acids-based elemental formulas. Another attempt was made to expand Medicaid coverage 

in LB 1032. NNA supported this bill but the bill failed to advance. LB 1060 was a bill to have surgical 

technologists registered. NNA opposed the bill in the format it was introduced, which would have 

Surgical Technologist under the Board of Medicine. Attempts were made throughout the session 

to come to a compromise, but these attempts failed. A carryover bill, LB 18, to require offering a 

meningitis vaccine was supported by NNA; however, the bill was not advanced. 

407 Scope of Practice Reviews: 

Members have been involved in several of these reviews that likely will lead to legislation introduced 

at the 2017 session. As mentioned above, we were successful in representing nurses concerns with 

the Surgical First Assistant licensure. As an off-shoot of this, the Surgical Technologists were initially 

requesting licensure and their desire to be managed under the Board of Medicine. After dialogue, the 

Surgical Technologists changed their position to be registered versus licensed but still demanded to 

be under the Board of Medicine. This continues to be a point of contention for NNA as we feel strongly 

that the Board of Nursing is in the best position to manage this group of registrations and Surgical 

Techs will remain supervised in the OR by the Registered Nurse. A new 407 review was started 

in 2016, to allow Dialysis Care Technicians to be delegated the task of administering heparin and 

accessing central lines for dialysis treatments in outpatient dialysis centers. The committee continues 

to work with key stakeholders to find a solution that is in the best interests of the patients. A group of 

individuals has been involved in the RN scope of practice being limited in Assisted Living Facilities. 

There are several very committed members who have spent years on this issue and are finally seeing 

some positive movement to allow RNs to function within their scope of practice in Assisted Living 

24


facilities. Lastly, NNA LARC is working with the Board of Nursing as they have submitted a 407 review 

to create all new LPNs to meet the requirements of LPN-Cs. 

Legislative Platform: 

A subgroup of individuals worked with Lina Bostwick to update the Legislative Platform used by the 

LARC to guide decisions on bills introduced. You will find the proposed Legislative Platform in this 

Book of Reports. Membership will need to vote on the adoption of these changes. Changes were 

sought after members reviewed platforms from other state nursing associations as well as their own 

experiences during the past legislative sessions. If you have questions about the changes, please 

email larc@nebraskanurses.org and a committee member will get in touch with you. 

Nurses’ Day at the Legislature: 

The event was held at the Cornhusker Hotel on February 11, 2016. A total of over 400 individuals 

registered for the event. The keynote speaker was Rebecca McClanahan who spoke on “the Power 

of One.” Rebecca was the former president of the Missouri Nurses Association (MONA) and served in 

the Missouri House of Representatives. Lunch was held with 12 Senators and staffers attending. The 

event also had 14 nursing group or individual sponsors. 

Planning has already started for the 2017 event, which will be held on February 9, 2017, at the Cornhusker 

Hotel. Make plans now to attend. 

Based on my report you can see a tremendous amount of work has been done to support and 

advocate for Nurses in Nebraska. Volunteers are always needed and welcomed. 

NURSING PROFESSIONAL DEVELOPMENT COMMITTEE (NPDC) 

Douglass Haas, MSN, APRN-NP, AGACNP-BC, CCRN – Chair 

Committee Members: June Eilers, Jacy Henk, Shannon Jones, Alice Kindschuh, Karen Morgan, 

Elaine Pohren, Anoumou Somado 

WOW! This year has been busy for NPDC, as you will read below. I am so proud of the work the NNA 

Nursing Professional Development Committee has completed this 2015-2016 year. The committee 

continues to achieve momentous tasks completion across the state with the continued, and sometimes 

stressful, use of our online communication techniques. We as an organization have truly forged the 

waters and have come full circle as an organization. NPDC is a true example of how a more nimble, 

technologically savvy, and focused group of individuals can really get a lot of work done. This year is 

summed up best by a quote I heard at the ANA Membership Assembly (through their YouTube page) – 

“There is no limit to the amount of work you can get done if you don’t mind sharing the credit.” Thank 

you again to the amazing members of the NPDC and to the continued support from ANA/NNA and 

the Board of Directors. 

Awards 

Five (5) NNA members were praised for their excellence at the 2015 NNA Convention with the following 

awards: 

• Notable New Nurse – Matt Lentz, MSN, RN from Ainsworth. 

• Distinguished Service Award – Cathy Clark-Sybrant RN, CNP of Bassett. 

25


• Extraordinary Achievement in Nursing – Linda Hughes, PhD, RN of Papillion. 

• Nurse of the Year Award – Judi Dunn MS, CPP, RN of Omaha 

• Outstanding Nurse Educator – Kristie Martin BSN, CEN of Omaha 

Scholarships 

Thanks to the generous donation of $1000 from Arthur L. Davis Publishing Agency, Inc., NNA was able 

to give two $500 scholarships to undergraduate nursing students. Eli Rodrigues of Scottsbluff and 

Erika Hochstein of Norfolk were the 2015 recipients. Both attend UNMC CON at their respective city 

campuses. 

Events 

• The 2016 Celebrate Nursing event was held on April 26, 2016 at Bryan East Plaza, Lincoln, NE. 

