2017 FNA Book of Reports

emiller

Florida Nurses Association

Membership Assembly

September 29-30, 2017

Naples Grande Resort, Naples, FL

Promoting Health through Advocacy

2017

Book of Reports


2017 Florida Nurses Association

Table of Contents

Continuing Education Disclosure Statement. ................................................3

Membership Assembly Agenda. .........................................................5

Roll of Past Presidents. ..............................................................13

2017 Convention Rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

2015 Summary of Action…. ...........................................................18

2015-16 Goals and Priorities ..........................................................21

2016 Special Called Membership Assembly (Current Bylaws). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Staff Report. ......................................................................72

Legislative Report ..................................................................80

Meet the New Lobbying Firm. ..........................................................82

Audit and Financial Information. ........................................................92

2017 Proposed Goals and Priorities. ....................................................106

Annual Reports ...................................................................108

Membership Comparison ............................................................115

Special Reports. ..................................................................116

Parliamentary Information. ...........................................................128

Proposed Bylaw Changes. ...........................................................130

Index of FNA Positions 1983-2015 .....................................................136

Lamplighters and Diamond Awards.....................................................140

Published and Printed for the Florida Nurses Association by:

Arthur L. Davis Publishing Agency

517 Washington St. PO Box 216

Cedar Falls, IA 50613

319-277-2414

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2017 Florida Nurses Association

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2017 Florida Nurses Association

Continuing Education Disclosure Statement

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2017 Florida Nurses Association

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2017 Florida Nurses Association

Membership Assembly Agenda

September 29-30, 2017

Thursday, September 28, 2017

1:00 AM – 2:00PM Acacia 1-3 QUIN Council Meeting

5:30 PM – 8:00 PM Royal Palm & Orchid Exhibitor Setup

Foyers

6:00 PM – 9:00 PM Acacia 4-6 FNA Board of Directors Meeting and Dinner

Friday, September 29, 2017

7:00 AM – 4:00 PM Meeting Planner’s Registration

Office

7:00 AM – 8:00 AM Royal Palm Foyer Exhibit Hall/Poster Display Open

8:00 AM – 9:30 AM

1 CH

Royal Palm 4-5

Opening Session – Introductions

How Nurses Can Promote Health through Advocacy

Dr. Susan Hassmiller

Senior Advisor for Nursing, Robert Wood Johnson Foundation

Report of the Tellers – Election Results

9:30 AM – 9:45 AM Royal Palm Foyer Exhibit Hall/Poster Display Open

9:45 AM – 11:30 AM Orchid 2-4 “Hot Topics” Café

SUGGESTED Topics or select your own:

q Healthy Work Environment

q Human Trafficking in Florida

q Medical Marijuana

q Nursing Role in the Opioid Crisis

q Teen Suicide

q Other - Input from Members

11:30 AM – 12:00 PM Royal Palm & Orchid

Foyers

12:00 PM – 1:00 PM Vista Ballroom

1 CH

1:15 PM – 2:15 PM

1 CH

Banyan 1-2

Royal Palm 7

Royal Palm 8

Royal Palm 3

1:15 PM – 3:15 PM Royal Palm 6

2 CH

2:15 PM – 2:30 PM Royal Palm & Orchid

Foyers

Exhibit Hall/Poster Display Open

Lunch

QUIN Council Panel Discussion

Breakout Sessions

I. Florida Action Coalition Presentation –

Individual & Collective Advocacy

Andrea Russell & Jannah Amiel

II. Emerging Infections – They Just Keep Coming

Barbara Russell

III. Ethics SIG Presentation – Moral Distress: Practice Experiences,

Flourishing, and Ethical Considerations

Jean Davis & Panel

IV. Framing Your Message

Alisa LaPolt

Creating Healing Environments using Therapeutic Touch

Jean Kijek & Mary Anne Hanley

Exhibit Hall/Poster Display Open

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2017 Florida Nurses Association

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Friday, September 29, 2017 (continued)

2017 Florida Nurses Association

2:30 PM – 3:30 PM

1 CH

3:30 PM – 4:30 PM

1 CH

Royal Palm 2

Banyan 1-2

Royal Palm 8

Royal Palm 3

Royal Palm 4-5

Breakout Sessions

I. Florida Nurses Association: History of Political Activism/Importance of

Individual Nurse Engagement for the Future of Nursing

Janice Hess

II. Telehealth – The New Frontier

Rebecca Falanga

III. HPV: Efforts at Prevention

Deborah Hogan, Theresa Morrison, Chris Varela

IV. Can Nurses Really Develop Trauma?

Deborah Orr

Plenary Session

Pain Management Amidst the Opioid Crisis

Dana Viviano

4:30 PM – 5:30 PM

1 CH

Advance Directives & Advance Health Care Planning for Health Providers

Dr. Ileana Leyva

5:30 PM – 6:30 PM Break

6:30 PM – 7:00 PM Sunset Veranda Awards Reception (Cash Bar)

Welcome in the New Board of Directors

7:30 PM – 9:00 PM Vista Ballroom Annual Awards Celebration

Saturday, September 30, 2017

7:00 AM – 3:00 PM Meeting Planner’s

Office

7:30 AM – 8:45 AM Vista Ballroom

1 CH

Registration

Advocacy Breakfast

Nursing Regulation: An Update from the FBON on Recent Legislation

& the Enhanced Nurse Licensure Compact

Joe Baker, Jr. & Sherri Sutton-Johnson

Florida Board of Nursing

9:00 AM – 12:30 PM Royal Palm 4-5 Business Meeting

Intros/Reports/Bylaws/Reference Proposals/Legislative Agenda/

New Board Installation

12:30 PM – 1:30 PM Royal Palm 1-3 Foundation Luncheon

Scholarships and Grants Announced

Presenter: Dr. Joy Parchment – Past Grant Recipient

1:45 PM – 2:45 PM

Region Meetings

Banyan 1-2

Royal Palm 7

I.

II.

Northwest Region

North Central Region

Royal Palm 8

Mangrove 1-2

III. Northeast Region

IV. East Central Region

Acacia 4-6

V. West Central Region

Royal Palm 6

Orchid 1

Acacia 1-3

VI. Southwest Region

VII. Southeast Region

VIII. South Region

2:30 PM – 3:00 PM Hibiscus Post Conference Board Meeting

Greetings and set dates for 2018

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2017 Florida Nurses Association

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2017 Florida Nurses Association

Agenda for Business Meeting

Saturday, September 30, 2017

9:00am-12:00pm

Adoption of Membership Assembly Rules

Adoption of Membership Assembly Program

President’s Message

Business Meeting

Reports of Officers and Directors

Reports of the Professional Staff

Financial Report

Other Organization Reports

Report of the Bylaws Committees

Reference Reports

Proposed FNA Goals and Priorities

Proposed Legislative Agenda

New Business

Announcements

Adjournment

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2017 Florida Nurses Association

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2017 Florida Nurses Association

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2017 Florida Nurses Association

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OADN 2017 Convention –

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2017 Florida Nurses Association

Roll of Presidents

1949 Undine Sams

1951 Mary Livingston

1953 Bertha King

1954 Martha O. Wolfe

1956 Vivian Duxbury

1960 Mabel Shepard

1962 Marion McKenna

1964 Enid Mathison

1965 Wava Hartsel

1967 Helen Voss

1969 Marion McKenna

1970 Helen “Pat” Keefe

1972 Sadie Reading

1973 Shirley Martin

1975 Ruth Jacobs

1977 Carol Hayes

1979 Martha Sparks

1981 Marie Cowart

1983 Nancy Breen

1985 Bobbie Hughes

1987 Katherine P. Webster

1989 Richard Bednar

1991 Gerry Green

1993 Ann-Lynn Denker

1997 Mary Lou Brunell

2001 Patricia Quigley

2003–2005 Mary Tittle

2007–2011 Andrea Gregg

2011–2013 Mavra Kear

2013–2015 Edward Briggs

2015–2017 Leah Kinnaird

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2017 Florida Nurses Association

Member Meeting Rules

1. Registration – Members and guests shall register before entering the session room, and shall sit in

assigned places.

2. Badges – Members shall wear badges to all meetings.

3. Meetings – Non Members of the Florida Nurses Association will be admitted by invitation only.

4. All meetings shall be called promptly.

5. No tape recorders are permitted.

6. Any member in good standing of the Florida Nurses Association may speak at the Membership Assembly.

A member addressing the Chair shall give his or her name and Region.

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

second time to the same question as long as any member desires to speak who has not spoken to the

question.

8. The Pages will pass official motion slips, carry messages, and motion slips to the platform.

9. Motions and amendments shall be written, signed by the maker and seconder, and one copy sent to the

Secretary at once. A member shall not be recognized to speak on a motion or amendment until a copy of

the motion slip is received by the Secretary. Official motion slips shall be supplied by the Pages.

10. Smoking is not permitted during the sessions of the Membership Assembly or general meetings.

11. Voting – Only members in good standing may propose or vote on motions. State Only members may only

vote on state level issues. Full members vote on all issues.

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

sessions.

Legal statement regarding permission to photo video at the conference.

Rules Governing Motions

Do This… Recognition you say this… Second Amend Debate Vote

Introduce business Yes I move that... Yes Yes Yes Majority

Change or modify a motion Yes I move to amend by... Yes Yes Yes Majority

Send to a committee for study Yes I move to refer to committee… Yes Yes Yes Majority

Put off action

Yes

I move to postpone consideration

of the question until...

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Yes Yes Yes Majority

Limit or extend discussion Yes I move the previous question Yes No No 2/3

Stop Discussion Yes I move the previous question Yes No No 2/3

Lay the motion aside

temporarily

Yes

I move to lay the motion on the

table...

Yes No No Majority

To take a motion from Yes I move to take from the table Yes No No Majority

If you doubt the vote No I call for a division No No No No Vote

Request information No I rise for information No No No No Vote

Call attention to an error in

the procedure

No I rise to a Point of Order No No No No Vote


2017 Florida Nurses Association

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2017 Florida Nurses Association

Board of Directors

2015 – 2017

Officers

Leah Kinnaird, RN, EdD, President

Janegale Boyd, RN, President Elect

Barbara Russell, RN, MPH, CIC, Vice President

Jill Tahmooressi, MSN, RN, Secretary

Ann-Lynn Denker, PhD, RN, Treasurer

Directors

Deborah Hogan, MPH, RN

Doreen Perez, DNP, RN-BC

Marsha Martin, RN, CCRN

Janice Hess, DNP, ARNP, FNP-BC

Theresa Morrison, PhD, CNS-BC

Marion Marino-Meyash, PhD, RN

Recent Graduate Liaison

Hannah McRoberts, BSN, RN

Gratitude to Lisa Fussell & Debra Hain

for their service as Region Directors.

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2017 Florida Nurses Association

Nurses:

Shaping the Future of

Healthcare and Health

FNA Membership Assembly

September 11–12, 2015

Renaissance World Golf Village

St. Augustine, FL

2015 Membership Assembly

2015 SUMMARY Book OF of ACTIONS Reports

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2017 Florida Nurses Association

September 11–12, 2015

Renaissance World Golf Village

St. Augustine, Florida

Summary of Actions

This was the 5th year of the redesigned FNA Membership Assembly which continues

to be a work in progress. The members continued to work on the transformation of the

association by honing the bylaws and placing more structure for the leadership of the

Regions. Workforce Violence was the subject of a Reference Proposal and there will be

focus on that work throughout the year. The Second Great 100 Nurses were honored as

well as an outstanding Legislator. A new Board of Directors was elected as listed below.

Board of Directors

2015-2017

Officers

Leah Kinnaird, EdD, RN – President Elect

Janegale Boyd, RN – President Elect

Barbara Russell, MPH, RN – Vice President

Jill Tahmooressi, MBA, BSN, RN – Secretary

Ann-Lynn Denker, PhD, MN, BSN, RN – Treasurer

Directors

Deborah Hogan, MPH, BSN, RN – Director at Large, Southeast

Doreen Perez, MS, BSN, RN-BC – Director at Large, Northeast Region

Marsha Martin, RN – Director at Large, North Central

Lisa Fussell, BSN, RN – Director at Large, West Central

Janice Hess, DNP, FNP-BC, ARNP – Director at Large, East Central

Theresa Morrison, PhD, CNS-BC – Director at Large, Southwest

Suzie Farthing, MSN, RN – Director at Large, Northwest

Debra Hain, PhD, RN – Director at Large, South

Board Liaisons

Deborah Hogan, MPH, BSN, RN – LERC Liaison

Published by Florida Nurses Association * P.O. Box 536985 * Orlando, FL 32853-6985

407-896-3261 * FAX 407-896-9042 * Email: info@floridanurse.org

Http://www.floridanurse.org

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2017 Florida Nurses Association

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2017 Florida Nurses Association

GOALS FOR 2015 – 2016

1. Maintain a strong nursing organization in Florida to provide relevant services and value.

2. Enhance public understanding of the roles and responsibilities of registered nurses to improve health in

local communities and across the state.

3. Serve as the essential resource for career development for Florida’s registered nurses.

4. Advance a legislative platform that protects and enhances the ability of all registered nurses to practice to

the full extent of their education and experience.

5. Build organizational relationships to advance nursing and healthcare outcomes.

6. Maintain a strong organizational structure that advances nursing.

Adopted by the Membership Assembly

Saturday 9/12/2015

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2017 Florida Nurses Association

Proposal #1

Title: Removing Florida’s 5-Year Waiting Period for Lawfully Residing Immigrant Children to Receive Health

Care Coverage

Submitted by: Laura Brennaman

Statement of Concern: Currently, legally residing immigrant children in Florida are forced to wait five years

before becoming eligible for Florida KidCare—our state’s subsidized health care program for children. These

kids are ten times more likely to have unmet medical needs, five times more likely to go two or more years

without seeing a doctor and 25% more likely to be absent from school due to health issues. 1 Since 2009, the

number of uninsured children living in Florida has consistently been higher than the national average. Florida

currently ranks 47th in the nation of 50 states and the District of Columbia for percent of uninsured children

(11 percent, about 445,000 children) 2 About 25,000 of these children are uninsured due to the five-year

waiting period.

Background Information: The federal legislature passed the Children’s Health Insurance Program Reauthorization

Act of 2009 (CHIPRA) giving states the option to cover lawfully residing immigrant children through Medicaid and

the State Children’s Health Insurance Program (CHIP) without enduring the five-year waiting period that applies to

most public assistance programs for immigrants. Florida has not accepted this option.

Extending coverage to these children is likely to improve their health outcomes and reduce the cost of

uncompensated care in the health system as a whole. Low-income immigrant children who are insured are

more likely to receive preventive health care and less likely to use hospital emergency rooms. Providing timely

care for children who are otherwise eligible and will eventually enroll in the KidCare program will help children

succeed in school and avoid costly emergency department care and hospital bills.

In its analysis of the proposed legislation (2015), AHCA has estimated that approximately 24,679 lawfully

residing immigrant children would be eligible for KidCare under this initiative. This would increase total KidCare

enrollment by only one percent.

If enacted in 2015 - 2016:

• The maximum cost to the state for covering these children, in the ear waiting period, would total about

$1.18 million for all KidCare components, including Healthy Kids, MediKids, Children’s Medical Service

Network, and Medicaid for Children.

• Because of the enhanced Federal Medical Assistance Percentages (FMAP) rate, Florida would draw down

approximately $44.5 million in federal matching funds.

• Expanding coverage to lawfully residing children will reduce costs associated with providing Emergency

Medicaid Assistance (EMA) for Non-Citizens.

This legislation does not seek to eliminate the waiting period for adult legal immigrants.

Furthermore, it reaffirms that undocumented immigrants will continue to be ineligible for both Medicaid and

CHIP regardless of how long they have resided in the United States.

As of March 2015, twenty-nine states (including the District of Columbia) have adopted this option, including

Texas, Virginia, Ohio, Nebraska, Kentucky, Montana, Pennsylvania, Iowa, Wisconsin, New York, Illinois, and

California.

1

Bloom B, Cohen RA, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2010. National

Center for Health Statistics. Vital Health Stat 10(250). 2011.

2

U.S. Census Bureau, Report S2701: Health Insurance Coverage Status. American Community Survey 3-year estimate 2011-2013

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2017 Florida Nurses Association

We are dedicated to developing and

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855-KND-AT-HOME

Registered Nurses

• Work one-on-one with patients

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• Enjoy a better work/life balance

(855.563.2846) or visit

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Call us today at

855-KND-AT-HOME

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© 2016 Kindred at Home CSR 188899-12 AA/EOE M/F/D/V encouraged to apply. 3191v1

EEO

EEO

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2017 Florida Nurses Association

Pertinent Definitions

CHIP – Children’s Health Insurance Program

Florida, CHIP is operationalized as KidCare. It was created through Title XXI of the Social Security Act and

reauthorized in 2009. The 4-pronged program covers children from birth through age 18:

• Medicaid covers children birth through one-year at up to 206% of Federal Poverty Level (FPL), 1-5 years up to

140% FPL children 6- – 18 years up to 133% of FPL

• Medikids- Covers children ages 1-4 with subsidized premiums between 133-200% FPL ($15 -$20 a month

per child)

• Florida Healthy Kids – covers children 5-18 with subsidized premiums between 133-200% FPL ($15 -$20 a

month per child)

• Children’s Medical Service Network – covers children birth through 18 years special health care needs who

are clinically and financially eligible at no cost to families

Federal Poverty Level (FPL) –The annual income amount set by the federal government to establish eligibility for

federal aid programs. The formula takes into account family size and income. In 2015, the FPL for a family of

four is $24,250.

The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of federal matching

funds for state expenditures for assistance payments for medical insurance expenditures. The Social Security

Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year. For

2016 the Florida FMAPs are Medicaid: 60.67, enhanced FMAP for CHIP: 95.47.

Overview on nursing role/function

According to the American Nurses Association, the nursing profession has a leadership role in defining the

organizational, social, policy, and political factors that affect our communities’ access to quality and effective

healthcare. 3 The leadership role for the FNA includes advocating for expanded health care access to improve

the health outcomes for about 25,000 lawfully residing immigrant children in Florida who would be eligible for

coverage by elimination the five-year waiting period.

Legal/ethical considerations

Nurses and the American Nurses Association have long considered access for all American residents to high

quality and affordable health care as a human right. 4 Expanding health care access to 25,000 lawfully residing

immigrant children in Florida is consistent with the ethical stance of the nursing profession.

Consequences to Health Outcomes

Multiple researchers have submitted substantial evidence that childhood coverage through Medicaid and CHIP

programs promotes positive lifelong health outcomes. Longitudinal studies demonstrate that adults who were

eligible for Medicaid as children had 26% lower incidence of high blood pressure in adulthood and “Children with

Medicaid had lower rates of hospitalizations and emergency room visits in adulthood—leading the government to

recoup between 3 and 5 percent of the initial cost of Medicaid eligibility expansions in just one year.” 5

During adolescence, Medicaid enrollees have fewer mental illnesses, fewer eating disorders, engage in risky

substance use or sexual activity less frequently 6 , and have overall lower BMIs. 7

3

American Nurses Association. (2010). Nursing’s social policy statement: The essence of the profession (3rd ed.). Silver Spring, MD: Author.

4

American Nurses Association. (2008). Health system reform agenda. Retrieved from http://www.nursingworld.org/content/

healthcareandpolicyissues/agenda/anashealthsystemreformagenda.pdf

5

Chester, A. & Alker, J. (2015) Medicaid at 50: A look at the long-term benefits of childhood Medicaid. Georgetown University Health Policy

Institute, Center for Children and Families.

6

S. Cohodes, et al., “The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions,” National Bureau

of Economic Research (May 2014)

7

S. Miller and L. Wherry, “The Long Term Health Effects of Early Life Medicaid Coverage,” Forthcoming (2015)

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Statement of position

Florida should remove the five-year waiting period for lawfully residing immigrant children.