Hosted by Lincoln Area MIG in collaboration with Sigma Theta Tau, Nu Rho Chapter. The event 

consisted of Lincoln area MIG/STT Poster Board Presentation, Networking Meal to increase 

membership with area colleges, and presentation of Nursing of the Day Award. 

• The Celebrate Nursing! Breakfast and Positive Image of Nursing Awards event was presented 

on April 30th, 2016. This event has been a long-standing Nurses Day celebration in the Omaha 

area and well supported by the local healthcare systems, CHI Health, Nebraska Methodist 

and Women’s Hospitals, Nebraska Medicine, and colleges. The event was held at the Scott 

Conference Center (SCC). First Lady Susanne Shore spoke briefly and was well received. Terry 

Anderson presented a shortened version of the CE related to Culture of Safety. Her 30-minute 

presentation was excellent! There were 74 PIN honorees this year. The presentations went well. 

• April 25th through May 9th entertained the NNA Presidents Tour, which included 18 different 

events across the state of Nebraska from Scottsbluff the Omaha. Approximately 1000 cumulative 

individuals attended the weeklong events in their areas. 

• July 26th the Tri-City MIG presented an informal NNA meet and greet as well as update session 

in Kearney. Non-NNA members were paired with NNA members to best encourage membership 

in the informal setting of the new Mac’s Creek Wine Bar. 

• The 2016 Legislative Reception will be held on August 30th. 

o The target audience includes Nurses and Officials/Candidates: 

o Nurses 

• Area RNs and their guests 

• Chief Nursing Officers and Administrators 

• Local nursing college Deans and faculty members 

• Other professional nursing associations officers, directors, and members 

o Incumbent Officials/Candidates 

• Mayor 

• Governor/Lt. Governor 

• U.S. Senators 

• US Congressman 

• NU Board of Regents 

• MCC Board of Governors 

• State Senators 

• Douglas County Commissioners 

• On November 17th, 2016 – NNA BOD, NNF, and Committees will meet with ANA during the 

Nursing Organization Alliance –Theme: NNA Town Hall with ANA in Omaha. 

26


GOVERNANCE, FINANCE AND MEMBERSHIP COMMITTEE 

Lois Linden, EdD, RN, GFMC Chair (Urban) 

Committee Members: 

Cathy Smith, Staff Nurse 

Paula Molzen, Staff Nurse 

Jenna Witt, Rural 

Nolan Gurnsey, Rural 

Margo Minnich, Nursing Faculty 

Judy Timmons, Urban 

Carol Kampschneider, Management 

MJ Petersen, Treasurer 

Kay Keichel-White, Appointed Past NNA Officer 

Lacie Ferguson, NSSNA Representative (Non-voting) 

Teresa Anderson, President-Ex-Officio 

Anna Mackevicius, President-elect (Non-voting) 

Melissa Florell, Director, Non-voting 

Don Wesley, Lobbyist, Non-voting 

Membership 

Recruitment and Retention Strategies: 

• Participated in Nebraska State Student Nurses’ Association (NSSNA) through exhibits and 

sponsorship of the conference. 

• Made recommendations to the Board of Directors and/or the Director with ideas for 

implementation of the Regional Membership Liaison role. 

• Drafted procedures and a three year membership recruitment and retention plan following 

submission of an NNA application (prepared by the President) to ANA membership Value 

Pricing Pilot. 

• Development of procedures regarding membership recruitment and retention (initial drafts). 

• Increased membership outreach through electronic media and presentations to schools of 

nursing, nurse residency programs, and Nurses’ Week activities. 

Finance/Budget 

• Successfully conducted annual fundraising at the 2015 Convention. 

• Consolidated accounts in numerous banks into one bank and drafted financial procedures. 

• Revised the 2016 budget following the 2015 House of Delegate vote to dissolve Districts. Pivotal 

to this process were the recommendations from each District in their District Fund Disbursement 

submissions and from the Budget Committee to the Board of Directors. 

• Drafting the 2017 budget including designated District funds and recommendations from ANA 

consultation and MSD (pending). 

2016 NNA Slate of Candidates and Election Processes 

• Candidates for NNA positions were recruited, validated as eligible, and placed on the ballot. 

• Assisted in the development of guidelines and procedures for inclusion of members in the 

nomination process during the 2016 Annual Membership Meeting (AMM). 

Bylaw Revisions and Proposals 

• Made major revisions to the 2015 Bylaws based upon the House of Delegate vote to dissolve 

Districts as well as moving from a House of Delegates to an Annual Membership Meeting (AMM). 

• See proposed Bylaw Amendments in this Book of Reports. 

27


MIG Oversight Committee 


January 2016 brought about the implementation of Mutual Interest Groups following a great deal of 

planning, communication, and action. Nebraska nurses, once again, gathered to meet and formulate 

area specific goals while creating, naming, and applying for MIG status with the NNA. 

The leadership of the following Nebraska Nurses has created the formation of our first NNA MIGs: 

1) Tri-City: Douglass Haas, Rita Weber, and Pat Trausch; 

2) Lincoln and Surrounding Area: Jan Tubbs; and Cathy Smith 

3) Region 1: Connie Morrill, Alicia Kuntz, and Kim Smith. 

Each MIG organized a spring nurses recognition and educational program during Nurses’ Week. Due 

to scheduling conflicts, the MIG Oversight Committee has not met, but each Chair has received 1:1 

guidance and materials for 2017. 

CONTINUING EDUCATION APPROVAL COMMITTEE 

Judi Dunn, MS, CPP, RN-BC 

The Midwest Multistate Division Continuing Nursing Education Unit continues to grow and strive for 

excellence in education for nurses. The CNE Executive Team expanded resources for Approved Provider 

Units to include a password protected “Forum” on the MW MSD website. The Forum houses training 

materials, modules, webinars, sample forms, examples of a variety of evaluations and suggestions for 

best practices for units. Specific webinars were held on the recent ANCC transition from objectives 

to learning outcomes. Monthly conference calls were instituted to allow Primary Nurse Planners to 

dialogue with each other about common concerns and discuss how best to approach challenges. An 

on-line monthly newsletter was also started that provides helpful hints, suggestions for improvement 

and resources. So far in 2016 two Nebraska Approved Provider Units; Children’s Hospital and Medical 

Center and Nebraska Methodist College were highlighted in newsletter articles for their outstanding 

contributions to continuing nursing education. There are currently 19 MW MSD Approved Provider Units 

in Nebraska. 

An in person training workshop was held in August 2015, and another is being planned for August 

2016. These live, interactive programs allow Approved Provider Unit staff to network with other similar 

organizations as well as participate in educational training to enhance their current operations. 

In 2016 the CNE Unit saw the formation of several new units’ – called systems, which are comprised of 

a number of individual Approved Provider Unit’s coming together under one central structure to serve 

a healthcare organization. This mirrors what we are seeing in healthcare today as larger healthcare 

groups are merging to decrease cost and expand services. 

ANCC released changes with the accreditation criteria that necessitated revisions and updates to all 

MW MSD continuing education forms, and the Approved Provider Application. As can be expected, 

training and resources were also developed to support these changes within the MW MSD. 

28


The MW MSD CNE Unit also saw in 2016 an increase in Individual Activity Applications submitted 

by individuals and organizations seeking contact hours for educational events planned according 

to ANCC criteria. The ability to provide such education outside of a healthcare facility/organization, 

provides Nebraska nurses with even more high quality continuing education opportunities. 

DIRECTOR OF STATE AFFAIRS 

Melissa, Florell, MSN, RN 

The 2015-2016 year has been exciting and challenging. Along with the Board of Directors and 

governance committees I have worked to provide increased support to members, continued to 

improve the technology capabilities of the NNA, and maintain the NNA’s strong advocacy presence 

at the Nebraska Unicameral. 

On the technology front, NNA in partnership with the Midwest Multistate Division has developed a 

mobile app. The app will allow for increased communication and give members an additional way 

to interact with the association. The app will be especially useful during NNA events and activities. 

Providing members with a mobile platform will make real-time communication possible and will also 

provide an opportunity for growth in the future. 

This year was a busy year for the Legislative Advocacy and Representation committee. The group 

worked hard to support priority bills as they moved through the Legislature, and in my role as Director I 

continue to support their work. A key achievement was the passage of LB 750 which makes anonymous 

reporting possible for anyone reporting under the uniform credentialing act. Governor Ricketts signed 

the bill into law this spring. It was an honor to have Courtney Phillips CEO of the Nebraska Department 

of Health and Human Services and Lt. Governor Foley in attendance at Nurse’s Day at the Legislature 

along with the many State Senators who listened to their nurse constituents over lunch. NNA continues 

to be involved with the 407-review of Dialysis Patient Care Technicians, and will be at the table for 

upcoming 407 review hearings regarding LPN and LPN-C practice. NNA’s presence at the table with 

other stakeholders ensures that NNA is seen as a key partner in health care delivery, and strengthens 

our ability to protect and advance RN practice in Nebraska. 

In the coming months, the Midwest Multistate Division will be moving from pilot to incorporated entity 

and our member states will learn if we have been selected to participate in the ANA Value Pricing 

Pilot expansion. Both of these initiatives will provide powerful opportunities for growth, and I look 

forward to supporting these efforts. As a member of NNA/ANA I value the resources and opportunities 

that membership provides, and strive to make the organization as strong as possible for each of 

you. I believe that membership in NNA/ANA provides value that cannot be found in any other place. 

Values include personal opportunities for leadership, professional education, and monetary savings 

on important services. NNA/ANA also work continuously to make sure that nurses are represented 

during the policy process. Speaking with a cohesive, professional voice helps the public, as well as 

policy makers, appreciate the importance of the nursing profession. Thank you for your support of 

nursing through your NNA/ANA membership! 

29


MIDWEST MSD MEMBERSHIP TASK FORCE 

Melissa, Florell, MSN, RN 

In an effort to share best practices and improve capacity for membership growth and retention the 

NNA Director of State Affairs, along with members of the Board of Directors, participates in monthly 

membership taskforce calls. The calls are led by MSD CEO Jill Kliethermes. The calls began in calendar 

year 2014 and continue to be held on a monthly basis. During the calls MSD states review membership 

data, develop and track membership initiatives, and share best practice information. Initiatives 

developed by the taskforce include grace period postcards (sent to members whose membership 

is in danger of expiring) and attempting follow-up calls to those members, sending a new member 

welcome email that includes a interest survey, and improving states’ presence on social media. 