Recommendations for action

The Florida Nurses Association should support removing Florida’s 5-Year waiting period for lawfully residing

immigrant children, and lobby the State Legislature and the Governor for its support.

_________________________________________________________________________________________________

Proposal #2

Title: Defining the Clinical Nurse Specialist Scope of Practice in Florida

Submitted by: Theresa Morrison, PhD, CNS, CNS-BC, Patricia Geddie, PhD, CNS, AOCNS, Julie Lampe, RN

Criteria for Proposal

Resubmission of proposal presented to the FNA Board January 2014, to include Clinical Nurse Specialists’

(CNS’) in FS 464.003 “Advanced or specialized nursing practice” definition and align with the Consensus

Model for APRN Regulation (National Council for State Board of Nursing).

Statement of concern

Florida Statute 464.003 excludes the CNS from the defined scope of advance practice nursing and

prescriptive authority. FS 464.003 includes all other APRNs (nurse practitioners, nurse midwives and nurse

anesthetists).

Background Information

In the U.S., Advanced Practice Registered Nurses (APRNs) by category included 60 percent NPs and 16 percent

CNSs. In 2007, Florida legislation approved CNS title protection, yet there are less than 200 CNSs in Florida,

compared to 59,242 in the U.S. Historically, Florida CNSs other than those who function in mental health have

not sought credentialing due to the lack of prescriptive authority. In Florida, the ARNP license is an upgrade

of the RN license resulting in expanded scope of practice. The CNS license protects the CNS title but with no

expanded scope practice.

Florida CNSs are board certified in many recognized APRN roles, such as:

• Adult Psychiatric & Mental Health

• Certified Critical Care Nurse Specialist

• Adult Health (Medical Surgical Nursing)

• Gerontological Nursing

• Advanced Diabetes Management

• Child & Adolescent Psychiatric and Mental Health

• Advanced Oncology Clinical Nurse Specialist

• Advanced Certified Hospice and Palliative Nurse

• Pediatric Nursing

• Public/Community Health Nursing

Thirty six states and territories in the U.S., permit CNSs an expanded scope of practice with prescriptive

authority. CNSs licensed outside of Florida lose all APRN privileges when relocating to practice in Florida.

ii. Pertinent Definitions

“Advanced or specialized nursing practice” (FS 464.003): “the performance of advanced-level nursing acts

approved by the board which, by virtue of post-basic specialized education, training, and experience, are

appropriately performed by an advanced registered nurse practitioner.”

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“Advanced registered nurse practitioner”(FS 464.003): “means any person licensed in this state to practice

professional nursing and certified in advanced or specialized nursing practice, including certified registered

nurse anesthetists, certified nurse midwives, and nurse practitioners.”

“Clinical nurse specialist practice” (FS 464.003): “means the delivery and management of advanced practice

nursing care to individuals or groups, including the ability to: (a) Assess the health status of individuals and

families using methods appropriate to the population and area of practice. (b) Diagnose human responses

to actual or potential health problems. (c) Plan for health promotion, disease prevention, and therapeutic

intervention in collaboration with the patient or client. (d) Implement therapeutic interventions based on

the nurse specialist’s area of expertise and within the scope of advanced nursing practice, including, but

not limited to, direct nursing care, counseling, teaching, and collaboration with other licensed health care

providers. (e) Coordinate health care as necessary and appropriate and evaluate with the patient or client the

effectiveness of care.

iii. Overview on CNS and ARNP Educational Preparation

CNS and ARNP Florida licensing requirements are the same. The CNS and ARNP must hold a master’s

degree and provide proof of current certification from a nationally recognized certifying body or if there is no

certification within the specialty show proof of 1,000 hours of clinical experience, with a minimum of 500

hours of clinical practice after graduation. Core educational curriculum for CNS and ARNPs include: physical

assessment, pathophysiology, and pharmacology.

iv. legal/ethical considerations

Centers for Medicare and Medicaid Services (CMS) recognize CNSs as prescribers. 38 percent of Medicare

Part B providers are nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists.

The National Association of Clinical Nurse Specialists (NACNS) recognizes prescriptive authority as an

important part of the CNS core competencies.

v. consequences to patient care

Employers cannot fill vacant positions for CNSs because the current limitation in scope of practice for Florida

CNS, as defined in the Florida Statute, discourages CNSs from relocating to our State and CNS programs are

almost non-existent in Florida. Florida licensing regulations for the APRN are not consistent with the Consensus

Model for APRN Regulation, resulting in delayed treatment and therapeutic interventions and hospital

discharges.

Recommendations for action

• CNS inclusion in the FS 464.003 definition of “Advanced or specialized nursing practice.”

• Prescriptive authority for CNS to be in alignment with the current prescriptive authority of ARNPs

References

1. Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press; 2010.

2. Federal Trade Commission Staff Letter To The Honorable Daphne Campbell, Florida House of Representatives, Concerning

Florida House Bill 4103 and the Regulation of Advanced Registered Nurse Practitioners (64.67 KB)

3. Lyon,B. Advanced Practice Registered Nurse Compact: A Call to Action With a Primer on the Regulation of CNS Practice. (2003).

17(4)p. 185-187.

4. Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse

5. specialist services. In CMS Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/

R75BP.pdf. Accessed June 8, 2014.

6. Centers for Medicare and Medicaid Services (2013). Detailed written orders for covered items.

7. In Medicare Program Integrity Manual. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/

pim83c05.pdf. Accessed June 8, 2014.

8. National Association of Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the Clinical

Nurse Specialist.

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9. National Council of State Boards of Nursing. (2011). Title XVIII: APRN scope of nursing practice. Accessed June 22, 2012 at

https://www.ncsbn.org/1455.htm

10. National Council for State Boards of Nursing (2008). Consensus model for APRN regulation:

11. Licensure, accreditation, certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_

July_2008.pdf. Accessed June 8, 2014.

12. O’Grady, E. (2008) Advanced Practice Registered Nurses: The Impact on Patient Safety and Quality, in AHRQ, Patient Safety and

quality: An evidence-based handbook for nurses (ed. Ronda G. Hughes) 2-606.

13. Ponto, J., Sabo, J., Fitzgerald, M.A., & Wilson, D.E., (2002). Operationalizing Advanced Practice Registered Nurse Legislation

Perspectives From a Clinical Nurse Specialist Task Force. Clinical Nurse Specialist, 16(5), p 263-269.

_________________________________________________________________________________________________

Proposal #3

Title: Continuous Observation in the Acute Care Setting

Submitted by: Wuesthoff Bargaining Unit/Local 713

Author: Matthew Price, RN, BSN, CCRN

a. Statement of Concern

Standards for Continuous Observation of Patients in Acute Care Settings Do Not Exist putting patients and

staff at risk.

b. Rationale

i. Background Information

The use of safety attendants for continuous observation is used in Acute Care settings for various reasons.

Observers can be used to prevent falls, monitor aggression, prevent suicide, improve delirium, help detect

symptoms of alcohol or drug withdrawal, and help assure guidelines are followed for Baker Act, Marchman Act

patients.

In 2010, The Joint Commission established general guidelines for the assessment and safety of patients that

are at risk for suicide in Emergency Departments and Medical/Surgical Units. These guidelines failed to define

what instrument should be used to assess this population and what interventions should be implemented. The

Joint Commission gave a general recommendation of using the SAD PERSONS scale and follow up at discharge

(Jacobs & Joint Commission on Accreditation of Healthcare, 2007). Many tools have been created to assess

patients at risk for suicide but there is insufficient evidence to support a single tool for determining which

patients that attempt suicide (Simon, 2002, p. 342).

Increasing numbers of patients have medical conditions that preclude them from being admitted to the Acute

Psychiatric/Behavioral Unit. This transition of care to inpatient medical units puts patients with psychiatric

crises at risk of escalation, which include, self-harm, harm to others, or a worsening of their psychiatric

condition (Mitchell, Garand, Dean, Panzak, & Taylor, 2005).

Outside of suicide, falls may be prevented or harm lessened by having a safety attendant or continuous

observer. In 2014, the Pennsylvania Patient Safety Authority found that, while falls did not decline with sitter

use, falls with harm did (Feil, Wallace, & Pennsylvania Patient Safety Authority, 2014)

The cost of providing one to one observation has been prohibitive for many institutions. Therefore, some

institutions have been creative in their use of paid observers, utilizing them to view patients from hallways or

placing them in rooms with multiple patients. The Office of Inspector General found this to be an inappropriate

use of continuous observation (Department of Veterans Affairs. Office of Inspector General, 2011). Besides

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2017 Florida Nurses Association

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2017 Florida Nurses Association

providing levels of care, paid observers usually have little or no training to monitor these patients (Carr, 2013).

The Pennsylvania Patient Safety Authority has shown in its research that a clearly defined program with proper

training can pay for itself in reduction of falls with harm and decrease in severity of injury (Feil et al., 2014)

ii. Pertinent Definitions for Level of Observation

Intermittent Observation- rounding on a patient at risk at defined time intervals (usually 15minutes)

• Constant Observation - one observer may observe more than one patient

• 1:1 – observer in the room and no physical barriers between the patient and staff member

• Intensive Psychiatric Observation- requires staff to keep their eyes on the patient and remain within arm’s

reach of the patient at all times in an adequately lighted area. (Janofsky, 2009, p. 20)

iii. Overview on Nursing Role/Function

Nursing’s’ role is to assess throughout the continuum of care, develop a plan of care, implement interventions,

and evaluate their effectiveness. This role includes interventions that prevent or reduce harm to patients at

risk until the patient is declared medically and psychiatrically stable (Mitchell et al., 2005, p. 4). The nurse’s

decision to use a Level of Observation will be based on a reliable tool and include any sudden unexpected

aggressive or harmful behavior. “The level of suicide precautions must be based on an adequate risk

assessment and a clinical rationale.” (Janofsky, 2009, p. 17)

iv. Legal/Ethical Considerations

Patients deserve to be safe during medical treatment, a failure to provide safety may lead to harm or even

death. We have an ethical duty to the needs of the whole patient: mental, physical, and spiritual. Litigation

related to falls has been on the rise because it is seen as negligence when healthcare institutions fail to

provide a safe environment for our patients.

v. Consequences to Patient Care

The implementation of clearly defined, evidenced based practices for utilizing safety attendants for continuous

observation will clarify patients at risk and best practices to improve patient care and safety.

c. Statement of Position

Let it be said, that the Florida Nurse Association supports using evidenced based practice guidelines for the

use of Safety Attendants for Continuous Observation in Acute Care Settings. The evidence guidelines include:

minimum education/training of observers, evaluation tools to determine patients at risk, Sitter/ Staffing

Observation Level based on a reliable tool, criteria for reducing Sitter/ Staffing Observation Level based on a

reliable tool, and minimum safety attendant levels for each patient population and Observation Level.

d. Recommendations for action

1. Advocate for policy that will protect patients, nurses, and healthcare workers when providing Safety

Attendants in Continuous Observation of Patients in Acute Care Settings.

2. Advocate for policy for minimum education/training levels of safety attendants/sitters that includes a list

of competencies.

3. Define types of patients requiring observation.

4. Define Levels of Observation based on objective assessments using standardized tools.

5. Advocate for policy for minimum safety attendant levels when providing continuous observation to

maintain a safe environment for patients, nurses, and healthcare workers.

6. Form a Task Force to develop a Tool Kit for Model Policy for Acute Care Settings.

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2017 Florida Nurses Association

References

1. Bagley, S. (2013). Identifying Patients at Risk for Suicide: Brief Review. Making Healthcare Safer II: An Updated Critical Analysis

of the Evidence for Patient Safety Practices.. Agency for Healthcare Research and Quality. Retrieved from www.ncbi.nlm.nih.gov/

books/NBK133374/

2. Brim, C., Lindauer, C., Halpern, J., Storer, A., Barnason, S., Young Bradford, J., ... Williams, J. (2012, December). Clinical

Practice Guideline: Suicide Risk Assessment. Full Version., 1-15. Retrieved from https://www.ena.org/practice-research/

research/CPG/Documents/SuicideRiskAssessmentCPG.pdf

3. Carr, F. (2013). The Role of Sitters in Delirium: An Update.. Canadian Geriatrics Journal, 16(1), 22-36. doi: http://dx.doi.

org/10.5770/cgj.16.29

4. Degelau, J., Belz, M., Bugnum, L., Flavin, P. L., Leys, K., Lundquist, L., & Webb, B. (2012, April). Prevention of falls (acute care).

Health care protocol.. Institute for Clinical Systems Improvement. Retrieved from http://www.guideline.gov/content.aspx?id=36906

5. Department of Veterans Affairs. Office of Inspector General. (2011). Healthcare Inspection: Attempted Suicide During Treatment

West Palm Beach VA Medical Center (11-01052-233). Retrieved from Department of Veterans Affairs. Office of Inspector General

Report: http://www.va.gov/oig/54/reports/VAOIG-11-01052-233.pdf

6. Feil, M., Wallace, S. C., & Pennsylvania Patient Safety Authority, (2014, March). The Use of Patient Sitters to Reduce Falls:

Best Practices. Pennsylvania Patient Safety Advisory, 11, 8-14. Retrieved from http://patientsafetyauthority.org/ADVISORIES/

AdvisoryLibrary/2014/Mar;11 (1)/Pages/08.aspx

7. Harding, A. D. (2010, October). Observation Assistants: Sitter Effectiveness and Industry Measures. Nursing Economics, 28,

330-336. Retrieved from https://www.nursingeconomics.net/necfiles/Harding_Sitters.pdf

8. Jacobs, D., & Joint Commission on Accreditation of Healthcare, (2007). JCAHO: 2007 Patient Safety Goals on Suicide. Retrieved

from http://www.sprc.org/sites/sprc.org/files/library/jcsafetygoals.pdf

9. Janofsky, J. S. (2009). Reducing Inpatient Suicide Risk: Using Human Factors Analysis to Improve Observation Practices.

The Journal of the American Academy of Psychiatry and the Law, 37, 15-24.

10. Knoll IV, J. L. (2012, May 22). Inpatient Suicide: Identifying Vulnerability in the Hospital Setting. Psychiatric Times. Retrieved

from http://www.psychiatrictimes.com/suicide/inpatient-suicide-identifying-vulnerability-hospital-setting

11. Mackay, I., Patterson, B., & Cassells, C. (2005, August). Constant or special observations of inpatients presenting a risk of

aggression or violence: nurses; perceptions of the rules of engagement.. Journal of Psychiatric and Mental Health Nursing, 12,

464-471. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16011502

12. Mitchell, A. M., Garand, L., Dean, D., Panzak, G., & Taylor, M. (2005, October). Suicide Assessment in Hospital Emergency

Departments. Top Emergency Medicine, 27, 302-312. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864482/

13. Simon, R. I. (2002). Suicide Risk Assessment: What Is the Standard of Care?. Journal of the American Academy of Psychiatry and

the Law, 30, 340-344. Retrieved from http://www.jaapl.org/content/30/3/340.full.pdf

14. Targum, S. D., Friedman, F., & Pacheco, M. N. (2014, Sept-Oct). Assessment of Suicidal Behavior in the Emergency Department.

Innovations in Clinical Neuroscience, 11, 194-200. Retrieved from httP://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267796/

_________________________________________________________________________________________________

Proposal #4

Title: Nurses’ Responsibility and Ethical Duty in Prison Healthcare

Submitted by: Deborah Hogan, MPH, RN

Background Information

In the 1976 Supreme Court decision, Estelle v Gamble, the Court held that deprivation of health care

constitutes cruel and unusual punishment, a violation of the Eighth Amendment. 1 The Supreme Court further

ruled that this rule applies regardless of whether the medical care is being provided by a state agency or

private medical contractors. 5 The court also found that prison health systems are obligated to treat all “serious

medical needs.” 5

Courts have determined that a “serious medical need” is at issue when “ 6 whether a reasonable doctor or

patient would perceive the medical need in question as important and worthy of comment or treatment;

5

whether the medical condition significantly affects daily activities; and 6 the existence of chronic and

substantial pain.” 7 Additionally, courts will be likely to find a “serious medical need” if a condition “has been

diagnosed by a physician as mandating treatment or ... is so obvious that even a lay person would easily

recognize the necessity of a doctor’s attention.” 7

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2017 Florida Nurses Association

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2017 Florida Nurses Association

The Palm Beach Post has reported that since the State of Florida transitioned all prison healthcare services

to private, for provide healthcare corporations the death rate of inmates has risen from 12.8% to 57%, with 30

inmates dying in seven months. 1

Of those prison deaths reported Illness related deaths accounted for the majority (88%) of deaths in state

prisons. 2

The data available on the health of prisoners indicates that the quality of health is not optimal and does not

parallel the health of the general population, 4 and

The correlation between transition of prison healthcare service provider and increased morbidity and mortality

within the prison health system suggests that inadequate or inappropriate healthcare services are being

provided to prisoners within the new prison healthcare systems as a result of policy changes by prison

healthcare providers, and

Nurses are subject to moral distress due the ethical conflict created by dual loyalty to the patient while also

being required to fulfill the requirements of the employer, and

Consistent with the American Nurses Association Code of Ethics for Nurses 2015 Article 3.5, 8 “Nurses must

be alert to, and must take appropriate action in ALL instances of incompetent, unethical, illegal or impaired

practice or actions the place the rights or best interests of the patient in jeopardy.”

Therefore, be it resolved, The Florida Nurses Association will continue to advocate for appropriate health care

for those inmates in the prison system. This will include, but not be limited to:

1. Promoting legislative action to ensure proper healthcare provision, and

2. Coordinating efforts with other entities working to ensure safe and appropriate prison healthcare delivery.

And it be Further Resolved, The Florida Nurses Association will continue to educate the community regarding:

1. Ethical and legal standards regarding prisoner healthcare;

2. Existing prison healthcare systems;

3. Negative prisoner healthcare outcome date,

4. Ethical and legal obligations of the state to provide all prisoners with adequate and appropriate health

care services.

Reference

1. FNA Position Statement to the ANA, 2015 ANA Membership Assembly

2. Noonan, Margaret, and Ginder, Scott, “Mortality in Local Jails and State prisons, 2000-2012-Statistical Tables, ”Bureau of

Justice Statistics, October 2014.

3. Jotterand, Fabrice & Wangmo,Tenzin ( 2014), “The Principle of Equivalence Reconsidered: Assessing the Relevance of the

Principle of Equivalence in Prison Medicine,” The American Journal of Bioethics, 14:7, 4-12.

4. Davis, Mary, “Keeping Pace: ANA’s revised Code of Ethics for Nursing,” American Nurse Today, Volume 10, Number 3, p.16.

5. West v. Atkins, 487 U.S. 42, 57-58 (1988); Richardson v. McKnight, 521 U.S. 399 (1997).

6. Estelle v. Gamble, 429 U.S. 97, 103 (1976).

7. Hill v. DeKalb Regional Youth Detention Ctr., 40 F.3d 1176, 1187 (11th Cir. 1994)

8. American Nurses Association (2015) Code of Ethics for Nurses with Interpretive Statements, http://nursingworld.org/

DocumentVault/Ethics_1/Code-of-Ethics-for-Nurses.html

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2017 Florida Nurses Association

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Florida Nurses Association Bylaws

2015-2016

ARTICLE I Name

The name of this Association shall be the Florida Nurses Association, hereinafter referred to as FNA.

ARTICLE II Purposes and Functions

Section 1. Purposes

A. The purposes of the FNA shall be to:

1. Foster high standards of nursing practice;

2. Promote the professional and educational advancement of nurses; and

3. Promote the welfare of nurses to the end that all people may have better nursing care.

B. These purposes shall be in accordance with ANA Bylaws.

Section 2. Functions

The functions of the FNA shall be to:

A. Advocate standards of nursing practice, nursing education and nursing services and promote these

standards through such activities as position statements and legislative activities;

B. Act and speak for the nursing profession before allied professional, community and governmental

groups on issues of importance to the profession including legislation and governmental programs;

C. Develop and maintain relationships with nursing organizations, allied health, nursing students and

consumer groups;

D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code of Ethics

for Nurses;

E. Promote and protect the economic and general welfare of nurses;

F. Promote the continuing professional development of nurses;

G. Provide for representation in the ANA Membership Assembly

H. Preserve documents and other materials which contribute to the historical and cultural development of

nursing;

I. Assume an active role as consumer advocate;

J. Initiate and influence legislation, governmental programs and national health policy;

K. Support systematic study, evaluation and research in nursing.

ARTICLE III Membership, Dues, Membership Year

Section 1. Composition

A. Membership in FNA shall consist of members of the state regions who meet the qualifications and

responsibilities specified in these bylaws.

B. Membership options:

1. Full Membership includes ANA and FNA.

2. State Only Membership includes FNA.

3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and have

voice but no vote.

C. Membership shall be unrestricted in accordance with ANA/FNA Bylaws.

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Section 2. Qualifications

A member is one:

A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or

the District of Columbia of the United States and who does not have a license under suspension or

revocation in any state, or is otherwise entitled by law to practice, or

B. Whose application for membership in FNA has been accepted in accordance with FNA policy; and,

C. Whose dues are not delinquent; and,

D. Whose membership is not under revocation for violation of the ANA Code of Ethics for Nurses or FNA/

ANA Bylaws.

Section 3. Membership Privileges and Obligations

A. Full Members shall have privileges as follows:

1. Voting for:

a. Representatives and alternates to Membership Assembly.

b. FNA Officers; and

c. FNA Directors.

2. Serving as an ANA representative, alternate or in any elected or appointed positions in accordance

with ANA Bylaws and applicable policies.

3. Being nominated to an Officer or Director position after twelve months of membership in FNA.

4. Attending and voting in the Membership Assembly, attending Board of Directors and Committee

meetings, and other unrestricted functions of FNA/ANA;

5. Receiving regular ANA and FNA communications;

B. Full Members of FNA shall continue to have all the rights of membership in ANA as provided in the

ANA bylaws, until such time as ¾ of the entire FNA full membership votes to disaffiliate from the

ANA. Full membership is defined as individual members of FNA who have ANA rights and privileges

of membership as a result of their FNA membership. The vote may occur by mail, phone or electronic

ballot, with appropriate notice and procedures to protect the integrity and validity of the vote.

C. Full members shall have membership obligations as follows:

1. Abide by FNA and ANA Bylaws; and

2. Abide by ANA Code of Ethics for Nurses.

D. State Only Members shall have privileges as follows:

1. Voting for:

a. FNA Officers;

b. FNA Directors after twelve months of membership in FNA being nominated to a Director position;

c. Executive Committees of other structural units to which they affiliate;

2. Serving in any FNA appointed position;

3. After twelve months of membership in FNA being nominated to a Director position;

4. Attending and voting in Membership Assembly, attending Board of Directors and Committee

meetings, and other unrestricted functions of FNA;

5. Receiving regular FNA communications.

E. State Only Members shall have membership obligations as follows:

1. Abide by the bylaws of FNA.

2. Abide by the ANA Code of Ethics for Nurses.

Section 4. Disciplinary Action

A. Cause for disciplinary action by FNA against a member shall be limited to:

1. Failure to fulfill the obligations as cited in these bylaws; and

2. Other actions detrimental to the purposes, goals and functions of FNA and ANA.

3. Activity supporting a union that is in direct competition with FNA.

4. Falsely providing public testimony or opinion as representing that of FNA.

B. Disciplinary proceedings:

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2017 Florida Nurses Association

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2017 Florida Nurses Association

1. Shall be conducted in accordance with policies and procedures established and adopted by the

Board of Directors, which shall have final disciplinary authority over members; and

2. A member shall have the right to due process as provided for under common parliamentary or

statutory law,

C. Disciplinary Action shall depend on the severity of the violation, and may include:

1. Reprimand;

2. Censure;

3. Suspension from membership; or

4. Permanent expulsion from membership.

D. A member may appeal any disciplinary action in accordance with procedures adopted by the FNA Board

of Directors.

E. Recognition of Disciplinary Action by another State Nurses Association (hereinafter referred to as SNA):

Any disciplinary action taken by another SNA against one of its members shall be given full recognition

and enforcement, provided such action was taken in accordance with the bylaws of the disciplining SNA

and its disciplinary procedures.

Section 5. Dues

A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly, assessments as

set by affiliate organizations to which FNA or its structural units belong, and FNA dues as established

by FNA members participating in the Annual Membership Meeting.

B. State only FNA Membership dues include FNA dues as set forth in FNA bylaws and policies.

C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall include the

present rate of dues paid by the FNA to the ANA and other organizations to which the structural units

affiliate.

D. The Board of Directors may initiate pilot dues recruitment strategies with a report to the following

membership assembly for action.

E. A vote of two-thirds (2/3) of the voting members present and a previous notice of sixty days (60) shall

be required to change the FNA dues.

Section 6. Assessment

A. Each member of a FNA Collective Bargaining Unit shall be assessed an annual fee to support collective

bargaining activities.

B. The annual assessment shall be established by the Membership Assembly.

C. Members shall be notified in Call to Meeting of the FNA Membership Assembly of a proposal to change

the dues at least sixty (60) days prior to the meeting at which the proposal will be presented.

D. A vote of two-thirds (2/3) of the members present and voting and previous notice of sixty days (60)

shall be required to change the dues.

Section 7. Transfer of Dues/Assessment and Membership

A. A full member who has completed full payment of dues and moved out of Florida may apply to the FNA

Executive Director for transfer to another state association of the ANA.

B. A member of another state association of the ANA who has completed full payment of dues and fees

for the membership year and who moves into or works within the boundaries of Florida may transfer to

FNA without further payment or refund of dues for the remainder of the membership year. The request

for transfer shall be signed by the secretary of the state nurses association issuing the transfer.

C. A member may transfer from one FNA region to another within the state without further payment of

dues assessment for the remainder of the membership year. Application for transfer shall be made to

the FNA Executive Director.

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2017 Florida Nurses Association

Section 8. Membership Year

The membership year shall be a period of twelve (12) consecutive months from the time of application for

membership status.

Section 9. Life Membership

A. Life membership may be conferred on an individual who has rendered distinguished service or valuable

assistance to the nursing profession. Recommendation for life membership comes from the Board of

Directors. A two-thirds (2/3) vote at the Membership Assembly is required.

B. Life membership shall not be conferred on more than one individual per annum.

C. Life membership shall carry full membership privileges and exemption from payment of dues.

Section 10. Honorary Membership

A. Honorary membership may be conferred on any individual who has rendered distinguished service or

valuable assistance to the organization. Recommendation for Honorary Membership comes from the

Board of Directors. A two-thirds (2/3) vote of the attending members at the Membership Assembly is

required.

B. Honorary membership shall carry no responsibilities or privileges.

Section 11. Emeritus Membership

A. Emeritus Membership may be conferred on each FNA member of 50 or more consecutive years, upon

reaching the age of 80.

B. Emeritus Members may serve on committees, but not as chair, nor hold office at the state level.

C. Emeritus Members will be exempted from dues.

D. Emeritus Members will receive reduced rates at all FNA functions.

Section 12. Organizational Affiliates

A. Definition: An organizational Affiliate of FNA is an association that has been granted organizational

affiliate status by the FNA Board of Directors.

B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board of

Directors and shall:

1. Maintain a mission and purpose harmonious with the purposes and functions of FNA

2. Have bylaws that do not conflict with FNA bylaws

3. Be comprised of registered nurses and have a governing body composed of registered nurses

4. Pay an annual organization fee established by the FNA Board of Directors

C. Rights: Each organizational affiliate shall be entitled to:

1. Have one seated representative to the Membership Assembly who must also be a current FNA

member and who shall be eligible to vote on all matters in the Membership Assembly except setting

of membership dues, amendment of bylaws and election of officers and directors.

2. Make reports or presentations to the FNA Membership Assembly within its area of expertise,

including the presentation of action reports.

ARTICLE IV. Officers and Directors

Section 1. Officers

A. The officers are President, President-elect, Vice-President, Secretary, and Treasurer.

B. The officers are elected by members and are accountable to the Membership

Section 2. Directors

A. There shall be eight Directors representing each of eight Regions and one additional director who is a

recent graduate of a pre-licensure nursing program within five years or less.

B. The directors are elected by members and are accountable to the membership.

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Section 3. Qualifications

A. All nominees for Officers and Directors shall be FNA members in good standing.

B. Nominees must be dues paying members of the FNA for a period of at least twelve months prior to

being nominated as an Officer or Director.

C. An employee of FNA is eligible to be a candidate contingent upon resignation of the staff position if

elected.

Section 4. Term of Office

A. The term of office for Officers and Directors shall be two years or until their successors are elected.

B. The term shall commence at the adjournment of the Membership Assembly at which they are elected.

C. President and President-Elect shall serve no more than one term consecutively in each office.

D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four

consecutive terms on the Board of Directors.

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

full term.

Section 5. Duties

A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted

parliamentary authority, and as directed by the Board of Directors and the Membership Assembly.

B. Officers and Directors, upon expiration of their terms of office, shall surrender to the FNA Executive

Director all properties in their possession belonging to their respective offices.

C. The President shall be:

1. A full member of FNA

2. Chair of the Board of Directors;

3. Chair of the Executive Committee;

4. Chair of the Advisory Committee;

5. Ex officio member of all committees except the Nominating Committee;

6. FNA’s representative at meetings of the ANA Constituent Assembly;

7. Responsible for appointing members to committees and designating the chairs, with the approval of

the Board of Directors, except as hereinafter provided in these bylaws; and

8. Concurrently elected as a representative to the ANA Membership Assembly.

D. The President-Elect shall:

1. Be a full member of FNA

2. Act as assistant to the President; and

3. In the absence of the President, assume the duties of the President.

4. Review any reference proposals submitted to the Membership Assembly.

5. Serve as Chair of the Advisory Council.

E. The Vice-President shall:

1. Be a full member of FNA

2. In the absence of the President and President-Elect, assume the duties of the President;

3. Be chairperson of the FNA Membership Committee.

F. The Secretary shall:

1. Be a full member of FNA

2. record the minutes of meetings of the FNA;

3. Board of Directors;

4. Executive Committee; and

5. Advisory Committee.

G. The Treasurer shall:

1. Be a full member of FNA

2. Report to the Board of Directors the financial standing of FNA;

3. Make a full report to FNA at each Membership Assembly;

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4. Serve as Chair of the Finance Committee; and

5. Be bonded.

H. The Region Directors shall:

1. Be responsible for the implementation of the purposes and functions as created in these bylaws;

2. Serve as members of the FNA Board of Directors;

3. Serve as liaisons between the FNA Board of Directors and the Regions and bargaining units as

designated by the Board;

4. Recommend to the FNA Board of Directors the establishment of Ad Hoc Committees deemed

necessary to implement the purposes and functions of FNA.

I. The Director-Recent Graduate shall:

1. Serve as facilitator of the New Graduate Special Interest Group (SIG)

2. Coordinate activities for members who are recent graduates of their initial nursing program

3. Serve as a member of the Membership Committee

Section 6. Vacancies in Office

A. Vacancy in the office of President.

1. A vacancy in the office of President shall be filled by the President-Elect.

2. An officer or member other than the President-Elect who fills a vacancy in the office of a president

or assumes the duties of an absent president may serve as an ANA representative only if elected to

the ANA representative position.

B. If a vacancy occurs in the office of President-Elect, this position will remain vacant until the next

election cycle or until the Board of Directors orders a special election by the full membership.

C. In all other vacancies in elected positions on the Board, the Board of Directors shall appoint a qualified

FNA member to serve for the remainder of that term.

Section 7. Removal of an Elected Official

A. Any Officer or Director elected by the membership or appointed Board Member may be removed from

office whenever such action is deemed to be in the best interest of the association, or for other just

cause, by

a. A vote of three-fourths of the current members of the FNA Board of Directors; or

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

the petition by 2/3 of the members of FNA. Voting may occur by electronic ballot; or

c. By no longer being a member in good standing of FNA.

ARTICLE V. Executive Director

Section 1. Accountability

The Executive Director is accountable to and will be evaluated annually by the Board of Directors.

Section 2. Authority

The Executive Director has the authority to manage, plan, develop, administer and coordinate activities of

the association in accordance with policies established by the Board of Directors.

ARTICLE VI. Nominations and Elections

Section 1. Nominating Committee

The Nominating Committee shall consist of five (5) members, who shall be elected by secret ballot by

plurality vote:

A. The members elected to the Nominating Committee will choose their Chair;

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

C. The term of office shall be two years, or until their successors are elected.

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

E. No member shall serve concurrently on the Nominating Committee and on the Board of Directors;

F. If a member of the Nominating Committee is submitted as a suggested candidate for an office of FNA

and the member consents to be considered as a candidate, said member shall immediately resign from

the Nominating Committee. This does not apply to a present member of the Committee whose name is

submitted as suggested candidate for the Nominating Committee for the next term or as an ANA Delegate.

G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received the next

highest vote at the Membership Assembly at which the Committee members were elected.

Section 2. Nomination Process

A. Suggestions for nominees for elected offices shall be solicited from each Region and structural unit;

B. Individuals may nominate candidates or self-nominate;

C. Requests for nominees shall be published in The Florida Nurse.

D. The Committee shall propose a tentative FNA ballot containing nominees for:

1. ANA Delegates

2. FNA Officers, Directors and Nominating Committee

E. After presentation to the Board of Directors for information only, the tentative ballot shall be published

in the Call to Meeting of the FNA Membership Assembly.

F. Within the 30 day period following the publication of the tentative ballots in the FNA official publication,

additional nominations may be made to the Chair of the Nominating Committee by any individual

member, Region, or structural unit.

G. The Nominating Committee shall formulate the final ballots by the addition of the nominees submitted,

provided that all eligibility and membership requirements are met;

H. A person shall not appear on the FNA ballot as a nominee for more than one office.

I. The completed ballots shall be:

1. In conformity with the FNA bylaws, and the policies as adopted by the FNA Board of Directors;

2. Identified, for each person running, as to the region and city or county of membership;

3. Presented for information only to the Board of Directors before being published in the Official Call to

Meeting.

J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected statement

and the Conflict of Interest statement.

K. The biographies of the nominees, including region and city or county of membership, shall be published

with the ballots in the Official Call to Membership Assembly.

Section 3. Election Process

A. Elections shall be held in the odd-numbered years.

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

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

2. In the case of a tie, the choice shall be determined by lot at the Membership Assembly.

C. Members may vote for persons other than those whose names appear on the ballot by writing in the

names of qualified candidates who have signed the consent-to-serve form.

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

day of the Membership Assembly.

E. The Tellers shall:

1. Verify membership and tabulate the votes;

2. Compile a report of all votes received; and

3. Send the results by certified mail, in duplicate, to the FNA Secretary at the FNA Headquarters.

F. The Secretary shall announce the election results at the Membership Assembly;

G. The President, President-Elect, Vice-President, Secretary, Treasurer, Directors. FNA Nominating

Committee and any other elected position on the ballot shall be declared as elected at the membership

assembly.

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Section 4. ANA Representatives

A. All FNA members with full membership may vote for ANA representatives.

B. The FNA President and President-Elect shall be concurrently elected as representatives.

C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full

members of FNA.

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

ARTICLE VII. Meetings

Section 1.

The official meeting of the Florida Nurses Association is the Membership Assembly and will be held at least

biennially. It will consist of reports from the Board of Directors, Regions, and committees; and adoption of

bylaws and proposals. Additional activities may include educational programs, networking, and professional

updates.

Section 2. Order of Business

The Order of Business of each membership assembly of FNA shall be in accordance with a program

adopted at the beginning of the meeting.

Section 3. Call to Meeting of the FNA Membership Assembly

The Official Call to Meeting of the FNA Membership Assembly shall be noticed via mail or electronic

communication at least sixty (60) days before the first day of the Membership Assembly.

Section 4. Special Meetings

A. Special meetings of FNA may be called by the FNA Board of Directors upon the written request of a

majority of the Regions and/or collective bargaining units.

B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen days

before the first day of the meeting.

Section 5. Quorum

Five members of the Board of Directors, one of whom shall be the President or President-Elect, and

representatives from a majority of the Regions shall constitute a quorum for the transaction of business at

any Membership Assembly or special meeting of the FNA.

Section 6. Membership

The voting body at all Membership Assemblies and special meetings of this Association shall consist of the

Board of Directors and all FNA members in good standing who are in attendance.

ARTICLE VIII. Board of Directors

Section 1. Composition

There shall be a Board of Directors composed of the Officers and the Directors.

Section 2. Meetings of the Board of Directors

A. Meetings shall be held at such times and places as shall be determined by the Board of Directors.

B. Special Meetings:

1. May be called by the President on seven (7) days’ notice to each member of the Board, either by

mail, telephone, or electronic communication; and

2. Shall be called by the President in like manner or on like notice upon the written request of:

a. Five (5) or more members of the Board of Directors, or

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b. A majority of the Regions.

3. Shall be held at such times and places as may be specified in the notice thereof.

C. Business that requires action by the Board of Directors between regular meetings may be conducted

by mail, telephone or electronic communication. Such action shall be subject to ratification at the next

regular meeting of the Board of Directors.

D. Attendance

1. Any member of the Board of Directors may have one (1) absence from the Board of Directors’

meetings within a one-year period.

2. A board member on official business as designated by the President of FNA or Board of Directors at

the time of the Board Meeting shall not be considered absent.

3. A partial absence shall consist of not more than two (2) hours, unless an unforeseen emergency

occur en-route to the meeting.

4. At the second absence of any member of the Board of Directors, the Board of Directors shall vote

on removal of said board member from position.

E. FNA members, the Chair of the Labor and Employment Relations Commission, and the President of

the FNSA or a designee, shall be eligible to attend meetings of the Board of Directors. They shall have

voice, but no vote.

Section 3. Quorum

A majority of the Board of Directors, including the President or the President-Elect shall constitute a quorum

at any meeting of the Board of Directors.

Section 4. Duties of the Board of Directors

The Board shall:

A. Establish major administrative policies governing FNA and provide for the transaction of general

business of the organization;

B. Provide for the expenditure, investment and surveillance of FNA funds;

C. Provide for the bonding of appropriate officers and staff;

D. Provide for the adoption and administration of a budget, and for a periodic review statement by a

Certified Public Accountant;

E. Provide for the operation and maintenance of a state headquarters;

F. Employ an Executive Director, define duties and fix compensation;

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

H. Determine the registration fee, date and location of Membership Assembly;

I. Determine the time and place of meetings of the Advisory Council;

J. Recommend to the Governor nominations for appointments to the Florida State Board of Nursing and

any other appropriate boards;

K. Report to FNA members the business transacted by the Board of Directors;

L. Act upon recommendations and/or plans of committees prior to implementation;

M. Establish regional boundaries

N. Receive, for information only, reports from the Bylaws, Nominating and Reference Committees

O. Fill vacancies in office as provided in these bylaws; and

P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the FNA

membership.

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ARTICLE IX. Executive Committee

Section 1. Composition

There shall be an Executive Committee composed of the Officers of the Board of Directors.

Section 2. Powers

The Executive Committee shall have all the powers of the Board of Directors to transact business between

meetings of the Board. Such action shall be subject to ratification at the next regular meeting of the Board

of Directors.

Section 3. Meetings

A. The Executive Committee shall meet at the call of the President;

B. Meetings may be conducted in person, by mail, telephone or electronic communication.

Section 4. Quorum

A majority of the members of the Executive Committee shall constitute a quorum at any meeting of the

Committee.

ARTICLE X. Committees

Section 1. General

A. Committees shall assume such duties as assigned by the Board of Directors, and as specified in these

Bylaws and report action as requested.