An additional benefit of the Membership Taskforce calls has been having ANA membership staff 

present on the calls to answer questions and share information about national membership initiatives. 

This allows NNA to complement and participate in these initiatives without duplicative efforts. The three 

states of the Midwest Multistate Division have applied to join the ANA Membership Value Pricing Pilot. 

The coordinated efforts of the Membership Taskforce calls will help maximize the growth potential of 

the pilot if the states are selected. The Membership Taskforce will continue to meet through 2016 with 

the goal of growing a vibrant and engaged membership. 

NEBRASKA NURSES FOUNDATION 

Teresa L. Anderson, EdD, MSN, RNC-OB, NE-BC 

Chair, NNF Board of Directors 

Effective in July 2015, the Nebraska Nurses Foundation (NNF) became a 501c3 non-profit corporation 

in the State of Nebraska. The initial Board of Directors was appointed and invitations were extended 

to recruit permanent Board members. Candidates were approved and appointed with the 2015 – 2016 

NNF Board consisting of Sara Seemann – President; Cathy Parker – Vice President; Josh Hanshaw – 

Treasurer; and Lynnee’ Pattrin – Secretary. Other members are Dan Rock, Joanie Nelson, and Alice 

Kindschuh. 

Following incorporation, funds were transferred into the NNF from the Nebraska Community 

Foundation. $24,440.18 was received (General Fund - $8960.34; Shirley Dooling Fund $1196.15, and 

Scholarship Endowment $14,283.69). Additional deposits in 2015 included $1000 donation to cover 

administrative fees, a $100 general donation and $250 in memory of Winnie Dolph. End of year funds 

totaled $28,366.47. 

Meetings of the Board have been held on October 5 and November 12, 2015 and February 11, April 18 

(face-to-face), June 14, and August 22, 2016. 

Activities of the group include: 

• Adopting financial policies and procedures 

• Contracting with MONA for manager and accounting services 

• Identifying fundraising priorities and strategies 

• Launching the Celebrate Nursing – Praise a Nurse fund-raising campaign 

• Planning for practice and research project grants (Fall of 2016) 

30


• Formulating an operations budget for 2017 

• Support for fundraising activities at the NNA Convention and Annual Meeting (Silent Auction 

and Change Drive) 

• Bylaw amendment to add a 2nd Vice President who will be the immediate past president to 

achieve continuity (Teresa Anderson will serve is this role through 2017). 

Total funds, through June 30, 2016: 

Checking/Savings 

General Checking $12,208.68 

Shirley Dooling Memorial $ 1,196.15 

Scholarship Endowment $14,283.69 

NNA Scholarship Fund $12,916.27 

Total Checking/Savings $40,604.79 

Total Current Assets $40,604.79 

TOTAL ASSETS $40,604.79 

NNA POLITICAL ACTION COMMITTEE (NNA-PAC) 

Linda Stones, MS, BSN, RN, CCRN - Chair 

Officers: 

Chair: Linda Stones 

Vice Chair: Nolan Gurnsey 

Secretary: Lin Hughes 

Treasurer: Kari Wade 

Other members: Lorie Kelly-Norton, Carol Lainof, Rita Weber, Melissa Florell, and Don Wesely. 

The NNA PAC had been dormant for several years. On November 18, 2015, the NNA-PAC was reestablished. 

During the first meeting, officers were appointed and newly revised bylaws and policies 

were adopted. The NNA-PAC has been involved in the 2016 State Legislature elections with committee 

endorsements and financial support for four returning senators – Crawford, Howard, Davis and 

Watermeier. All candidates in the upcoming election were sent questionnaires about their position 

on topics of interest to nurses. These are published on the NNA website under the partner’s tab or at 

this web address - http://www.nebraskanurses.org/general/custom.asp?page=NNAPAC. There are 25 

Districts where elections will occur. These are the odd numbered legislative districts. If you reside in 

one of those districts, please go to our webpage and review the candidate questionnaires so that you 

can be an informed voter. 

Fundraising is a key factor to the NNA-PAC’s success. Donations can be made on the website, or 

by attending a fundraiser planned for September 29th in Norfolk, Nebraska in conjunction with the 

NNA Convention. Questions or comments about the NNA-PAC can be directed to our email account, 

NNAPAC@nebraskanurses.org. 

We are always in need of additional help or support. If you are interested in being involved, please 

contact us through the email address above. 

31


AMERICAN NURSES ADVOCACY INSTITUTE (ANAI) 


The American Nurses Association Institute (ANAI) conference focusing on leadership and advocacy 

provides a very rich educational opportunity, as well as a supportive networking environment. 

In the first year following the ANAI conference (October, 2015), the competency I have focused on the 

most has been building collaborative and productive working relationships. To meet this goal, some 

of the work I have been involved in has included: Mutual Interest Group (MIG) support, Chair of the 

2016 NNA Conference Planning Committee, organization of a fall, 2016 NNA/ANA Town Hall, and 

coordinator for review of the Nebraska Nurses Association Legislative Platform. 