B. Committees shall meet only with the approval of the President or Board of Directors.

C. Committees shall meet on the call of the Chair, with no less than fifteen (15) days’ notice to committee

members and FNA Headquarters.

D. Unnoticed absences from two meetings of a committee shall constitute a resignation.

E. A majority of the members of any standing or ad hoc committee shall constitute a quorum.

F. Members of the FNSA shall be eligible to attend FNA committee meetings.

Section 2. Ad Hoc Committees

There shall be ad hoc committees appointed by the President, the Board of Directors, and/or the FNA

representatives attending the Membership Assembly as deemed necessary to act upon issues pertinent to FNA.

Section 3. Membership Committee

The composition of the Membership Committee shall be the Vice-President as chair, the Treasurer and

at least five (5) members appointed after each election by the President with approval of the Board of

Directors, to serve until their successors are appointed.

Duties:

A. Identify strategies for retention of members,

B. Develop a marketing campaign to seek new members,

C. Recommend membership options,

D. Submit suggestions to FNA Board of Directors,

E. Report to the FNA membership on the status of membership.

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Section 4. Reference Committee

The Reference Committee shall consist of five (5) members appointed after each election by the President

with the approval of the Board of Directors, to serve until their successors are appointed.

Duties:

A. Seek reference proposals from Regions, LERC, and members,

B. Review proposals for appropriate structure,

C. Make appropriate suggestions to authors as needed,

D. Present proposals at the Membership Assembly.

Section 5. Bylaws Committee

A. Composition.

The Bylaws Committee shall consist of at least five (5) members appointed after each election by the

President with the approval of the Board of Directors, to serve until their successors are appointed.

B. Duties.

1. Receive and review all proposed amendments to the FNA bylaws and edit for conformity;

2. Submit proposed amendments to FNA bylaws as appropriate;

3. Present the proposed amendments to the FNA Board of Directors; and

4. Submit the proposed amendments to the membership at the FNA Membership Assembly in

accordance with the provisions for amendments to these bylaws.

Section 6. Finance Committee

A. Composition.

The Finance Committee shall consist of at least five (5) members, including the FNA Treasurer who

shall serve as Chair. Four members shall be appointed after each election by the President, with

approval by the Board of Directors, to serve until their successors are appointed. One of the appointed

members shall be a member of the Labor and Employment Relations Commission.

B. Duties. The committee shall:

1. Supervise the preparation of an annual budget for the fiscal year defined as the calendar year

January 1 to December 31;

2. Present the budget for approval to the FNA Board of Directors;

3. Advise the FNA Board of Directors and other FNA structural units regarding financial matters and

feasibility of funding for expenditures;

4. Advise and report on the expenditure of funds to the FNA Board of Directors; and

5. Report to the Membership Assembly the financial status of FNA.

ARTICLE XI. Regions

Section 1. General

A. There shall be Regions which meet the following requirements:

1. Regions must be in conformity with the bylaws of FNA

ARTICLE XII. Labor and Employment Relations Council (LERC)

Section 1. General

The Labor and Employment Relations Commission shall exist for the purpose of overseeing the conduct of

FNA’s labor/employment relations and collective bargaining program which shall include the formation of

appropriate policies and procedures.

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Section 2. Term of Office

Each member shall serve a term on the Commission which shall be concurrent with the term as President

of the Local Bargaining Unit.

Section 3. Responsibilities

The Labor and Employment Relations Commission shall:

A. Oversee the conduct of the FNA’s labor/employment relations and collective bargaining program, which

shall include the formulation of appropriate policies and procedures;

B. Formulate programs of assistance and training for local bargaining units;

C. Consider and adjudge requests for legal assistance involving employment issues and contract

grievances from members of local bargaining units;

D. Make preliminary annual budget projections and recommendations to the FNA Finance Committee prior

to adoption of the budget by the FNA Board of Directors;

E. Establish, when needed, subordinate Councils to conduct studies and make recommendations in

specific substantive areas of labor and employment relations;

F. Assist FNA staff in the development of local unit organizing activities; and

G. Communicate with the Board of Directors concerning economic and welfare issues relative to the

nursing profession.

H. Receive and review the bylaws of any Collective Bargaining Unit making application for FNA to be its

bargaining agent; and

I. Receive and review the bylaws of each Collective Bargaining Unit on a periodic basis.

Section 4. National Labor Convention (NLC) Delegates

A. All Collective Bargaining Unit (CBU members may vote for NLC delegates.

B. NLC delegates will be elected by secret ballot by plurality vote.

C. Each delegate and alternate will be elected for a two-year term.

D. Each CBU may nominate up to five delegate candidates.

ARTICLE XIII. Advisory Council

Section 1. Composition

A. The FNA Board of Directors and representatives from Regions, Collective Bargaining units, and/or their

designees, facilitators for each Special Interest Group, the FNPAC Chair, and the FNF President shall

constitute an Advisory Council to consider and promote the interests of FNA.

B. Two officers of FNSA shall be eligible to attend meetings of the Advisory Council.

Section 2. Meetings

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

1. By the FNA President; or

2. By the FNA Board of Directors; or

3. At the request of fifty (50%) percent of the Regions.

ARTICLE XIV. Florida Nursing Students’ Association

Section 1. General

It shall be the responsibility of FNA to set up communications with Florida Nursing Students’ Association

that will foster an organization of students of professional nursing which will assist in preparing them to

meet their professional obligations as graduate nurses.

Section 2. Meetings

Meetings of the FNSA may be held in conjunction with the FNA Membership Assembly.

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ARTICLE XV. Relationship of FNA to ANA

Section 1. Membership

A. The annual dues for a full FNA member shall be set forth in dues policy and shall include the present

rate of dues paid by the FNA to the ANA. In the event that the rate of dues payable to the ANA by the FNA

increases, any such change shall be automatically added to the annual dues paid by a full FNA member.

B. The FNA shall continue to pay dues to the ANA pursuant to the ANA bylaws and House of Delegates

policy until such time as 2/3 of the entire full FNA membership votes to disaffiliate from the ANA. The

vote may occur by mail, phone or electronic ballot, with appropriate notice and procedures to protect

the integrity and validity of the vote.

Section 2. ANA Constituent Assembly

FNA shall be entitled to representation at the ANA Constituent Assembly by the President of FNA and the

Executive Director, or their designated alternates.

Section 3. ANA Delegates

A. FNA shall be entitled to representation at the ANA Membership Assembly as determined in the ANA bylaws.

B. FNA shall elect representatives as allocated in accordance with policies adopted by the ANA House of

Delegates.

ARTICLE XVI. Official Publication

Section 1. The Florida Nurse shall be the official publication of FNA.

Section 2. LERC Today shall be the official publication of the Economic and General Welfare Program.

ARTICLE XVII. Parliamentary Authority

The rules contained in Robert’s Rules of Order Newly Revised shall govern meetings of FNA in all cases to

which they are applicable and in which they are not inconsistent with these bylaws.

ARTICLE XIII. Amendments

Section 1. Previous Notice

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

members present and voting.

B. All proposed amendments shall be in the possession of the FNA Executive Director at least sixty

(60) days before the Membership Assembly, and shall be published at least 30 days prior to the FNA

Membership Assembly.

Section 2. Without Previous Notice

These bylaws may be amended, without previous notice, at any Membership Assembly by a ninety-five

percent (95%) vote of the members present and voting.

ARTICLE XIX. Dissolution

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

distributed in accordance with governmental regulations. No funds can inure to the benefit of any individual member.

Approved by Membership Assembly

September 15, 2015

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2015 Reference Proposals

Increasing the Number of Male Registered Nurses &

Advanced Registered Nurse Practitioners in the State of Florida

Statement of Concern

The number of male registered nurses (RN’s) and advanced registered nurse practitioners (ARNP’s) in the

state of Florida is significantly less than the number of Florida female RN’s and ARNP’s. Despite state-wide

nursing recruitment and retention strategies, a significant increase in the number of male nurses in Florida has

not been observed. There is currently no state-wide formal recruitment program for men to enter the nursing

profession. An increase in the number of male nurses in the state of Florida is needed in order to better serve

our patient populations and to encourage diversity in nursing.

Background Information

Rationale

Nursing, in Western cultures, has been traditionally viewed as a female role. The number of men becoming

nurses has grown significantly over the past several decades. In 1980, there were approximately 45,000 RN’s

in the USA; but that number has grown to over 168,000 in 2004 (HRSA, 2006). Nationally, men still occupy

a small sector of RN’s. In 2010, the total national average male RN population was 7% (HRSA, 2010). Florida

data from 2010-2011 show that about 10% of RN’s and 14 % of ARNP’s in Florida’s nursing workforce are men

(FCN, 2012). Despite being more gender-diverse than the national average, Florida and the nursing profession

as a whole have much work to accomplish in order to match the gender diversification of our physician

colleagues. In 2012, the number of licensed female physicians (medical doctors and doctors of osteopathy) in

the USA was 30.2% (Young, et al, 2013). The number of female physicians is expected to increase. In 2009,

almost half of all medical school graduates in the United States were women (KFF, 2010).

The Institute of Medicine (IOM), in its “Future of Nursing” report, recommended that more men should be

recruited into the nursing profession (IOM, 2011). Numerous reasons have been cited as barriers for men

entering nursing. Such barriers include social stereotypes, Western cultural gender roles, the predominance of

women in the profession, and perceived religious/cultural values (IOM, 2011). In order to better facilitate care

for male patients and add diversity to the nursing workforce, the IOM recommends actively recruiting men to

the nursing profession.

Pertinent Definitions

Schools and colleges of nursing are only those that are accredited by [insert accrediting bodies here]. Nurses,

in this proposal, refer to RN’s and ARNP’s.

Overview on Nursing Role/Function

Kumar Jairamdas, RN

The men in nursing are not widely dispersed throughout the profession. The available data on male nurses

indicates that they work primarily in critical care, emergency department, and in inpatient medical-surgical units

(Hodes, 2005). Only about 1% or less of male nurses hold a nursing doctorate degree (Hodes, 2005). This fact

does not bode well for advancing advocacy to increase the number of doctoral prepared male nursing school

faculty. More research is required in order to determine the breadth and depth of involvement that men share

within nursing.

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Legal/Ethical Considerations

Male nursing students and male nurses have reported gender-related concerns in their clinical settings. 57%

of surveyed male nursing students reported perceived gender-related difficulties , and 56% of male nursing

students reported a perception of feeling like “muscle” for female nursing staff to help lift heavy patients

(Hodes, 2005). More alarming is that even more men (71%) who complete nursing programs have the

perception that they are “muscle” for female nursing staff to help lift heavy patients in clinical settings (Hodes,

2005). 50% of men reported communication and other problems with female nursing staff due to being of the

male gender (Hodes, 2005). It is concerning that male nurses and male nursing students are encountering and

perceiving discrimination from their fellow nursing professionals in the clinical environment.

Consequences to Patient Care

With approximately half of the population being male, having a persistently small percentage of male nurses

only serves to further increase the already present health disparities in men. Having increased numbers of

male nurses may encourage more men to seek healthcare.

The IOM recommends that the nursing profession diversify to meet and encourage the increasing diversity

of patient populations (IOM, 2011). Men bring unique cultural and social perspectives to the clinical care

environment and will help alleviate the nursing shortage (IOM, 2011).

Statement of Position

Upon review of relevant and current available data, it is determined that there is a significant disparity in the

number of male nurses compared to female nurses in the state of Florida. There are no current state initiatives

to increase the number of men in the nursing profession. Active recruitment of men to nursing educational

programs may significantly increase the number of men in the profession. Such recruitment methods and

subsequent positive results may serve as a future best-practice beacon for the rest of the profession on a

national level.

Recommendations for Actions

In cooperation and partnership with accredited colleges and schools of nursing, hospitals, primary, secondary

and postsecondary schools and guidance counselors, third-party stakeholders, and the American Assembly

for Men in Nursing (AAMN), it is with great sincerity that the Florida Nurses Association is requested and

recommended to initiate a plan (see Appendix A) to actively recruit men to the nursing profession, both at the

RN and advanced practice levels, in the state of Florida. A critical part of this recruitment plan should include

recruiting and retaining male doctoral-prepared nursing school faculty.

Appendix A

Action Plan for Increasing the Number of Florida male RN’s & ARNP’s

Timetable for implementation: 1 year

A. Assessment & Diagnostic Phase

1. Enact FNA-approved committee appointed to engage action plan

2. Develop mission statement

3. Poll all FL accredited RN and ARNP programs to determine the number of currently enrolled men

and women in the respective academic programs

4. Establish a contact person at each college of nursing (CON). This person will volunteer to coordinate

the future efforts of that school

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

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6. Approach USF College of Fine Arts to request assistance with developing media products

7. Report to FNA

B. Planning Phase

1. Make initial contact with AAMN and request contact with regional AAMN representatives

2. Make initial contact with Johnson & Johnson, Robert Wood Johnson Foundation, and Institute of

Medicine

3. Develop media campaign plan

a. support from USF College of Fine Arts

b. to include print and video

4. Develop promotional print media

5. Develop CON-based action plan

6. Develop action plan for college advisors

7. Develop action plan for high school advisors

8. Report to FNA

C. Intervention Phase

1. Disseminate Data Set and promotional media to FNA and FCN

2. Disseminate Data Set, CON-based action plan, and promotional media to CON’s via CON

representatives

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

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

5. Disseminate Data Set and promotional media to AAMN, Johnson & Johnson, hospitals, and/or other

third party stakeholders, request their support

1. Report to FNA

D. Evaluation Phase

1. Request new Data Set 1 year after initial data set

2. Request feedback from CON’s, colleges, high schools

3. Send letters of appreciation to advisors, USF College of Fine Arts and any supportive organizations

on a yearly and as needed basis

4. Analyze 1 year Data Set and compare with first year’s Data Set

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

6. Report to FNA, FCN and any stakeholders

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

Our Public Health Infrastructure

Submitted by Deborah Hogan

Our Healthy People 2020 initiative provides a vision for how we can all achieve the goal of living longer,

healthier lives. We depend on our public health system to help us reach these goals.

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

departments to monitor air and water quality, as well as provide epidemiological surveillance to monitor infectious

disease outbreaks. Vaccines for vaccine preventable diseases are also a resource health departments provide,

along with family planning and treatment for sexually transmitted diseases. Tuberculosis and HIV education and

treatment are also provided, as well as initiatives to help us reach our Healthy People 2020 goals Preparedness

programs are also part of the responsibility of local health units, as well as specific programs needed in each locale!

Unfortunately, these services require financial support from state and local public jurisdictions that have

suffered economically in recent years. Results from a recent survey by the National Association of County and

City Health Officials ( NAACHO)shows that local health departments continue to be impacted by budget cuts

leading to staff and program elimination.

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We need to be advocates for our public health services. If we are to achieve our full potential for health, we

must support a public health system that seeks to decrease the impact of preventable diseases. Therefore:

WHEREAS chronic disease such as heart disease, cancer and diabetes are responsible for seven out of ten

deaths among Americans, each year, and account for 75% of the nation’s health spending, (Nurse.com) AND

WHEREAS in spite of available preventive services such as immunizations and routine disease screenings

offered by both the public and private sectors, millions of people go without services that could protect them

from disease, (Nurse.com) AND

WHEREAS Americans live shorter lives and experience more injuries and illnesses than people in other high

income countries( Australia, Canada, France, Japan)(National Research Council Report, 2013), AND

WHEREAS 3.1% of 2.5 trillion spent on health ( 77.2 billion) is spent on the work of government public health

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

WHEREAS between July 2010 and June 2011, 55% of all local health departments made cuts to at least one

program with 68% of the US population living in one of those affected jurisdictions (NalbothNewsbrief, 2012), AND

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

Newsbrief, 2012) AND

WHEREAS since 2008, local health departments throughout the nation have shed 34,400 employees, loosing

three times as many staff as they gained (Nalboth Newsbrief, 2012)

WHEREAS nearly half (45% of al local health departments reported a lower budget this fiscal year compared to

last, and 52% expect more reductions in the next fiscal year (Nalboth Newsbrief, 2012) AND

WHEREAS Florida experienced the third highest percentage (72%) of budget cuts from 2012-2013 (NACCHO

survey, 2013), AND

WHEREAS the trend in Florida in average turnover rates for nurses in public health has increased from 2009 to

2013 ( Florida Center for Nursing Survey, 2013), AND

WHEREAS the estimated statewide growth in public health nursing positions in Florida is among the lowest of

all practice settings in the state (Florida Center for Nursing Survey, 2013), AND

WHEREAS the projected growth in Florida for RN’s in public health in 2013 was at “13”, the lowest of all

specialty positions (Florida Center for Nursing Survey, 2013),

BE IT RESOLVED, that the Florida Nurses Association

1.) Will provide ongoing education to applicable agencies/programs regarding concerns associated with

decreased public health staffing, and its effect on the health of the citizens of the state of Florida, and

2.) Work with other organizations to increase awareness of the effects of decrease public health resources

on the health of the citizens of Florida, and

3.) Continue to work with its Health Care Professionals ( HCP) Bargaining Unit through lobbying efforts to

support state employees’ issues.

Costs to FNA – Since FNA already has membership funding from the HCP, education is the only expenditure.

Resources:

Florida Center for Nursing, Florida center for Nursing’s 2013 Statewide Nurse Employer Survey:

Institute of Medicine, Committee on Public Health Strategies to Improve Health, Public Release, April 10, 2012.

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

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

Nalboth Newsbrief, “ Naccho’s Survey Reveals Continued Cuts at Local Health Departments,” 1st Quarter/2012, Volume 19, issue 1, pg. 6-7.

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Special Called Membership Assembly

November 2016

It was necessary to call a special Membership Assembly to address a dues deficit for the FNA Bargaining

Units. A call to meeting was issued with proper notice of intent to increase the dues for Bargaining Unit

Members. Before the Assembly, the Bylaws Committee reviewed the proposed bylaws proposals and made

revisions for the purpose of simplification. The bylaws were sent to the members and the Membership

Assembly was held in November at Valencia Community College.

The bylaws were presented, discussed and debate by those registered and present on-site and via ZOOM

conferencing software.

After lengthy discussion, the bylaws were approved. A copy of the current bylaws are found here:

Florida Nurses Association Bylaws

2015-2017

ARTICLE I Name

The name of this Association shall be the Florida Nurses Association, hereinafter referred to as “FNA” or “Association.”

ARTICLE II Purposes and Functions

Section 1. Purposes

A. The purposes of the FNA shall be to:

1. Foster high standards of nursing practice;

2. Promote the professional and educational advancement of nurses; and

3. Promote the welfare of nurses to the end that all people may have better nursing care.

B. These purposes shall be in accordance with ANA Bylaws.

Section 2. Functions

The functions of the FNA shall be to:

A. Advocate standards of nursing practice, nursing education, and nursing services and promote these

standards through such activities as position statements and legislative activities;

B. Act and speak for the nursing profession before allied professional, community, and governmental

groups on issues of importance to the profession including legislation and governmental programs;

C. Develop and maintain relationships with nursing organizations, allied health, nursing students, and

consumer groups;

D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code of Ethics

for Nurses;

E. Promote and protect the economic and general welfare of nurses;

F. Promote the continuing professional development of nurses;

G. Provide for representation in the ANA Membership Assembly;

H. Preserve documents and other materials which contribute to the historical and cultural development of

nursing;

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I. Assume an active role as consumer advocate;

J. Initiate and influence legislation, governmental programs, and national health policy;

K. Support systematic study, evaluation, and research in nursing.

ARTICLE III Membership, Dues, Membership Year

Section 1. Composition

A. Membership in FNA shall consist of members of the state regions who meet the qualifications and

responsibilities specified in these bylaws.

B. Membership options:

1. Full Membership includes ANA and FNA.

2. State Only Membership includes FNA.

3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and have

voice but no vote.

C. Membership shall be unrestricted in accordance with ANA/FNA Bylaws.

Section 2. Qualifications

A member is one:

A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or

the District of Columbia of the United States, and who does not have a license under suspension or

revocation in any state, or is otherwise entitled by law to practice; or

B. Whose application for membership in FNA has been accepted in accordance with FNA policy; and

C. Whose dues are not delinquent; and

D. Whose membership is not under revocation for violation of the ANA Code of Ethics for Nurses or FNA/

ANA Bylaws.

Section 3. Membership Privileges and Obligations

A. Full Members shall have privileges as follows:

1. Voting for:

a. Representatives and alternates to Membership Assembly;

b. FNA Officers; and

c. FNA Directors.

2. Serving as an ANA representative, alternate, or in any elected or appointed positions in accordance

with ANA Bylaws and applicable policies.

3. Being nominated to an Officer or Director position after twelve months of membership in FNA.

4. Attending and voting in the Membership Assembly, attending Board of Directors and Committee

meetings, and other unrestricted functions of FNA/ANA.

5. Receiving regular ANA and FNA communications.

B. Full Members of FNA shall continue to have all the rights of membership in ANA as provided in the

ANA bylaws, until such time as ¾ of the entire FNA full membership votes to disaffiliate from the

ANA. Full membership is defined as individual members of FNA who have ANA rights and privileges of

membership as a result of their FNA membership. The vote may occur by mail, phone, or electronic

ballot, with appropriate notice and procedures to protect the integrity and validity of the vote.

C. Full members shall have membership obligations as follows:

1. Abide by FNA and ANA Bylaws; and

2. Abide by ANA Code of Ethics for Nurses.

D. State Only Members shall have privileges as follows:

1. Voting for:

a. FNA Officers;

b. FNA Directors after twelve months of membership in FNA being nominated to a Director

position;

c. Executive Committees of other structural units to which they affiliate.

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2. Serving in any FNA appointed position.​

3. After twelve months of membership in FNA, being nominated to a Director position.

4. Attending and voting in Membership Assembly, attending Board of Directors and Committee

meetings, and other unrestricted functions of FNA.

5. Receiving regular FNA communications.

E. State Only Members shall have membership obligations as follows:

1. Abide by the bylaws of FNA.

2. Abide by the ANA Code of Ethics for Nurses.

Section 4. Disciplinary Action

A. Cause for disciplinary action by FNA against a member shall be limited to:

1. Failure to fulfill the obligations as cited in these bylaws;

2. Other actions detrimental to the purposes, goals, and functions of FNA and ANA;

3. Activity supporting a union that is in direct competition with FNA; and

4. Falsely providing public testimony or opinion as representing that of FNA.

B. Disciplinary proceedings:

1. Shall be conducted in accordance with policies and procedures established and adopted by the

Board of Directors, which shall have final disciplinary authority over members; and

2. A member shall have the right to due process as provided for under common parliamentary or

statutory law.

C. Disciplinary Action shall depend on the severity of the violation, and may include:

1. Reprimand;

2. Censure;

3. Suspension from membership; or

4. Permanent expulsion from membership.

D. A member may appeal any disciplinary action in accordance with procedures adopted by the FNA Board

of Directors.

E. Recognition of Disciplinary Action by another State Nurses Association (hereinafter referred to as SNA):

Any disciplinary action taken by another SNA against one of its members shall be given full recognition

and enforcement, provided such action was taken in accordance with the bylaws of the disciplining SNA

and its disciplinary procedures.

Section 5. Dues

A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly, assessments as

set by affiliate organizations to which FNA or its structural units belong, and FNA dues as established

by FNA members participating in the Annual Membership Meeting.

B. State only FNA Membership dues include FNA dues as set forth in FNA bylaws and policies.

C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall include the

present rate of dues paid by the FNA to the ANA and other organizations to which the structural units

affiliate.

D. The Board of Directors may initiate pilot dues recruitment strategies with a report to the following

Membership Assembly for action.

E. A vote of two-thirds (2/3) of the voting members present and a previous notice of sixty days (60) shall

be required to change the FNA dues.

Section 6. Assessment

A. Each member of a FNA Collective Bargaining Unit shall be assessed an annual fee to support collective

bargaining activities.

B. The annual assessment shall be established by the Membership Assembly.

C. Members shall be notified in Call to Meeting of the FNA Membership Assembly of a proposal to change

the dues at least sixty (60) days prior to the meeting at which the proposal will be presented.

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D. A vote of two-thirds (2/3) of the members present and voting and previous notice of sixty days (60)

shall be required to change the dues.

Section 7. Transfer of Dues/Assessment and Membership

A. A full member who has completed full payment of dues and moved out of Florida may apply to the FNA

Executive Director for transfer to another state association of the ANA.

B. A member of another state association of the ANA who has completed full payment of dues and fees

for the membership year and who moves into or works within the boundaries of Florida may transfer to

FNA without further payment or refund of dues for the remainder of the membership year. The request

for transfer shall be signed by the secretary of the state nurses association issuing the transfer.

C. A member may transfer from one FNA region to another within the state without further payment of

dues assessment for the remainder of the membership year. Application for transfer shall be made to

the FNA Executive Director.

Section 8. Membership Year

The membership year shall be a period of twelve (12) consecutive months from the time of application for

membership status.

Section 9. Life Membership

A. Life membership may be conferred on an individual who has rendered distinguished service or valuable

assistance to the nursing profession. Recommendation for Life Membership comes from the Board of

Directors. A two-thirds (2/3) vote at the Membership Assembly is required.

B. Life membership shall not be conferred on more than one individual per annum.

C. Life membership shall carry full membership privileges and exemption from payment of dues.

Section 10. Honorary Membership

A. Honorary membership may be conferred on any individual who has rendered distinguished service or

valuable assistance to the organization. Recommendation for Honorary Membership comes from the Board

of Directors. A two-thirds (2/3) vote of the attending members at the Membership Assembly is required.

B. Honorary membership shall carry no responsibilities or privileges.

Section 11. Emeritus Membership

A. Emeritus Membership may be conferred on each FNA member of 50 or more consecutive years, upon

reaching the age of 80.

B. Emeritus Members may serve on committees, but not as chair, nor hold office at the state level.

C. Emeritus Members will be exempted from dues.

D. Emeritus Members will receive reduced rates at all FNA functions.

Section 12. Organizational Affiliates

A. Definition: An organizational Affiliate of FNA is an association that has been granted organizational

affiliate status by the FNA Board of Directors.

B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board of

Directors and shall:

1. Maintain a mission and purpose harmonious with the purposes and functions of FNA;

2. Have bylaws that do not conflict with FNA bylaws;

3. Be comprised of registered nurses and have a governing body composed of registered nurses; and

4. Pay an annual organization fee established by the FNA Board of Directors.

C. Rights: Each organizational affiliate shall be entitled to:

1. Have one seated representative to the Membership Assembly who must also be a current FNA

member and who shall be eligible to vote on all matters in the Membership Assembly except setting

of membership dues, amendment of bylaws, and election of officers and directors; and

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2. Make reports or presentations to the FNA Membership Assembly within its area of expertise,

including the presentation of action reports.

ARTICLE IV. Officers and Directors

Section 1. Officers

A. The officers are President, President-elect, Vice-President, Secretary, and Treasurer.

B. The officers are elected by members and are accountable to the Membership.

Section 2. Directors

A. There shall be eight Directors representing each of eight Regions and one additional director who is a

recent graduate of a pre-licensure nursing program within five years or less.

B. The directors are elected by members and are accountable to the membership.

Section 3. Qualifications

A. All nominees for Officers and Directors shall be FNA members in good standing.

B. Nominees must be dues paying members of the FNA for a period of at least twelve months prior to

being nominated as an Officer or Director.

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

Section 4. Term of Office

A. The term of office for Officers and Directors shall be two years or until their successors are elected.

B. The term shall commence at the adjournment of the Membership Assembly at which they are elected.

C. President and President-Elect shall serve no more than one term consecutively in each office.

D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four

consecutive terms on the Board of Directors.

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

full term.

Section 5. Duties

A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted

parliamentary authority, and as directed by the Board of Directors and the Membership Assembly.

B. Officers and Directors, upon expiration of their terms of office, shall surrender to the FNA Executive

Director all properties in their possession belonging to their respective offices.

C. The President shall be:

1. A full member of FNA;

2. Chair of the Board of Directors;

3. Chair of the Executive Committee;

4. Chair of the Advisory Committee;

5. Ex officio member of all committees except the Nominating Committee;

6. FNA’s representative at meetings of the ANA Constituent Assembly;

7. Responsible for appointing members to committees and designating the chairs, with the approval of

the Board of Directors, except as hereinafter provided in these bylaws; and

8. Concurrently elected as a representative to the ANA Membership Assembly.

D. The President-Elect shall:

1. Be a full member of FNA;

2. Act as assistant to the President;

3. In the absence of the President, assume the duties of the President;

4. Review any reference proposals submitted to the Membership Assembly; and

5. Serve as Chair of the Advisory Council.

E. The Vice-President shall:

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1. Be a full member of FNA;

2. In the absence of the President and President-Elect, assume the duties of the President; and

3. Be chairperson of the FNA Membership Committee.

F. The Secretary shall:

1. Be a full member of FNA; and

2. Record the minutes of meetings of the FNA, Board of Directors, Executive Committee, and Advisory

Committee.

G. The Treasurer shall:

1. Be a full member of FNA;

2. Report to the Board of Directors the financial standing of FNA;

3. Make a full report to FNA at each Membership Assembly;

4. Serve as Chair of the Finance Committee; and

5. Be bonded.

H. The Region Directors shall:

1. Be responsible for the implementation of the purposes and functions as created in these bylaws;

2. Serve as members of the FNA Board of Directors;

3. Serve as liaisons between the FNA Board of Directors and the Regions and bargaining units as

designated by the Board; and

4. Recommend to the FNA Board of Directors the establishment of Ad Hoc Committees deemed

necessary to implement the purposes and functions of FNA.

I. The Director-Recent Graduate shall:

1. Serve as facilitator of the New Graduate Special Interest Group (SIG);

2. Coordinate activities for members who are recent graduates of their initial nursing program; and

3. Serve as a member of the Membership Committee.

Section 6. Vacancies in Office

A. Vacancy in the office of President.

1. A vacancy in the office of President shall be filled by the President-Elect.

2. An officer or member other than the President-Elect who fills a vacancy in the office of a president

or assumes the duties of an absent president may serve as an ANA representative only if elected to

the ANA representative position.

B. If a vacancy occurs in the office of President-Elect, this position will remain vacant until the next

election cycle or until the Board of Directors orders a special election by the full membership.

C. In all other vacancies in elected positions on the Board, the Board of Directors shall appoint a qualified

FNA member to serve for the remainder of that term.

Section 7. Removal of an Elected Official

A. Any Officer or Director elected by the membership or appointed Board Member may be removed from

office whenever such action is deemed to be in the best interest of the Association, or for other just

cause, by

a. A vote of three-fourths of the current members of the FNA Board of Directors; or

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

the petition by 2/3 of the members of FNA. Voting may occur by electronic ballot; or

c. By no longer being a member in good standing of FNA.

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ARTICLE V. Executive Director

Section 1. Accountability

The Executive Director is accountable to and will be evaluated annually by the Board of Directors.

Section 2. Authority

The Executive Director has the authority to manage, plan, develop, administer, and coordinate activities of the

Association in accordance with policies established by the Board of Directors.

ARTICLE VI. Nominations and Elections

Section 1. Nominating Committee

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

A. The members elected to the Nominating Committee will choose their Chair;

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

C. The term of office shall be two years, or until their successors are elected;

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

E. No member shall serve concurrently on the Nominating Committee and on the Board of Directors;

F. If a member of the Nominating Committee is submitted as a suggested candidate for an office of FNA

and the member consents to be considered as a candidate, said member shall immediately resign from

the Nominating Committee. This does not apply to a present member of the Committee whose name is

submitted as suggested candidate for the Nominating Committee for the next term or as an ANA Delegate;

G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received the next

highest vote at the Membership Assembly at which the Committee members were elected.

Section 2. Nomination Process

A. Suggestions for nominees for elected offices shall be solicited from each Region and structural unit;

B. Individuals may nominate candidates or self-nominate;

C. Requests for nominees shall be published in The Florida Nurse;

D. The Committee shall propose a tentative FNA ballot containing nominees for:

1. ANA Delegates

2. FNA Officers, Directors, and Nominating Committee;

E. After presentation to the Board of Directors for information only, the tentative ballot shall be published

in the Call to Meeting of the FNA Membership Assembly;

F. Within the 30 day period following the publication of the tentative ballots in the FNA official publication,

additional nominations may be made to the Chair of the Nominating Committee by any individual

member, Region, or structural unit;

G. The Nominating Committee shall formulate the final ballots by the addition of the nominees submitted,

provided that all eligibility and membership requirements are met;

H. A person shall not appear on the FNA ballot as a nominee for more than one office;

I. The completed ballots shall be:

1. In conformity with the FNA bylaws and the policies as adopted by the FNA Board of Directors;

2. Identified, for each person running, as to the region and city or county of membership;

3. Presented for information only to the Board of Directors before being published in the Official Call to

Meeting;

J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected statement

and the Conflict of Interest statement;

K. The biographies of the nominees, including region and city or county of membership, shall be published

with the ballots in the Official Call to Membership Assembly.

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Section 3. Election Process

A. Elections shall be held in the odd-numbered years;

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

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

2. In the case of a tie, the choice shall be determined by lot at the Membership Assembly;

C. Members may vote for persons other than those whose names appear on the ballot by writing in the

names of qualified candidates who have signed the consent-to-serve forms;

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

day of the Membership Assembly;

E. The Tellers shall:

1. Verify membership and tabulate the votes;

2. Compile a report of all votes received; and

3. Send the results by certified mail, in duplicate, to the FNA Secretary at the FNA Headquarters;

F. The Secretary shall announce the election results at the Membership Assembly;

G. The President, President-Elect, Vice-President, Secretary, Treasurer, Directors, FNA Nominating

Committee, and any other elected position on the ballot shall be declared as elected at the

Membership Assembly.

Section 4. ANA Representatives

A. All FNA members with full membership may vote for ANA representatives.

B. The FNA President and President-Elect shall be concurrently elected as representatives.

C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full

members of FNA.

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

ARTICLE VII. Meetings

Section 1.

The official meeting of the Florida Nurses Association is the Membership Assembly and will be held at least

biennially. It will consist of reports from the Board of Directors, Regions, and committees; and adoption of bylaws

and proposals. Additional activities may include educational programs, networking, and professional updates.

Section 2. Order of Business

The Order of Business of each Membership Assembly of FNA shall be in accordance with a program adopted at

the beginning of the meeting.

Section 3. Call to Meeting of the FNA Membership Assembly

The Official Call to Meeting of the FNA Membership Assembly shall be noticed via mail or electronic communication

at least sixty (60) days before the first day of the Membership Assembly.

Section 4. Special Meetings

A. Special meetings of FNA may be called by the FNA Board of Directors upon the written request of a

majority of the Regions and/or collective bargaining units.

B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen days

before the first day of the meeting.

Section 5. Quorum

Five members of the Board of Directors, one of whom shall be the President or President-Elect, and

representatives from a majority of the Regions shall constitute a quorum for the transaction of business at any

Membership Assembly or special meeting of the FNA.

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Section 6. Membership

The voting body at all Membership Assemblies and special meetings of this Association shall consist of the

Board of Directors and all FNA members in good standing who are in attendance.

ARTICLE VIII. Board of Directors

Section 1. Composition

There shall be a Board of Directors composed of the Officers and the Directors.

Section 2. Meetings of the Board of Directors

A. Meetings shall be held at such times and places as shall be determined by the Board of Directors.

B. Special Meetings:

1. May be called by the President on seven (7) days’ notice to each member of the Board, either by

mail, telephone, or electronic communication;

2. Shall be called by the President in like manner or on like notice upon the written request of:

a. Five (5) or more members of the Board of Directors, or

b. A majority of the Regions; and

3. Shall be held at such times and places as may be specified in the notice thereof.

C. Business that requires action by the Board of Directors between regular meetings may be conducted by

mail, telephone, or electronic communication. Such action shall be subject to ratification at the next

regular meeting of the Board of Directors.

D. Attendance

1. Any member of the Board of Directors may have one (1) absence from the Board of Directors’

meetings within a one-year period.

2. A board member on official business as designated by the President of FNA or Board of Directors at

the time of the Board Meeting shall not be considered absent.

3. A partial absence shall consist of not more than two (2) hours, unless an unforeseen emergency

occurs en-route to the meeting.

4. At the second absence of any member of the Board of Directors, the Board of Directors shall vote

on removal of said board member from position.

E. FNA members, the Chair of the Labor and Employment Relations Council, and the President of the

FNSA or a designee, shall be eligible to attend meetings of the Board of Directors. They shall have

voice, but no vote.

Section 3. Quorum

A majority of the Board of Directors, including the President or the President-Elect, shall constitute a quorum at

any meeting of the Board of Directors.

Section 4. Duties of the Board of Directors

The Board shall:

A. Establish major administrative policies governing FNA and provide for the transaction of general

business of the organization;

B. Provide for the expenditure, investment, and surveillance of FNA funds;

C. Provide for the bonding of appropriate officers and staff;

D. Provide for the adoption and administration of a budget, and for a periodic review statement by a

Certified Public Accountant;

E. Provide for the operation and maintenance of a state headquarters;

F. Employ an Executive Director, define duties, and fix compensation;

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

H. Determine the registration fee, date, and location of Membership Assembly;

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I. Determine the time and place of meetings of the Advisory Council;

J. Recommend to the Governor nominations for appointments to the Florida State Board of Nursing and

any other appropriate boards;

K. Report to FNA members the business transacted by the Board of Directors;

L. Act upon recommendations and/or plans of committees prior to implementation;

M. Establish regional boundaries,

N. Receive, for information only, reports from the Bylaws, Nominating, and Reference Committees;

O. Fill vacancies in office as provided in these bylaws; and

P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the FNA

membership.

ARTICLE IX. Executive Committee

Section 1. Composition

There shall be an Executive Committee composed of the Officers of the Board of Directors.

Section 2. Powers

The Executive Committee shall have all the powers of the Board of Directors to transact business between meetings

of the Board. Such action shall be subject to ratification at the next regular meeting of the Board of Directors.

Section 3. Meetings

A. The Executive Committee shall meet at the call of the President;

B. Meetings may be conducted in person, by mail, telephone, or electronic communication.

Section 4. Quorum

A majority of the members of the Executive Committee shall constitute a quorum at any meeting of the Committee.

ARTICLE X. Committees

Section 1. General

A. Committees shall assume such duties as assigned by the Board of Directors, and as specified in these

Bylaws and report action as requested.

B. Committees shall meet only with the approval of the President or Board of Directors.

C. Committees shall meet on the call of the Chair, with no less than fifteen (15) days’ notice to committee

members and FNA Headquarters.

D. Unnoticed absences from two meetings of a committee shall constitute a resignation.

E. A majority of the members of any standing or ad hoc committee shall constitute a quorum.

F. Members of the FNSA shall be eligible to attend FNA committee meetings.

Section 2. Ad Hoc Committees

There shall be ad hoc committees appointed by the President, the Board of Directors, and/or the FNA

representatives attending the Membership Assembly as deemed necessary to act upon issues pertinent to FNA.

Section 3. Membership Committee

The composition of the Membership Committee shall be the Vice-President as chair, the Treasurer, and at least

five (5) members appointed after each election by the President, with approval of the Board of Directors, to

serve until their successors are appointed.

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Duties:

A. Identify strategies for retention of members,

B. Develop a marketing campaign to seek new members,

C. Recommend membership options,

D. Submit suggestions to FNA Board of Directors, and

E. Report to the FNA membership on the status of membership.

Section 4. Reference Committee

The Reference Committee shall consist of five (5) members appointed after each election by the President,

with the approval of the Board of Directors, to serve until their successors are appointed.