Continued learning has taken place over the year by attending ANAI Conference calls lead by Janet 

Haebler. Attendee expectation is to report on individual experiences according to the set agenda 

topics. Agenda topics have included: 

• Political environment of your own state 

• Scanning of the political environment 

• Bill analysis 

• Preparing and delivering testimony before a legislative body 

• Working in coalitions: the good, the bad, the ugly 

• Political Action Committees 

I look forward to the future and the continuation of my advocacy experiences through collaborative 

opportunities, mentoring, educating, appreciating the contributions and diversity of others, leading 

change, and by communicating the important contributions nurses make on a daily basis. 

ANA Membership Assembly Report 

Teresa Anderson, EdD, MSN, RNC-OB, NE-BC and 

Lynnee’ Pattrin, MPA, BSN, RN-BC 

Teresa (Terry) Anderson and Lynnee’ Pattrin, NNA representatives, were joined by Melissa Florell, 

NNA Director of State Affairs, and Anna Mackevicius, NNA President-Elect to attend the annual ANA 

Membership Assembly in Washington, DC from July 24 – 25. Melissa and Lynnee’ were joined by 

Karen Wiley, NNA member and national ENA President-Elect (ANA Affiliate Organization Observer) to 

participate in the Lobby Day activities on Capitol Hill. The group attended meetings scheduled with 

staff or elected members Fischer, Sasse, Ashford, and Smith. Priority bills for ANA were Registered 

Nurse Safe Staffing, Title VIII Nursing Workforce Reauthorization Act, and the Home Health Care 

Planning Improvement Act. Terry and Lynnee’ participated in the association voting with their two 

votes weighted as four votes based upon the membership apportionment. 

Significant ANA Business: 

• Expansion of the Membership Value Pricing Pilot to include up to 25 C/SNAs for three years. 

• Suspension of the ANA Dues Escalation for 2014, 2015, and 2016. 

• Support for nursing advocacy for sexual minority and gender diverse populations and dealing 

with substance use disorder in nursing. 

• Issued a statement to support meaningful gun control legislation 

32


• The following ANA board members were re-elected: President Pamela Cipriano, Virginia Nurses 

Association; Secretary Patricia Travis, PhD, RN, CCRP, Maryland Nurses Association; Faith 

Marie Jones, MSN, RN, NEA-BC, Wyoming Nurses Association (two year term); and Directorat-Large, 

Staff Nurse Gayle M. Peterson, RN-BC, ANA Massachusetts. The newly elected 

board members are: Director-at-Large (one year term) Elizabeth Fildes, EdD, RN, CNE, CARN- 

AP, APHN-BC, Nevada Nurses Association; and Director-at-Large (two year term) Tonisha J. 

Melvin, MS, CRRN, NP-C, Georgia Nurses Association. 

Those continuing their terms on the ANA Board are: Vice President Ernest James Grant, PhD, 

MSN, RN, FAAN, of the North Carolina Nurses Association; Treasurer Gingy Harshey-Meade, 

MSN, RN, CAE, NEA-BC, of the Indiana State Nurses Association; and Director-At-Large, 

Recent Graduate Jesse M.L. Kennedy, BSN, RN, of the Oregon Nurses Association. 

Elected to serve on the Nominations and Elections Committee are: Amanda Jean Foster (Chair), 

BSN, RN, Arizona Nurses Association; Sabianca Delva, RN, ANA Massachusetts; and Annie 

Lee Bowen, MSN, RN, CPN, of the Ohio Nurses Association. 

Other Highlights of the Meeting 

• ANA 2017 – 2020 Strategic Plan – Strategic Goals 

1. Increase the number and engagement of nurses with ANA 

2. Stimulate and disseminate innovation that increases recognition of the value of nursing and 

drives improvement in health and health care. 

3. Leverage the ANA Enterprise to position nurses as integral partners in consumers’ health 

and health care journeys 

• Hall of Fame Award 

ANA established the Hall of Fame Award to recognize significant individual nurses’ commitment 

to the field of nursing and their impact on the health and social history of the United States. 

ANA first inducted recipients into the Hall of Fame in 1976. 

ANA is honored to induct two nurses into its Hall of Fame for 2016: 

Muriel Poulin, EdD, RN, FAAN 

ANA-Maine 

Patricia Messmer, PhD, RN-BC, FAAN 

Florida Nurses Association 

• Honorary Awards 

Honorary Award recipients were nominated by constituent and state nurses associations, ANA’s 

organizational affiliates and individual members, and selected by ANA’s Board of Directors. 

These nine highly accomplished RN leaders were honored for their outstanding service to the 

profession in categories ranging from public health to patient advocacy to legislative success. 