Duties:

A. Seek reference proposals from Regions, LERC, and members;

B. Review proposals for appropriate structure;

C. Make appropriate suggestions to authors as needed; and

D. Present proposals at the Membership Assembly.

Section 5. Bylaws Committee

A. Composition.

The Bylaws Committee shall consist of at least five (5) members appointed after each election by the

President, with the approval of the Board of Directors, to serve until their successors are appointed.

B. Duties.

1. Receive and review all proposed amendments to the FNA bylaws and edit for conformity;

2. Submit proposed amendments to FNA bylaws as appropriate;

3. Present the proposed amendments to the FNA Board of Directors; and

4. Submit the proposed amendments to the membership at the FNA Membership Assembly in

accordance with the provisions for amendments to these bylaws.

Section 6. Finance Committee

A. Composition.

The Finance Committee shall consist of at least five (5) members, including the FNA Treasurer, who

shall serve as Chair. Four members shall be appointed after each election by the President, with

approval by the Board of Directors, to serve until their successors are appointed. One of the appointed

members shall be a member of the Labor and Employment Relations Council.

B. Duties. The committee shall:

1. Supervise the preparation of an annual budget for the fiscal year defined as the calendar year

January 1 to December 31;

2. Present the budget for approval to the FNA Board of Directors;

3. Advise the FNA Board of Directors and other FNA structural units regarding financial matters and

feasibility of funding for expenditures;

4. Advise and report on the expenditure of funds to the FNA Board of Directors; and

5. Report to the Membership Assembly the financial status of FNA.

ARTICLE XI. Regions

Section 1. General

A. There shall be Regions which meet the following requirements:

1. Regions must be in conformity with the bylaws of FNA

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ARTICLE XII. Labor and Employment Relations Council (LERC)

Section 1. General

The Labor and Employment Relations Council shall exist for the purpose of overseeing the conduct of FNA’s

labor/employment relations and collective bargaining program, which shall include the formation of appropriate

policies and procedures.

Section 2. Term of Office

Each member shall serve a term on the Council which shall be concurrent with the term as President of the

Local Bargaining Unit.

Section 3. Responsibilities

The Labor and Employment Relations Council shall:

A. Oversee the conduct of the FNA’s labor/employment relations and collective bargaining program, which

shall include the formulation of appropriate policies and procedures;

B. Formulate programs of assistance and training for local bargaining units;

C. Consider and adjudge requests for legal assistance involving employment issues and contract

grievances from members of local bargaining units;

D. Make preliminary annual budget projections and recommendations to the FNA Finance Committee prior

to adoption of the budget by the FNA Board of Directors;

E. Establish, when needed, subordinate councils to conduct studies and make recommendations in

specific substantive areas of labor and employment relations;

F. Assist FNA staff in the development of local unit organizing activities;

G. Communicate with the Board of Directors concerning economic and welfare issues relative to the

nursing profession.

H. Receive and review the bylaws of any collective bargaining unit making application for FNA to be its

bargaining agent; and

I. Receive and review the bylaws of each collective bargaining unit on a periodic basis.

Section 4. National Labor Convention (NLC) Delegates

A. All Collective Bargaining Unit (CBU) Members may vote for NLC delegates.

B. NLC delegates will be elected by secret ballot by plurality vote.

C. Each delegate and alternate will be elected for a two-year term.

D. LERC is allotted up to five delegate candidates to the NLC.

ARTICLE XIII. Advisory Council

Section 1. Composition

A. The FNA Board of Directors and representatives from Regions, Collective Bargaining Units, and/or their

designees, facilitators for each Special Interest Group, the FNPAC Chair, and the FNF President shall

constitute an Advisory Council to consider and promote the interests of FNA.

B. Two officers of FNSA shall be eligible to attend meetings of the Advisory Council.

Section 2. Meetings

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

1. By the FNA President; or

2. By the FNA Board of Directors; or

3. At the request of fifty (50%) percent of the Regions.

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ARTICLE XIV. Florida Nursing Students’ Association

Section 1. General

It shall be the responsibility of FNA to set up communications with Florida Nursing Students’ Association that

will foster an organization of students of professional nursing which will assist in preparing them to meet their

professional obligations as graduate nurses.

Section 2. Meetings

Meetings of the FNSA may be held in conjunction with the FNA Membership Assembly.

ARTICLE XV. Relationship of FNA to ANA

Section 1. Membership

A. The annual dues for a full FNA member shall be set forth in dues policy and shall include the present

rate of dues paid by the FNA to the ANA. In the event that the rate of dues payable to the ANA by the

FNA increases, any such change shall be automatically added to the annual dues paid by a full FNA

member.

B. The FNA shall continue to pay dues to the ANA pursuant to the ANA bylaws and House of Delegates

policy until such time as 2/3 of the entire full FNA membership votes to disaffiliate from the ANA. The

vote may occur by mail, phone, or electronic ballot, with appropriate notice and procedures to protect

the integrity and validity of the vote.

Section 2. ANA Constituent Assembly

FNA shall be entitled to representation at the ANA Constituent Assembly by the President of FNA and the

Executive Director, or their designated alternates.

Section 3. ANA Delegates

A. FNA shall be entitled to representation at the ANA Membership Assembly as determined in the ANA

bylaws.

B. FNA shall elect representatives as allocated in accordance with policies adopted by the ANA House of

Delegates.

ARTICLE XVI. Official Publication

Section 1. The Florida Nurse shall be the official publication of FNA.

Section 2. LERC Today shall be the official publication of the Labor and Employment Relations Council.

ARTICLE XVII. Parliamentary Authority

The rules contained in Robert’s Rules of Order Newly Revised shall govern meetings of FNA in all cases to

which they are applicable and in which they are not inconsistent with these bylaws.

ARTICLE XIII. Amendments

Section 1. Previous Notice

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

members present and voting.

B. All proposed amendments shall be in the possession of the FNA Executive Director at least sixty

(60) days before the Membership Assembly, and shall be published at least 30 days prior to the FNA

Membership Assembly.

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Section 2. Without Previous Notice

These bylaws may be amended, without previous notice, at any Membership Assembly by a ninety-five percent

(95%) vote of the members present and voting.

ARTICLE XIX. Dissolution

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

distributed in accordance with governmental regulations. No funds can inure to the benefit of any individual member.

Approved by Membership Assembly

November 2016

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FNA Staff

Willa Fuller, BSN, RN – 19 years, Executive Director since 6/11/07 – Manages the day to day operations of the

association.

John Berry – 9 months, Director of Labor Relations and Government Affairs

Vicki Sumagpang, MSN, RN – 5 ½ years, Director of Member Engagement

Tunala Stark – 14 ½ years, Bookkeeper/Program Specialist for Membership

Bibi Lowton – 14 years, Program Specialist for Governmental and Professional Practice Advocacy

Kaitlyn Scarbury – 11 months, Executive Assistant/Marketing Specialist

Leslie Homsted, RN – 20 years, Communications Coordinator/Membership Recruitment and Retention Specialist

2017 Reports of the FNA Staff

Every two years, the Board of Directors is charged with implementing the goals and priorities as adopted by

the House of Delegates during the Membership Assembly. In turn, the FNA staff works in collaboration with the

Board and appointed/elected committees to carry out these actions, as well as conduct the business of FNA,

which continues to be a vibrant and complex association.

The current board began their terms by viewing the current strategic plan and identifying ways to continue the

work began by previous boards.

FNA maintains a prominent position as the professional

association for Registered Nurses and strives to continue its role

in advocating for optimal health care for our citizens and the work

environment for all nurses. At the same time, FNA and its entities

- such as the Florida Nurses Foundation (FNF) and the Florida Political Action Committee (FNPAC) - represent

a large business entity. As such, FNA has to abide by Internal Revenue Services (IRS) guidelines for a notfor-profit

501(C) 6 (FNA and its /units fall under the category of “like businesses,” meaning that membership

criteria is limited to registered nurses). In addition, FNA is registered in Florida and nationally as a labor

organization and must abide by those rules and regulations. FNA operates with Regions that are coordinated

or overseen by 8 elected Region Directors who along with the executive committee comprise the FNA Board

of Directors. This structure which was a pivotal change made by the 2009 (and final) House of Delegates

continues to evolve with growth in activities from both the Regions and the Special Interest Groups.

The Florida Nurses Foundation was established by FNA leadership in 1983

and is designated by the IRS as a 501(C)3. This category is under the not-forprofit

code that differs from FNA in that it is recognized as a public charitable

organization that can utilize its funds to assist nurses. FNF funds provide grants

for scholarships, research projects and temporary assistance for nurses in need. Contributions to FNF are tax

deductible whereas FNA dues are eligible for deduction only IF you itemize your annual tax return. FNPAC, as

the political arm of the Association, must comply with Florida election laws, which includes routine reporting

of contributions and expenses, in addition to submitting an annual report to the IRS. Of course, FNA also has

obligations as a constituent member of the American Nurses Association (ANA) and the new structural entities,

as well as our regions and units.

FNA continues to believe that nurses should have one organization that speaks in a unified voice for

all of nursing. FNA recognizes the diversity of the nursing workforce, supporting nurses’ differences, but

is keenly aware that a unified voice is essential to be able to effect positive change in the current highly

charged and highly competitive environment. Recently these challenges have increased with heightened

focus on the medical community in scope of practice issues. The recent Institute of Medicine Report has

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also drawn attention to the need for nurses to be able to practice to the full scope of their education. FNA

has representation on the Florida Action Coalition (FL-AC) which is the entity that is working to implement the

recommendations of the report. We also maintain and close relationship with the Florida Center for Nursing

which is one of the Co-Leads of the FL-AC.

FNA has the opportunity to change the nursing in Florida environment for the better.

With the work of dedicated, creative and innovative volunteers, FNA can change the

workplace for nurses and the health care environment for the patients served. Recent

work with QUIN Council and with the Florida Coalition of Advanced Practice Nurses

has increased collaborative networking and work among other organizations. There

has been some conflict from groups with dissenting opinions on some matters and FNA along with other

partners are working to create unity among differences. FNA continues to meet with QUIN and the Coalition

on a regular basis. Most recently, QUIN has created a website to educate and inform those interested in the

nursing profession regarding selecting the best school for their education. QUIN also plans in 2018 to convene

a “Think Tank” dedication to safe staffing and a quality work environment for nurses.

Membership

Since FNA is a professional association, resources and abilities to advocate for nurses are dependent upon

the success of recruitment and retention of members. While it is appropriate that the majority of our revenue

comes from member dues, associations are experiencing a drop in membership across the board.

FNA has been affected by many factors, including but not

limited to, impact of state employee reductions, closures and

downsizing, failure of new graduates to join the association,

retirement of nurses who do not renew, and the current

challenging economy. The Membership Committee, along with

FNA staff, works diligently to implement strategies outlined

in their report. In addition, the Board has been supportive

of supporting their ideas and approving new sources of nondues

revenue. The current Membership Committee has made

several recommendations for membership recruitment in the

upcoming months including. Other strategies include, phone

contact or personal contact from board members to recoup

pending deletions, deleted members, and new grads. A post

card campaign with personalized messaging, and revival of the

Star Campaign have also been initiated for the past two years.

2017 Membership Recruitment and Retention Strategies include:

• Continuation of Birthday emails to each FNA member;

• A “You’ve Been Spotted” initiative to invite nurses who have won awards or

demonstrated other accomplishments to join the professional association

• Three touch points of renewal for each FNA member (one mailings and two emails);

• Targeted post card campaigns

• Personal notes to members on renewals;

• A revised new membership packet sent electronically to each new member;

• Membership recruitment emails to students lists provided by ANA;

• A special snail mail promotion to all deleted new grad members from the past two years;

• A social networking presence on Facebook, Twitter, Linked In and YouTube;

• Text reminder for renewals ( in transition to new service)

• Our own social networking community “Yammer” for Members Only;

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• Membership recruitment contests and incentives;

• Ongoing recruitment packets sent to potential RN/ARNP members;

• FNSA consultant communication and incentives;

• Promotion of State Only Membership to get people to “try us on for size”

• Past FNSA member communication;

• Presence at specialty nurse organization or other nursing events;

• Invitations to previously deleted members to re-join FNA;

• Consistent member communication about FNA programs;

FNA presence at student RN programs and graduations;

• Quarterly publication of New Grad Gazette to our new grad members

• Close relationship with FNSA, Student Forum in The Florida Nurse to engage students

• First year free membership for all FNSA new graduates and ½ off for all first year renewals (FNSA graduates

receive another special email to remind them of their first year renewal price); additionally we have extended

the monthly payment option to this reduced rate;

• FNSA liaison positions on FNA board and committees to provide mentorship and exposure to the

professional organization.

• ADP option for FNSA new graduates that can be applied over one or two years;

• ADP Option for new non-FNSA new grads of reduced membership with the monthly deduction option

• Recruitment and continuing education meetings across the state for bargaining unit members;

• Specialty packets for bargaining units from OPEIU

• Opportunity to form Special Interest Groups

• Nursing Research Conference

• Online FNA Career Center and job placement assistance.

• The continued development of the Florida Leadership Academy

• Focus on Faculty as Mentors and the gateway to creating young advocates

Public Relations

FNA has also become heavily involved in social networking strategy in order to reach larger populations

of nurses. FNA has presence on Facebook, Twitter, LinkedIn and YouTube. Through these communication

avenues, FNA can make announcements about activities and programs and increase engagement by nurses

and students. FNA has 6,791 likes (up from 2,384 in 2012) on Facebook, 1,040 (up from 614 in 2013)

“followers” and on Twitter. We are also hoping to build our video library on You Tube and become more active

on LinkedIn. We have subscribed to Vimeo with plans of launching web based continuing education programs

online for members.

We also respond to media requests and interviews on topics central to nursing and healthcare and have had

several mentions in various media outlets, from major newspapers to blogs.

We seek an respond to media requests for interview and participate in the community when feasible.

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Communication

2017 Member Communication strategies include:

FNA Members Only: Online PRN newsletter used to update members on association, nursing and members

news. (This has been on hold due to staffing issues but we are planning to resume this year combining our

other online newsletters).

• Focus on the Foundation: This e-newsletter keeps members up to date about the activities of the Florida

Nurses Foundation, FNA’s philanthropic arm.

• Region Updates and Email Alerts: Emails to region members are sent at the request of FNA region directors.

This is primarily to announce meetings or other events in the area or to request volunteers.

• The Florida Nurse: The Florida Nurse goes to every nurse in the state of Florida and not only contains news

of interest to FNA members but keeps the general nursing population informed about nursing and healthcare

in the state.

• The State Unit Newsletter: The State Unit Newsletter (the “SUN”) goes to every state employed member of

the Professional Health Care Unit. The SUN provides pertinent information and updates to state employees.

FNA works each year to streamline existing programs and look for new ones that will be beneficial to FNA

members and other nurses in the community. FNA continues to produce Advocacy Days (Formerly Lobby Days)

and for the third year, the Research and Evidence Based Practice Conference. This will conference will be the

sixth annual Membership Assembly. Each Region also coordinates several highly rated conferences throughout

the year. See below for additional information on FNA conferences. Highly popular this year has been the

Therapeutic Touch (TT) Seminars by Dr. Jean Kijek, our resident expert who studies with Dr. Delores Krieger

the TT creator and pioneer. Our educational webinars have also experiences excellent attendance and we have

presented most of the mandatory education requirements via this modality.

Our webinars have been well attended and highly rated and we delivered several outstanding programs

including several of the mandatory CE requirements.

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Advocacy

FNA’s core function is advocacy on many levels, including being responsive to the needs

of members and outreach to nurses and students in general, advocating for o ptimal work

environment and health care safety and other health care concerns. Please refer to the

section on Public Relations since this includes activities that also demonstrate advocacy.

Our legislative advocacy program is ongoing

through our lobbyists in Tallahassee and the

grassroots lobbying efforts of our Legislative

District Coordinators (LDCs) across the

state. Alisa Lapolt of GoTopsail Public Affairs

continues with FNA as a part of our lobbying

team. Robert Levy also continues as a contract lobbyist for FNA

who provides excellent support for the association. At this year’s

Lobby Days conference, we covered topics ranging from an

update from Joe Baker and Sherri Sutton-Johnson to an update

on issues of importance to nursing. We were able to present the Legislator of the Year Award to Senator

Denise Grimsley who was instrumental in defeating the Dr. Title Bill which would force nurse practitioners to

state that they were “not medical doctors.” There was excellent student attendance and once again nurses

both veterans and novices alike learned to navigate the Capitol during session. We took suggestions from last

year and developed a teaching plan for faculty who are bringing their students. In addition, we added a role play

session with participants experiencing scenario’s that could happen with their visit. We held a preconference

webinar explaining what is going to happen. For two years in a row, we have held webinars prior to the event

to orient potential attendees to the Lobby Days Experience. We have provided shuttle transportation to the

Capital to make navigating the terrain an easier experience for attendees.

The Health Policy Special Interest group (HP SIG) is comprised of members who have a particular interest in

being involved with the political process. Monthly meetings focus of issues of interest and topics of concern to

nurses. This SIG is one of the most active member groups within FNA.

See the final legislative report on page 80.

L.E.R.C.

The leadership of the bargaining units as members of the Labor Employment

Relations Commission (LERC) faced many challenges over the past few years,

particularly those in the state unit. With severe budget cuts and privatization,

many members retired early or left for other opportunities. Closures of some

facilities continue to affect membership. We experienced many non-members

seeking help from us and used this as an opportunity for member recruitment. FNA, along with OPEIU is working

to increase membership in LERC through internal organizing and have done additional mailings and visits to those

facilities for member education and recruitment. FNA plans to continue these meetings in 2017-2018.

Over the past two years we are working to update our workplace publications and create e-versions E-versions

of each of them. Due to the cost of printing, two years ago, we converted the New Graduate Handbook

into an online newsletter called New Grad Gazette. We do print it on demand for special events such as

pinning ceremonies. The revised pamphlet, Understanding the Nursing Profession in Florida was conceived in

partnership with several Florida nursing leadership groups several years ago. We have further revised and

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updated the appearance of the brochure again. This has been an excellent resource to use in explaining

nursing education levels in the state. There are two versions of the brochure, for legislators and the public

and for those seeking a career in nursing. Jan Hess, FNA Director has completed a history of the Florida

Nurses Association focused on our legislative achievements since 1909. She has updated the timeline in this

publication after each legislative session. This will also be an E-publication.

FNA continues to promote ANA’s Principle of Nurse Staffing and Principles

for Documentation as resources for staff nurses in dealing with concerns on

staffing and patient safety. ANA recently reviewed their Principles for Safe

Staffing and the revised version will be available soon. At the end of the review

(2013) they concluded that the principles were sound and continued to be valid,

however they have also added that in some instances, ratios can be one of the solutions to safe staffing.

The most important component of the plan is that nurses are involved in setting the staffing plans where they

work. Safe staffing remains a priority agenda item as evidence by our work with QUIN on a Think Tank next

February. We have developed several promotional pieces for deployment on social media and other formats to

create awareness.

Phone consultation to members is available during office hours and FNA continues the policy of limiting

non-member assistance from 1 to 2 p.m. (non-members may call 407.896.3261. FNA does not provide the

member 800 number to non-members since it is a member benefit. In addition, FNA staff speaks with nurses

from out-of-state or to nursing students or LPN’s at any time during the day.

Whereas, the Board of Nursing, as directed by law, is there to protect the public and advocates on nurses’

behalf, FNA’s mission includes serving as the advocate for nurses and collectively for the profession. This

advocacy directs everything FNA does from legislative and health policy initiatives, as well as FNA formal

collective bargaining agreements, educational activities including publications from both ANA and FNA, and

consultation on workplace issues.

FNA continues to provide a member benefit which allows members to call in and request one legal consultation

with FNA practice counsel. There has been minimal use of this benefit but it has been helpful to those who

needed it. This benefit is only activated if it is truly a question that cannot be answered by staff. We have also

used this service to generate a FAQ list to be able to answer non-legal questions from nurses. Once this has

been refined and checked for accuracy, it will be published.

FNA is also working to become as “green” as possible. FNA continues to embrace this philosophy

at Headquarters by purchasing green products and recycling. We no longer purchase bottled water

for meetings, we have two recycle bins in the office for cans and bottles, and we work diligently to

decrease printing.

In addition to what has been addressed in previous goals, FNA continues evaluate and identify issues in

order to determine what additional resources might be developed to assist nurses in the workplace. FNA also

distributes, upon request, official ANA and FNA positions statements. These statements are purposed by

membership and adopted by the delegates at the national and state level, as well as both Boards of Directors,

as deemed necessary.

We have signed on to several letters related to topics of interest to nurses or to public health interests in the

past two years. We have also declined to write letters of support or even written letters of opposition when

appropriate.

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Economic and General Welfare of Registered Nurses

The Labor and Employment Relations Commission (LERC) continues to work in developing and implementing

activities to effectively address the concerns of all staff nurses in Florida. In developing activities and

strategies, LERC looks at both workplace advocacy strategies and collective bargaining strategies.

Workplace Advocacy strategies include activities initiated to address many and varied employment and

workplace challenges faced by nurses on a daily basis and can be employed by nurses whether represented by

collective bargaining or not.

With The Florida Nurse going to all RNs in Florida, the Professional Practice Advocacy column has provided an

excellent forum for educating all nurses on what resources are available through the association to assist with

their workplace concerns, as well as provide articles on pertinent issues relevant to practice. The Members

Only e-newsletter and section on the FNA websites provides a vehicle to provide FNA members with the most

up-to-date information on timely topics and the latest resources. In addition to these communication vehicles,

the members of LERC periodically publish their own newsletter LERC Today from FNA, which goes to bargaining

unit members in an effort to provide unit specific information and activities. Additionally, the members of LERC

publish the State Unit Newsletter (the “SUN”), which provides information and updates to members in the state

Professional Health Care Unit.

FNA continues with the commitment to assist all nurses in all practice settings, addressing their concerns.

This is accomplished by informing nurses of what resources are available through the association, such

as workplace publications, conflict resolution strategies, assisting with issues of health and safety in the

workplace and education on the importance of being involved on committees, either in their workplace or

communities where policy is developed.

FNA collective bargaining units continue to provide strong leadership to the nurses

in their workplaces through multiple activities. The units are able to highlight their

activities in their annual report, which is included in this Book of Reports. During this

past year, several units have negotiated new contracts which secure their salary and

benefits and provide mechanism for nurses to meet and confer with management

representatives to address issues of concern such as disciplinary actions, staffing,

overtime, and scheduling. The units have worked very hard to provide leadership

training and education to their members. Membership growth has been achieved in

all units as a result of the hard work of unit leadership in educating their members to

the importance of being involved their bargaining unit and professional association.

For four years in a row, LERC has held a Labor Summit for its members dedicated to

education and leadership development. Due to economic concerns we did not hold a

summit this year as of yet but have a training scheduled for FNA Headquarters before

the end of the year.

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Organizational Structure

The transition of the FNA structure is complete and the Regions are

each evolving in their own way. There have been events in each of the

Regions. The Special Interest Groups have evolved and several have

ended while others are flourishing. Frequent conference calls and

webinars have been held under the coordination of Director of Programs

and Member Engagement, Vicki Sumagpang. A committee of the Board

of Directors recently developed a guideline for Region Directors to help

new Region Directors transition into their roles. The same idea has

been advanced for the Special Interest Groups (SIGS). The active SIGs

are the Health Policy, Ethics, Health Literacy, and the Nursing Research

SIG. The Clinical Nurse Specialist SIG has become quite active and was

recently accepted into the Florida Coalition of Advanced Practice Nurses.

The Board continues to evaluate the viability of the SIG’s and review the

activity of these groups over time. Nurse entrepreneur, Faith Community

Nurse, Environmental, Faculty, Health Risk, and the Simulation SIG’s

have dissolved due to inactivity, or the group determined there was

other groups that already met that particular need.

Conferences and Continuing Education Programs

FNA is committed to providing quality educational opportunities for the nurses of Florida. FNA programs are

designed for and often by the members of the association to meet the needs of a variety of practitioners. In

addition, the programs provide an opportunity for networking with colleagues as well as professional growth by

attending or participating in the programs as a presenter. These programs are offered to members at a discounted

rate and non-members are encouraged to also attend. Decisions regarding continuation vs. deletion are periodically

made regarding new and existing programs. We offered over 300 contact hours between 2015 to the current time.

FNA Advocacy Days alternates between March and January depending on

the legislative session. Coordinated by the FNA Lobbyist and FNA Staff, this

program provides didactic information on grassroots lobbying and first-hand

experience interacting with state and local officials. Nurses are encouraged

to communicate with their legislators throughout the year. For the last few

years, FNA lobbyists made appointments for members to see legislators

in their offices in Tallahassee. Members were provided FNA toolkits to

provide to each legislator with whom they met. In 2016, 125 nurses and

nursing students attended Advocacy Days. Due to the success of the shuttle

transportation in prior years, we continued the bus service for providing

transportation to and from the events and off site hotel attendees. FNA

members once again wore white lab coats and packets were prepared for our grassroots lobbyists to share

with tier legislators. We also made the legislative visits optional, this decreasing no-shows and only engaging

those participants who wanted to directly engage with legislators. The large majority of attendees opted to

make the legislative visits. Bob Levy and Jose Diaz of Robert Levy and Associates have been an integral part

of the planning and execution of this outstanding program for our members. They made appointments with

legislators, secured the 22 Floor of the Capitol for our Luncheon as well as the historic old Capitol building for

presentation from legislators and other policy makers.. We are already excited about our 2018 plans for this

event. Next year, FNA Advocacy Days will be held January 17th and 18th at the Florida State Conference Center

in Tallahassee.

This year we bid goodbye to Alisa Lapolt of Gotopsail Public Affairs and Jose Diaz of Robert Levy and

Associates. We appreciate all that they have done for nurses over the years.

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Legislative Overview 2017

Alisa Lapolt, Lobbyist

From time to time, the staff and lobbying team of the Florida Nurses Association is asked, “What exactly does

FNA do for us at the state Capitol?” It’s a question easily answered: We do a lot.

An estimated 70 percent of the work done by the lobbying team is defensive – making sure that other special

interests don’t put limits on, or add extra burdens to, the work nurses do.

Case in point: SB 670 by Sen. Don Gaetz (R-Crestview), as initially written, would have protected members of

the state’s child protection teams from lawsuits arising from the work they do investigating child abuse and

neglect. But the bill was later amended to extend that lawsuit protection only to physicians.

Other legislation would have required nurses and other healthcare providers to get an additional license to

work as a diabetes educator (SB 1286 by Sen. Audrey Gibson, D-Jacksonville and HB 1261 by Rep. John

Cortes, D-Kissimmee).

In these and other instances, our course of action is to share concerns with the bill sponsors and staff and

make suggested changes to the bills. If that doesn’t work, our strategies include reaching out to committee

members and asking them to vote against the bill or even asking the committee chairman not to schedule the

bill for a committee hearing.

On the flip side, we play offense in promoting bills that make a positive impact on nurses and patients.

Examples include controlled substance prescribing rights for registered nurses and a multi-state license for

nurses under a Nurse Licensure Compact.

To capture some of the work we do for FNA members, I provided a weekly update of bills affecting nurses and

the patients they serve. This year, it’s a list that spans 10 pages. A final bill report was made available to FNA

members after the conclusion of the legislative session, which was Friday, March 11.

We also launched in January a new email newsletter called “The Pulse.” The idea is to capture “the pulse” of

what’s going on with nurses at the Capitol.

Our lobbying efforts got a big boost from about 170 nurses and nursing students during FNA’s annual Advocacy

Days at the Capitol in January. Participants met with their House and Senate members, thanks to the

appointments set by the staff at Robert M. Levy & Associates. Bob’s interns led eight teams of nurses through

the Capitol for their appointment.

We shared information on eight different subjects with lawmakers, ranging from pay raises for state employees

to efforts to reduce violence against nurses in the workplace. We received positive evaluations from event

feedback forms. One wrote, “I found this experience to be very enlightening and it was comforting to leave the

Capitol having some legislators support nursing.”

There will be more opportunities for members to become involved with FNA’s advocacy efforts over the next

year as usual.

We have initiated several FNA Advocacy Boot camps and launched a summer advocacy program to support our

members in establishing relationships with their local legislators.

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Legislative Summary 2017

All bills passed by the Florida Legislature during the 2016 session have been sent to the governor for his

signature into law. A list of nurse-related legislation was provided to the board following the conclusion of the

2016 session, which ended March 11. No bills are expected to be filed for the 2017 session until after the

elections, although unopposed candidates elected in the Aug. 30 primary could file legislation early.

Legislative Agenda

The FNA typically develops its legislative agenda by August in advance of legislative committee weeks. It is

advisable for the board to do so by mid-July in order to give the lobbying team the opportunity to share it with

legislative candidates.

Now that ARNP prescribing has become law, the FNA Board of Directors has an opportunity to focus its

priorities in new areas. Alisa has been engaged in conversations with lawmakers about issues such as

workforce violence, nursing education, and staffing and will share her findings with the board.

Issues that are expected to return in next year’s session include licensure for diabetes educators, POLST,

state employee retirement, and mental health access (Baker Act).

The board may want to consider new areas to champion, such as public health, workplace violence, student

loan forgiveness funding, clinical nurse specialists, and nursing faculty increases.

ARNP Prescribing

As required under HB 423, the Board of Nursing has established members of its Controlled Substances

Formulary Committee. They will have until Oct. 31 to meet, collect input, and make recommendations as to

which drugs should be on the formulary. It is unclear at this point whether it will be a formulary or a negative

formulary. The formulary and associated rules will be promulgated as part of a rules-making process. It will go

into effect Jan. 1, 2017, when ARNPs can begin prescribing controlled substances on the formulary, according

to HB 423.

The BON has designated a page on its website to educating ARNPs about the new law, its limitations, and its

effective date. The FNA has also highlighted this information in The Pulse and elsewhere.

Alisa Lapolt finished her time with us in July . Please meet our new lobbying firm: Gray-Robinson

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Affiliated “Arms” of FNA

FNA provides the administrative support for both the Florida Nurses Political Action Committee (FNPAC)

and the Florida Nurses Foundation (FNF). Although these structural organizations are separate from FNA in

that they have separate bylaws, officers, and operational guidelines, leaders of FNA were the impetus for the

creation of these important groups and continue to hold leadership roles on both boards.

FNPAC is a voluntary non-profit and non-partisan organization which operates in conformity with the policies

and goals of FNA and the election laws of Florida. It was established in 1981 to encourage nurses to become

aware of the importance of political issues and impact on patient care, assist nurses in becoming politically

active and solicit voluntary contributions to support the endorsement of candidates who have demonstrated

responsiveness to health care issues. Contributions and endorsements are made without regard to party

affiliation. In 2010, an option to donate monthly to FNPAC was provided to members, per the recommendation

of the FNPAC board. The monthly donation option is available on FNA applications, as well as online. As this

is an election year, the PAC has been very busy interviewing candidates and endorsing those that support our

legislative agenda. We are pleased to have Belita Grassel, and FNA member running as a candidate for state

representative this year.

We currently have the option for members to deduct additional money from your checking account or credit

card on a monthly basis. This is a painless way to give and provide strength to the FNA legislative program

through additional financial resources.

The Florida Nurses Foundation was established in 1983 as a non-profit public corporation 501 (c) 3 to

promote the public’s awareness of nursing services as an integral part of the health care delivery system.

Since 1986, the Foundation has provided scholarships and research grants during the annual luncheon held in

conjunction with the FNA Convention, now called the FNA Membership Assembly. In addition, FNF continues to

provide temporary financial assistance to nurses from the Nurses in Need Program.

The Foundation is privileged to have the following endowment funds, representing a minimum contribution of

$10,000 or more:

Nurses in Need:

• Undine Sams, RN, Fund (Recently reached the $15,000 level with a donation from the Charitable Trust)

• Maurine Finney Fund

• Katherine Gutwald/Lillian Smith District 9 Fund

• Paula Massey Fund

Research Grants:

• Frieda Norton Fund (District 5 Charitable Trust) - Open to all candidates.

• Evelyn Frank McKnight Fund - Open to all qualified candidates.

• Blanche Case Research Fund - Preference given to nurse researcher in South Florida.

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• Edna Hicks Research Fund - Preference for south Florida nurse.

• Imogene King Research Fund (from District 4) – Open to graduate students statewide.

• Evelyn Baxter Memorial Fund - For students of Manatee, Sarasota, Hardee, and Charlotte counties; 40%

goes to research grants in graduate program.

• Undine Sams and Friends Research Grant Fund – Preference given to nurse researcher in South Florida.

Scholarships

• District 3 Scholarships– Preference given to Marion county residents, BSN generic students ONLY with a

GPA of 3.0 or higher.

• Edna Hicks Fund - Graduate VA employed nurse with preference given to resident of south Florida.

• Edna Hicks Scholarship Fund – Statewide open to all levels.

• Erma B. Kraft Scholarship Fund – For generic students from Indian River County.

• District 18 Lillian Hulla Friend of Nursing Fund and Olive Seymour Fund- Two generic scholarships for

students from Volusia County.

• District 6 Generic Scholarship Fund – Four generic statewide scholarships per year. (District 18 merged with

District 6 during establishment of fund.)

• District 8 Charlotte Anzalone Scholarship Fund – For undergraduates and graduates from District 8

boundaries (Orange, Seminole, and Osceola). May award statewide if there are no local applicants.

• District 4 Florida Nurses Scholarship Fund - Undergraduate/graduate students who are residents of

Hillsborough County. (just recently increased to $15,000 level with a donation from District 4).

• Evelyn Baxter Memorial Fund- For students of Manatee, Sarasota, Hardee, and Charlotte counties; 60%

goes to a scholarship for ADN, BSN, MSN, PhD/DNS ARNP students.

• Ruth Jacobs District 46 Scholarship – Must be resident of Pinellas County and enrolled in a formal

academic, accredited program. Priority given to RN.

• Mary York Scholarship Fund – No restrictions.

• Marcy Klosterman Memorial Scholarship Fund (District 14) - Restricted to Lake County students with funds

to remain in principle if no qualified applicants.

• Olive Ramsey Memorial Scholarship Fund (District 46) – For student from Pinellas or Pasco counties; Must

have a 2.5 GPA for undergraduates and 3.2 GPA for graduates.

• Undine Sams and Friends Scholarship (District 5 Charitable Trust) - Preference for south Florida student but

can be given out statewide and is open to all levels.

• Nina Brookins Scholarship Fund (District 5 Charitable Trust)- Preference for south Florida Student (living or

attending school).

• Eleanor Bindrim Scholarship Fund (District 5 Charitable Trust - Preference given to perioperative nursing

student from south Florida.

• Kay Fullwood Scholarship established in 2013 for an ARNP interested in Gerontological Nursing.

• Charlotte Liddell Scholarship Fund (District 5 Charitable Trust) - Preference given to a nursing student

focusing on psychiatric nursing from south Florida.

• Ruth Finnamore Scholarship Fund - Statewide open to all levels.

• Connie Dorry Memorial Scholarship Fund - Preference to a nurse practitioner student in Dade County.

• Great 100 Nursing Scholarship Fund – Preference given to student residing in Northeast Florida in an

undergraduate or graduate program.

• Louise Fiske Memorial Scholarship Fund (District 21) – For an undergraduate or graduate nurse from

Broward County.

• Ingeborg Mauksch Scholarship Fund – Preference given to Lee County students.

• Agnes Naughton Scholarship Fund - Agnes Naughton was a member of FNA until her death and really was devoted

to RN-BSN education. This scholarship goes to an RN returning to school for a baccalaureate degree statewide.

• Iona Pettengill Scholarship Fund – Statewide; Open to any nursing students interested in public health.

• Martha Russell Gerontological Nurses Fund- Preference given to Hillsborough County nursing students

interested in Gerontological Nursing.

• Carol Petrozella Educator Fund –For a student who is interested in nursing education as a career.

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Accrual Funds

FNF accrual funds that have not reached the $10,000 endowment level are:

• The Rhoda Ehrreich Memorial Fund

• The FNF Board of Trustees Fund ( Funded by donations from current and past Board of Trustee members.)

FNF accrual funds that have not reached the $15,000 endowment level are:

• Charlotte Anzalone Scholarship Fund

• Erma Kraft Scholarship Fund

• District 4 Nurses Scholarship Fund

• Ruth Finamore Scholarship Fund

• Gutwald- Smith Nurses in Need Fund

• Maureen Finney Nurses in Need Fund

• Ruth Jacobs Scholarship Fund

• Blanche Case Research Fund

• Nina Brookins Scholarship Fund

• Eleanor Bindrum Scholarship Fund

• Undine Sams and Friends Scholarship Fund

• Edna Hicks (VA) Scholarship Fund

• Imogene King Scholarship Fund

• Ingeborg Mauksch Scholarship Fund

• Iona Pettengill Scholarship Fund

• Paula Massey Nurses in Need Fund

This year we will be adding a scholarship in partnership with the Business & Professional Women’s

Organization that is specific to University of North Florida.

In the past, endowed funds were “capped” at $10,000 dollars and scholarships and grants were awarded

on estimated principal for that year. In 2009, FNF Trustees raised the caps and allowed districts to continue

raising funds, encouraging them to target amounts in $5,000 increments. Funds would then be capped at

$15,000 and $20,000, etc.

All donations to the Foundation are tax deductible. In 2010, FNF offered the option to donate to the Foundation

monthly. This option is available on the FNA application, as well as online. Some members have taken

advantage of this option.

For the past four years, the Barbara Lumpkin Institute has funded members to attend Lobby Days (Now Advocacy

Days). It has also funded members to attend the American Nurses Advocacy Institute in Washington, DC in the past.

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Goals: Status Report

Maintain a strong nursing organization in Florida to provide relevant services and value.

The Florida Nurses Association boasts:

o A sustained presence in Tallahassee with strong lobbyists and legislative

engagement program

o A professional website and a state of the art member management system

o A strong legislative program consisting of member education and support

o A strong member benefits program

o A presence in the media through public relations efforts including a mobilization of

our social media presence and outreach to inform nurses and well as the public

o Informed members through leveraging technology for frequent communication

and information sharing.

o Highly-rated education offerings which provide no-cost, low-cost contact

hours to meet our members requirements.

o A Political Action Committee (PAC) with a continual revenue stream that

results in candidates seeking our valued endorsements.

o A charitable foundation which supports higher education and nursing research

as well as education on health policy.

Enhance public understanding of the roles and responsibilities of registered

nurses to improve health in local communities and across the state.

o The Florida Nurses Association staff and its members respond to requests

for information on the association and the profession.

o We have a Legislative Agenda and talking points on issues of importance

that we utilize with the media and with policy makers and stake holders as

well as our fellow nurses.

o We participate in community education projects as experts when feasible

such as in the case of the Ebola crisis and the Zika Virus.

o We create educational material to educate the public and stakeholders,

including legislators about the profession.

o We educate pertinent organizations about issues that impact nursing such

as school counselors about nursing education and accreditation

o We encourage and support members to write letters to the editor and op-eds

to inform the public about nurses.