The Honorary Award recipients are: 

o Patricia Ford-Roegner, MSW, BSN, RN, ACSW, FAAN - The Barbara Thoman Curtis Award 

o Judith Huntington, MN, RN - The Distinguished Membership Award 

o Barbara Warren, PhD, RN, PMHCNS-BC, FAAN, FNAP – The Hildegard Peplau Award 

o Gloria Dobies, BSN, RN, CDE - The Honorary Nursing Practice Award 

o Rebecca Patton, MSN, RN, CNOR, FAAN - The Honorary Recognition Award 

33


o Rose Constantino, PhD, JD, RN, FAAN, FACFE - The Jessie M. Scott Award 

o John Lowe, PhD, RN, FAAN - The Luther Christman Award 

o Karen Bankston, PhD, MSN, FACHE - The Mary Mahoney Award 

o Jacqlyn Sanchez, MSN, RNC-OB - The Staff Nurse Patient Advocacy Award 

Thank you for the opportunity to attend this meeting and to represent NNA in this important association 

business. ANA staff provided an informative and enjoyable meeting! 

NEBRASKA NURSE PRACTITIONERS (NNP) 

Organizational Affiliate of NNA 

LaDonna Hart, MSN, APRN-NP, FNP 

NNP President 

1) Membership 

• 1383 Advanced Practice Registered Nurses in Nebraska, 72% are Nurse Practitioners (2014 RN 

Renewal Survey) 

• 450+ members of NNP 

2) Legislative 

• Provided testimony in support of The Direct Patient Care Act LB817. DPC was signed into law 

on March 30th, 2016. 

• Collaboratively, the BOH, BON and NNP are working on updating the Nurse Practitioner Practice 

Act to reflect LB107 legislative changes. 

• NNP provided testimony on LB1086. LB1068 was an RN led initiative and called for a change in 

provisions relating to student self-management of asthma and anaphylaxis and was signed into 

law by Governor on April 7th, 2016. 

• Legislatively NNP will continue to pursue and promote health policy changes that modernize 

existing nurse practitioner regulations and increase access to the patient-centered care provided 

by NPs throughout the state. 

• Attendees of the 2016 Nurses’ Political Reception and the NNA Nurse Legislative Day 

• NNP will continue to support both events annually 

3) Public Relations 

• NNP PR committee is exploring multi-media; radio, television, twitter, Facebook as a means to 

promote the role of the nurse practitioner throughout the state. 

• NNP Scholarship winners were announced at the semi-annual membership meeting July 2016. 

Each year two $1000.00 awards are given. 

4) Education 

• 20th Annual Pharmacology conference and semi-annual business meeting were held, July 14th 

-15th, 2016, UNMC, Omaha, Nebraska 

• NNP and NNA have finalized plans to come together for the first combined Nursing/NP education 

conference, with dates set for October 2017 in Kearney, Nebraska. 

5) Nominations 

• Executive Board positions up for election in February 2017 include President, Bylaws and two 

Nominations Committee chair positions. 

On-behalf of the NNP organization, it is with special thanks to NNA for their continued leadership and 

advocacy activities. It is together – through such relationships – that we provide a voice for our patients 

and our profession. 

34


NE EMERGENCY NURSES ASSOCIATION 

Organizational Affiliate of NNA 

Sue Deyke, President 

The Emergency Nurses Association (ENA) is an internationally recognized organization of 42,000+ 

members worldwide. Originally formed to promote education and networking, the organization has 

evolved into an authority, advocate, lobbyist, and voice for emergency nursing. 

The Nebraska State Council has over 294 members throughout the state. Using the NE Telehealth 

network, members are able to connect to meet, share, educate and collaborate on issues and topics 

with direct impact on emergency care. NE ENA promotes continuing education through annual 

conferences and by offering Trauma Nurse Core Course (TNCC) and Emergency Nurse Pediatric 

Course (ENPC) throughout the state on an ongoing basis, increasing skills and knowledge needed in 

crisis situations. This year we are excited to move our annual conference to the Nebraska Innovation 

Campus on September 8th. The event will feature a variety of topics detailing the latest trends in 

Emergency Care. 

In keeping with national ENA’s mission to advocate for patient safety and excellence in emergency 

nursing practice, Nebraska ENA’s focus on injury prevention will be a statewide challenge to help 

reduce falls in the elderly. On the national level ENA continues its advocacy for Mental Health Reform, 

and the Comprehensive Addition and Recovery Act (CARA). CARA provides critical programs to 

combat the national opioid epidemic that is facing our nation. 

SUBJECT: 

Continuum of Care for Older Adults 

REFERENCE PROPOSALS 

PROPOSAL 2016-1 

INTRODUCED BY: 

Teresa Anderson, NNA President 

Deb Welk, Marilyn Valerio, and Rosalee Yeaworth, NNA Members 

CONTACT PERSON #1 

Debra Welk, BSN, RN-BC 

9005 Raven Oaks Dr 

Omaha, Nebraska 68152 

dwelk@ihsi.or 

402-829-2905 

PROPOSAL SUMMARY: 

Older adults in the United States are aging with a desire to live in their own home, or in the place that they 

call home which has the least restrictive environment. The increasing prevalence of chronic conditions as 

the individual ages poses challenges in managing health care services and maintaining wellness for the 

older adults. 

35


Partnership for Solutions reported that for individuals 65 and older, 62 percent had two or more 

chronic conditions (2002a,b,c,d,e) which may include arthritis, congestive heart disease, hypertension, 

cardiovascular disease, cancer, diabetes, Alzheimer’s Disease or other dementias, and eye diseases. At 

80 years of age or older, 70% experience two or more chronic conditions. 

The Nebraska Department of Economic Development outlines similar growth for older adults in Nebraska. 

Older adults are projected to account for 20% of Nebraskans in 2030; increasing to 21% in 2050. Specifically, 

those age 85 and above are expected to represent 2.4% of the population in 2030 and 4.6% in 2050. This 

growth of Nebraskans age 85 and older signifies a 70% increase from 2010 to 2030 and a 163% increase 

from 2010 to 2050 (Nebraska Department of Economic Development, 2014). 

Through 2030, there will be increased demand for informal caregivers nationwide and in Nebraska. During 

this same time, Nebraska will see a 70% growth of those ages 85 and older, but only a 1% growth in 

those ages 45-64. The changing population demographics will result in decreased availability in informal 

caregivers. In 2010, the number of caregivers to older adult in Nebraska was 6.1. This number is expected 

to decrease to 4.1 in 2030 and 2.8 in 2050 (Redfoot, et al.). As the caregiver to older adult ratio narrows, the 

availability of informal caregivers to arrange, coordinate, and provide services will be negatively impacted. 

This trend will increase financial, emotional and physical burden on families as Baby Boomers move into 

late old age (Redfoot et al.). 

Assisted living and nursing facilities comprise the greater portion of licensed congregate living for older 

adults in Nebraska. The State of Nebraska Department of Health and Human Services currently licenses 514 

nursing and assisted living facilities that provide vital health care services to more than 20,000 vulnerable 

Nebraskans every day. Services at the various levels of care are provided by private pay, Medicaid, 

Medicare, or other third party payors depending on the qualifications of the older adult. 

Aligning the appropriate living arrangements with the needed health care services for the older adult with 

chronic conditions has become a complex challenge for caregivers and health care providers. Navigating 

the health care continuum for older adults and providing support in care transitions is essential in preventing 

re-admissions to acute care within thirty days of discharge. 

Assisted Living regulations are governed by each state across the country. The American Assisted Living 

Nurses Association published the “Scope and Standards of Assisted Living Nursing Practice for Registered 

Nurses” (2006) which provides guidance for the practice and conduct of the assisted living nurse. 

The Nebraska assisted living regulations require that the older adult/resident’s condition be stable, 

predictable and safe in an environment where their independence is maintained while providing some 

assistance with daily activities. The older adult “directs their own care” and services are outlined on a 

resident services agreement. A Registered Nurse Consultant is required to review medication policies and 

procedures and to provide or oversee the training of medication aides who typically serve as the direct 

care providers. Twenty-four hour licensed nursing care is not required by regulations. The assisted living 

organizations plan operations and health care staffing within the company’s defined model of care, which 

may vary from provider to provider. Some assisted living organizations do employ part time and full time 

Registered Nurses who serve in the RN Consultant role for residents, families and staff. 

Nursing facilities are regulated by federal and state regulations. Twenty-four hour licensed nursing care is 

required in the nursing facility. The nursing facility services are consistent from one provider to another, 

although the culture of the organizations may vary. 

36


In July 2013, representatives of the Nebraska Assisted Living Association and LeadingAge Nebraska 

met to discuss forming a Future of Assisted Living Collaborative to discuss assisted living in Nebraska 

and explore the need for possible changes, with a special focus on the role of the nurse in the assisted 

living setting. Representatives from the Nebraska Nurses Association (NNA) and the Nebraska Action 

Coalition (NAC), and the Nebraska Department of Health and Human Services Division of Public Health 

also participated. Following a facilitated discussion of the issues from various perspectives, the group 

formed a Steering Committee for the purpose of further research and identification of key focus areas. 

This group continues to meet, explore and define changes for state statute, while reporting back to the 

larger collaborative. 

The Steering Committee identified the following priorities: 

• Address misconceptions about assisted living by consumers, referral sources & others and the 

need for education 

• Explore the role of the nurse in assisted living, including clarification of current allowable practices 

and exploration of whether the role should be expanded in the future 

• Review of other assisted living models, especially in states similar to Nebraska 

• Develop statutory modifications as indicated for Assisted Living facilities in Nebraska 

In June of 2016, the Steering Committee drafted proposed statutory revisions that will be reported to the 

Future of Assisted Living Collaborative. Each stakeholder organization will be asked to share the proposed 

changes with their memberships. The goals for this process are transparency and to provide mechanisms 

for feedback before finalizing. 

RECOMMENDATION(S): 

WHEREAS, the NNA has an obligation to maintain the integrity of nursing practice and public safety 

in the State of Nebraska, and the expertise to collaborate with multi-sector groups, and 

WHEREAS, NNA has access to direct contact information for all registered and licensed 

practical nurses in the State of Nebraska and 

WHEREAS, nurses in the State of Nebraska are working with older adults across the continuum 

from ambulatory care, emergency department, acute care, Nursing Improving Care of Healthsystem 

Elders (NICHE), geriatric assessment centers, assisted living, palliative care, hospice care, nursing 

facilities, and Program of All-Inclusive Care (PACE), and 

WHEREAS, the skill sets used by the Registered Nurse may vary by the health care delivery setting, 

such as assisted living, therefore be it 

RESOLVED, that the Nebraska Nurses Association: 

1. Based on White Paper findings and the work of the Future of Assisted Living Collaborative, 

educate nurses and other stakeholders on the levels of care for older adults including 

evidence-based practices and recommendations for building relationships with local 

referral sources to support navigation and successful care transitions for older adults 

through the continuum of care, and 

37


2. Continue to participate in the Future of Assisted Living Collaborative as the group moves 

forward with proposed statutory changes for assisted living in Nebraska and provide 

support to DHHS for changes to the regulations with a special focus on the practice of the 

Registered Nurse in the assisted living setting, and 

3. Publish a report completed by the Future of Assisted Living Collaborative in the Nebraska 

Nurse on its findings and recommendations on the practice of nursing as well as the level 

of care provided to residents within the assisted living setting, and 

4. Keep the membership informed of the progress of the statutory modifications and any 

needed advocacy, and 

5. Support in the identification of a Senator to sponsor a bill to revise the Assisted Living 

Statute. 

----------------------------------------------------------------------------------------------------------------- 

BUDGET: None 

REPORT: Actions from the Assisted Living Collaborative to be published in the Nebraska Nurse along with 

education materials related to the levels of care for older adults; recommendations for the provision of and 

transition through the continuum of care for older adults; and recommendations for the Registered Nurse’s 

role in the assisted living setting. 

REFERENCES: 

Nursing Facilities, Staff & Patients: Nebraska. 2014. American Health Care Association. http://www. 

ahcancal.org/events/CongressionalBriefing/Documents/State%20Delegations/Nebraska%20 

Delegation.pdf 

Partnership for Solutions. 2002a. “Alzheimer’s Disease: The Impact of Multiple Chronic Conditions.” 

Johns Hopkins University. Baltimore, MD. 

Partnership for Solutions. 2002b. “Multiple Chronic Conditions: Complications in Care and Treatment.” 

Johns Hopkins University. Baltimore, MD. 

Partnership for Solutions. 2002c. “Physician Concerns: Care for People with Chronic Conditions.” Johns 

Hopkins University. Baltimore, MD. 

Partnership for Solutions. 2002d. “Public Concerns: Caring for People with Chronic Conditions...” Johns 


Partnership for Solutions. 2002e. “Chronic Conditions: Making the Case for Ongoing Care.” Johns 


Redfoot, D., Feniberg, L., & Houser, A. (2013). The aging of the baby boom and the growing care gap: 

A look a future declines in the availability of family caregivers. Retrieved from http://www.aarp. 

org/home-family/caregiving/info-08-2013/the-aging-of-the-baby-boom-and-the-growing-caregap-AARP-ppi-ltc.html. 

Scope and Standards of Assisted Living Nursing Practice for Registered Nurses. 2006. American 

Assisted Living Nurses Association. Napa, CA. http://www.alnursing.org/alnursecert/SCOPE_ 

AND_STANDARDS_FINAL2_09-19-06.pdf 

United States Census Bureau. (2015). Nebraska quick facts. Retrieved from http://quickfacts.census. 

gov/qfd/states/31000.html. 

What is the Difference Between a Nursing Facility and an Assisted Living? 2014. Nebraska Health Care 

Association and Nebraska Assisted Living Association web site. http://www.nehca.org/aspx/ 

general/dynamicpage.aspx?pageid=91&n=198&l=3&l1=1&l2=179 

38


39


40


41


42


43


44


45


46


Map of NNA Regions 

Region 1 – includes the Nebraska western border to NE HWY 83; 

Region 2 – extends from NE HWY 83 to NE HWY 281; 

Region 3 – extends from NE HWY 281 to NE HWY 77; 

Region 4 – extends from NE HWY 77 to the Nebraska eastern border 

47


48

Steps 

Steps 

Steps Steps Minutes 

Steps 

Minutes Life Changed 

Steps 

Minutes Minutes Life Changed 

Minutes Life Forever Changed 

Life Forever Life Changed 

Minutes 

Changed 

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ASK patients about their tobacco use use status. status. 

ADVISE patients to quit and be ready to assist them. 



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at could QuitNow.ne.gov 

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QuitNow.ne.gov 

QuitNow.ne.gov QuitNow.ne.gov 

1-800-QUIT-NOW (784-8669) 

1-800-QUIT-NOW QuitNow.ne.gov 

1-800-QUIT-NOW (784-8669) (784-8669) 


1-800-QUIT-NOW NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES 

NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES 

1-800-QUIT-NOW NEBRASKA DEPARTMENT DIVISION OF OF PUBLIC HEALTH HEALTH &(784-8669) 

HUMAN SERVICES 

A little encouragement from you 

could go a long way to better health. 

DIVISION DIVISION OF PUBLIC HEALTH 

TOBACCO OF FREE PUBLIC NEBRASKA HEALTH 

NEBRASKA DEPARTMENT 

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FREE 

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NEBRASKA 

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DIVISION OF PUBLIC 

OF HEALTH 

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DIVISION OF PUBLIC HEALTH 


TOBACCO FREE NEBRASKA 




TOBACCO 

TOBACCO 


TOBACCO 

QUITLINE 


TOBACCO 




TOBACCO 


NEBRASKA

2016 NE Book of Reports

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