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Serve as the essential resource for career development for Florida’s registered nurses.

o FNA provides essential information to our members and to the general

nursing population via The Florida Nurse which goes to ever licensed nurse in

Florida on a quarterly basis.

o We are also available by phone for professional consultation on a limited

basis to non-members.

o We respond to professional inquiries via email and phone.

o We provide continuing education to both members and non-members via

face-to-face meetings and web-based technology. Our education offerings

include programs on career development and educational advancement.

o Our membership is rich with highly educated and expert nurses and

educators who serve as resources on a voluntary basis, adding to the

strength of the organization.

Advance a legislative platform that protects and enhances the ability of all registered

nurses to practice to the full extent of their education and experience.

The FNA Legislative Platform is contructed based on current trends in nursing

and healthcare and is crafted by the Board of Directors and presented to the

Membership Assembly for revision and approval. During session and throughout

the year issues are addressed as they arise as a part of an open process driven

by the members of the association. Items on the Agenda or removed when

achieved and the Agenda is revised as needed. Items may stay on the Agenda

for many years or they may be removed based on outcomes of each session.

Two years ago, thanks to the work of a coalition of advanced practice

organizations, legislation that we had been seeking regarding controlled

substance prescribing passed the legislature. However, there continue to be

scope of practice issues that remain a concern for both registered nurses and

advanced practice nurses.

We supported the adoption of the Nurse Compact in Florida.

We advocated for the role of the Diabetes Educator.

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Build organizational relationships to advance nursing and healthcare outcomes.

Nursing Community Partnerships create an environment of collaboration and

information sharing. FNA participates actively with these groups to collaborate

on issues of importance within nursing and healthcare. FNA also works with

other groups when feasible.

QUIN Council (20 Organizations)

Florida Coalition of Advanced Practice Nurses

Florida Council of Nursing Education Administrators

Florida Association of Colleges of Nursing

Florida Center for Nursing

Florida Action Coalition

Florida Board of Nursing

Various Community Organizations (e.g. American Cancer Society)

Maintain a strong organizational structure that advances nursing.

Regional structure allows for activities throughout the state to engage

members and decreased financial risk to the organization. Regional directors

have a connection to local members allowing them to bring their voices and

their input back to leadership for consideration. This creates an inclusive

organizational environment where ideas are valued and often implemented.

Members have a diversity of opportunities for involvement and inclusion as well

as for innovation and creativity.

Multiple structural units provide for leadership opportunities in different

domains fo the association through participation in committees, task forces,

Special Interest Groups or the Political Action Committee or the Foundation

The PAC allows nurses to have a voice in political process.

The Foundation supports and encourages education and nursing research.

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Audit and Financial Information

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Florida Nurses Association

Proposed Goals for 2017 – 2019

1. Maintain a strong nursing organization in Florida to provide relevant services and value.

2. Enhance public understanding of the roles and responsibilities of registered nurses to

improve health in local communities and across the state.

3. Serve as the essential resource for career development for Florida’s registered nurses.

4. Advance a legislative platform that protects and enhances the ability of all registered

nurses to practice to the full extent of their education and experience.

5. Build organizational relationships to advance nursing and healthcare outcomes.

6. Maintain a strong organizational structure that advances nursing.

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Reports of the 2015–2017 Board of Directors

Officers

Leah Kinnaird, EdD, RN, President

Janegale Boyd, RN, President Elect

Barbara Russell, MPH, RN, CIC, Vice President

Jill Tahmooressi, MSN, RN, Secretary

Ann-Lynn Denker, PhD, RN, Treasurer

Directors

Marion Marino-Meyash, PhD, RN

West Central Region Director – Vacant

Debra Hain, PhD, ARNP

Janice Hess, DNP, ARNP FNP-BC

Deborah Hogan, MPH, RN

Marsha Martin, RN

Theresa Morrison, PhD, CNS-BC

Doreen Perez, MS, BSN, RN-BC

New Grad Liaison

Hannah McRoberts, BSN, RN

Ann Guiberson, CAE, RP, CEO, Parliamentarian

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Leah Kinnaird, EdD, RN – President

This is purely a message of thanks and appreciation to you, members of FNA:

• Thank you for the articles you have written for The Florida Nurse;

• Thank you for attending meetings in each of the eight regions around the state;

• Thank you for encouraging other nurses to become members of FNA;

• Thank you for mentoring new nurses in clinical and leadership capacities;

• Thank you for writing in response to issues that are important to you;

• Thank you for participating in special interest groups, webinars, and programs;

• Thank you to so many of you who have sought FNA elected office this year;

• Thank you for all you do for patients and for population health around the state;

• Thank you for helping to reduce the impact of ZIKA;

• Thank you for working to reduce the unnecessary use of antibiotics;

• Thank you for attending Advocacy Days in Tallahassee;

• Thank you to those of you who have longstanding years of continuous membership;

• Thank you to those of you who have served as officers and chairs of FNA groups;

• Thank you for being a part of the most trusted profession, known for honesty and ethical standards;

• Thank you for encouraging diversity in our profession;

• Thank you for taking political action locally and throughout the state;

• Thank you for leading where you are and speaking up for the vulnerable.

As we move forward, FNA has new opportunities. We are engaged with the Nurses on Boards Coalition to place

10,000 nurses on governing boards by 2020. The decision by the Veterans Administration system to grant full

practice authority to Advanced Practice Registered Nurses (APRNs, with the exception of CRNAs) is a significant

change, especially because the VA is the largest employer of nurses in the US...a potential bellwether condition. We

are working with the QUIN Council (Quality and Unity in Nursing) to sponsor a statewide summit about staffing in

early 2018. Advocacy Days will occur early in 2018 to coincide with the legislative session that will begin in January.

I’m continually reminded of the commitment that FNA members demonstrate. You are busy nurses in a

complex world, yet you find a way to encourage each other and strengthen our profession. It has been an honor

and a privilege to serve as your president over these two years. Thank you,

Leah Kinnaird, EdD, RN

President

_________________________________________________________________________________________________

Janegale Boyd – President Elect

The past two years have been spent acquainting myself with the role of the president of this organization. I was

privileged to attend the leadership orientation given by the American Nurses Association for state presidents and

a Leadership Conference in Washington, DC with other leaders from across the country. In addition, I attended the

2017 ANA Membership Assembly where I served as the FNA Representative along with President Leah Kinnaird.

I was happy to support my Region for the past two years by helping North Central Region Director Marsha

Martin to coordinate the Annual Regional Conference. It was my pleasure to serve as both the facilitator and as

a speaker. I also visited the Northwest Region and served as a speaker at one of their events.

I served as Bylaws chair and facilitated the presentation of needed Bylaw changes in a Special Membership

Assembly in 2016 as well as this year we had a comprehensive review of the association bylaws by our

Parliamentarian Ann Guiberson. The recommended clean up changes will be voted upon at the 2017 General

Assembly. Additionally, I attended a QUIN Council Meeting for President Leah Kinnaird when she was unable to

attend. It was enlightening to participate with nursing leaders from organizations across Florida.

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I serve on the Florida Action Coalition have served on the Council since its formation and although I am not

FNA’s representative, I was happy to keep the board informed on the activities of that group. I currently serve

as a Mentor to the Nurses on Board’s project for the Florida Action Coalition.

Most recently, I served on the advisory committee to select a new lobbying firm for FNA. am grateful for the

privilege to serve with wonderful Board members and thank you my colleagues, for the opportunity to serve in

this role. I look forward to working with you and for our profession, in the next two years as President.

_________________________________________________________________________________________________

Barbara Russell – Vice-President

I was pleased to serve on the FNA Board once again and attended all meetings both in person and electronic.

I have been happy to also use my expertise to serve the board in other capacities such as speaking at the

past and upcoming Membership Assembly on topics of importance to nursing.

Please see the report of the Membership Committee later in this publication.

Thank you for this opportunity to serve you once again.

_________________________________________________________________________________________________

Jill Tahmooressi – Secretary

Being a full member of the Florida Nurses Association, serving actively on the Board of Directors, I attended

and took meeting minutes for the November 5th, 2016 Special Membership Meeting. In addition attended

Board of Director meetings for minute taking.

_________________________________________________________________________________________________

Ann-Lynn Denker – Treasurer

A special thank you to the FNA Finance Committee who took on the daunting task of balancing our budget

in challenging times. While our membership numbers are stable, costs and expenses go up and we have

responded by tightening our belt over the past 12 years. We have had to utilize reserves for the past several

years and unlike in the past, the market has not been very helpful in helping us to remain solvent.

We have been vigilant in monitoring association finances and realize as we move forward we will be challenged

to make some tough decisions. We have sought non-dues revenue streams and have tried to adjust pricing on

conferences and other services to help us meet expenses. While we have some possible non-dues revenue

streams pending, these are not opportunities we can rely on.

The board is looking at multiple options for stabilizing finances so that we can cease using reserves and

position ourselves for growth. We are happy to have been able to make some cuts without visible impact on

services to members, however a close look at current programs and services is needed and a more narrow

focus on activities and goals is in order. Please see the audited finance statements on page 92.

It has been my pleasure to serve the association.

_________________________________________________________________________________________________

Southeast Region

Deborah Hogan

The Southeast Region has been very active! During our monthly conference calls, members have had an opportunity

to call in to discuss issues affecting their practice as well as FNA and Region activities that were planned. Here in

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the Region, we had programs related to the ANA Healthy Nurse initiative and Nursing Leadership through our Barbara

Lumpkin Institute. We learned about the importance of Legislative Advocacy both locally and in Tallahassee during

Advocacy Days. We also learned about “Recognizing Impairment in the Workplace” through a program presented

by the Impaired Nurse Program. I want to thank all our members and community partners who helped make these

programs possible. We hope you will join us at Membership Assembly to help plan activities for the future!

_________________________________________________________________________________________________

Northeast Region Director

Doreen Perez, DNP, RN-BC

The FNA membership of Northeast Florida has remained at a steady level. Many of the new graduates that

receive a free membership for a year post graduation, do not renew membership. It has been suggested that

FNA conduct another survey to solicit comments and recommendations from the membership to understand

the needs of the nurses. A few nurses that the Director was able to contact explained that the membership

dues were too expensive as was the Membership conference fee. In the past two years, the Northeast region in

partnership with another region and local nursing groups conducted educational presentations that assisted the

local nurses in receiving mandatory CEUs.

_________________________________________________________________________________________________

North Central Region

Marsha Martin

Much has been accomplished in the North Central Region this year. First I would like to thank President Elect

Janegale Boyd for the wonderful job she did on the Annual Spring Conference we had. It was a great success.

The largest part of the membership of this region comes from the Bargaining Unit at UF Health Shands. This

past year they have shored up their numbers and strengthened the membership of the unit which in turn has

really sustained the size and strength of this Region.

The Suwanee Valley group is a key part of the success of this Region. I would like to thank you all for your

continued support and loyalty to FNA.

I would like to end my term as the Region Director by thanking the membership of the Region. It has been

a privilege to work with so many talented, committed nurses! At a time where we are all pulled in so many

different directions and the demands on our time are many, it is refreshing to see so many willing to give of

their time to further the future of Nursing.

_________________________________________________________________________________________________

West Central Region

Vacant

The West Central Region started a Facebook page and held several meetings to plan a large event in 2016.

Unfortunately, Lisa Fussell, Region Director was forced to resign due to personal reasons. Members of

the Region remained engaged and participated in several FNA activities and were active volunteers on FNA

committees and task forces. They also represented FNA in several groups in the nursing community. We are

thrilled to have three willing candidates for this position on the 2017 ballot. We look forward to an active 2018

and beyond.

_________________________________________________________________________________________________

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East Central Region

Jan B. Hess

Individual Director Activities:

2015-2017: Janice Hess attended and participates in all FNA board meetings in person or via phone

The Director developed a Survey Monkey tool to elicit regional member input into planning for regional

activities. Survey was published twice in 2016 without good return (10 members responded). Those responding

and members attending last Membership Assembly voiced a desire that regional quarterly meetings be

available via Zoom for those who could not attend in person. This suggestion was put into place Feb. 2017

meeting.

The Director attended all regional quarterly meetings and presided over the business meetings following the

scheduled speaker by providing participants with updates on FNA political advocacy efforts and upcoming

regional activities.

For Nurse Week, Director worked with Vicki Sumagpang to organize Nurse Appreciation Night at the Lions

Soccer Games in 2016 and 2017. During Nurse Appreciation Week 2016 and 2017, Janice prepared Nurse

Appreciation bags for members attending the regional May meeting. Marti Hanuschik was recognized during

the May 12, 2016 regional meeting for her continued efforts in coordinating quarterly regional programs.

Janice wrote quarterly reports for both the FNA Board as well as The Florida Nurse on the regional activities.

Additionally, she wrote two articles for The Florida Nurse in 2016.

Janice attended Political Action Days in 2016 to represent the region and support FNA advocacy efforts but

was unable to attend in 2017 due to illness.

In 2016, Janice joined Doreen Perez, Northeast Regional Director, in organizing a successful nursing

symposium offered July 23, 2016 in Daytona Beach, Fl. In 2017, the two regions joined efforts in supporting

a program sponsored by The Quality and Safety Education for Nursing Quality Council in Jacksonville. The

program was free to all participants including FNA regional members.

In 2016, Janice organized two celebrations of the passage of the Barbara Lumpkin Prescribing Act/HB423.

One celebration was held in Orlando sponsored by the Central Florida Advance Nurse Practitioner Council

(CFANPC) and in Daytona sponsored by the Volusia Flagler Advance Nurse Council. At both celebrations,

Janice Hess presented a PowerPoint that highlighted FNA’s political activism stressing that FNA was the only

organization involved in political advocacy for this legislation for previous 22 years. There were 67 nurses

attending Orlando celebration and 40 nurses in Daytona. Several ARNPs attending commented they had no

idea the importance of FNA’s political activism.

Janice Hess is the FNA Board’s representative Trustee on the Florida Nurse’s Foundation. She was also

appointed as FNA’s voting member for the Florida Coalition of Advanced Practice Nurses when Ed Briggs

was elected as Co-Chair of the Coalition in 2016. In 2017, Janice volunteered to work with the FNA by laws

committee. Recently she completed her term as Trustee of the Florida Nurse Political Action Committee having

served the maximum Trustee term. Janice is co-regional advocacy lead for East Central region representing the

FNA on the Florida Action Coalition.

In January 2017, Dr. Hess hosted a New Nurse Meet and Greet in Deland Fl. at the Elusive Grape. July 20,

2017 another networking opportunity was offered at the Orlando FNA headquarters. The programs were

implemented to solicit information as to how FNA can meet new nurse’s personal and professional needs in

their transition from academia to the bedside. It is hoped that this framework can be implemented statewide

to gain new FNA members by offering new nurses a network of experienced nurse members.

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2017 Florida Nurses Association

Membership of Your Leadership Council:

Marti Hanuschik, Regional Quarterly Meeting Coordinator

Shirley Hill, Past East Central Regional Director

Angie Bush, Past President of Volusia/Flagler FNA District

List/Summary of Region Events:

Oct. 12, 2015: Outreach regional program held in Volusia County at Halifax Hospital. Angel Epstein,

Substance Abuse and FL Intervention for Nurses Program (IPN)

Nov. 19, 2015:

Dec. 6, 2016:

Feb. 18, 2016:

May 6, 2016:

May 12, 2016:

May 12, 2016:

May 23, 2016:

July 23, 2016:

Aug. 18, 1016:

Nov. 24, 2016:

Dec. 4, 2016:

Jan. 27, 2017:

Feb. 23, 2017:

May 13, 2017:

May 18, 2017:

July 20, 2017:

Quarterly regional meeting FNA Headquarters Orlando: Roe Colm-Spinal cord/traumatic

brain injury

East Central Region Annual Member Christmas Brunch at Tap Room, Dubsdred

Quarterly regional meeting-Angel Epstein FL IPN

FNA Nurse Appreciation Night at Orlando Lions Soccer Game

Quarterly regional meeting- Nurse Week Celebration

Celebration of Barbara Lumpkin Prescribing Act/HB423 at Orlando Regional Health in

coordination with Central FL Advance Nurse Practitioner Council and CFANPC President

Celebration of Barbara Lumpkin Prescribing Act/HB423 at StoneWood in Daytona in

coordination with Angie Bushy, FNA member and President of Volusia Flagler Advanced

Nurse Council

FNA Northeast and East Central Fl. Nursing Symposium Daytona Beach, Fl.

Quarterly regional meeting at FNA Office, Orlando. Tracey Robilotto: Simulation and

evaluation nurse clinical competencies

Quarterly regional meeting at FNA Office, Orlando. Paula Loats: Palliative Care

East Central Region Annual Member Christmas Brunch at Tap Room, Dubsdred

New Nurse Meet and Greet, Elusive Grape, Deland

Quarterly regional meeting at FNA Office, Orlando, FL. Dr. Janice Hess: FNA Political

Advocacy (first Zoom meeting)

FNA Nurse Appreciation Night at Orlando Lions Soccer Game

Quarterly regional meeting and belated Nurse Appreciation Meeting at FNA Office, Orlando.

Paula Loats/Criteria for referral to Hospice (Zoom available)

New Graduate Nurse Meet and Greet/Networking event at FNA Office, Orlando. Facilitated

by Jan Hess and Willa Fuller

August 17, 2017: Quarterly regional meeting at FNA office, Orlando. Dr. Jean Kijek: Therapeutic Touch (Zoom

available)

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_________________________________________________________________________________________________

Southwest Region

Theresa Morrison

Thank you for the opportunity to serve as the Southwest Region Director for the past two years and for your

help hosting the 2017 Membership Assembly. A special thank you to the SON faculty members who support

the FNSA. It is always a pleasure to see students attend our events.

Southwest Region FNA members have been busy in 2016-2017 hosting four events and being part of the two

research and EBP conferences. In April, Miromar Outlets hosted a dinner and celebration with door prizes and

give away gifts! The $5.00 cover charge was donated to the Florida Nurses Foundation (FNF). In January Harbor

Chase hosted a dinner with guest speaker, Mary Lou Brunell, RN, Executive Director of the Florida Center for

Nursing and the Florida Action Coalition. On October 26th, American House Senior Living Community hosted

a dinner with guest speaker Leah Kinnaird, EdD, RN, FNA President. Dr. Kinnaird asked the RNs, ARNPs,

and students, “what can you do for the nursing community?” In September, SW Region of FNA awarded

the research plaque at the LeeHeatlh Francine Gomberg Research & EBP Conference.August 24th dinner

sponsored by AVOW Hospice brought us up-to-date on the Interdisciplinary Teams and Healthcare Integration

on the new CMS guidelines for palliative care and hospice. In July, seven SW Region nurse presented posters

at the FNA Research & EBP Conference.

Region leadership carries on the work of the 185 SW Region FNA members at the local level.

_________________________________________________________________________________________________

Northwest Region

Marion Marino Meyash

We planned two events in the Northwest Region. We reached out to University of West Florida, College of

Nursing, in Pensacola, FL. to hold another BLI Symposium in April. We also planned a gathering as a regional

group at the Blue Wahoo’s game for the same evening in celebration of Nurses’ Week. All are welcome to

attend both events once confirmed.

Another Barbara Lumpkin Symposium was planned and scheduled for Saturday, November 4, 2017 in Niceville,

FL. We want to thank Northwest Florida State College of Nursing for being willing to host this event.

Florida Nurses Association would love to meet the nurses and nursing students in the Northwest Region. We will

continue to encourage nurses and nursing students in this area to learn about the Florida Legislation involving

healthcare and practice issues. Our vast area is a challenge but we are working to find interested nurses.

_________________________________________________________________________________________________

South Region

Submitted by Jill Tahmooressi

FNA South Region successfully held their 7th Annual Symposium and Awards Ceremony at Gulfstream in

Hallandale under the leadership of Debra Hain PhD, ARNP, ANP-BC, GNP-BC, FAANP, FNKF South Region

Director Florida Nurses Association in April 2017. The South Region Voluntary Leadership Council/ Program

Planning Committee was grateful for attendance by the keynote speaker Kate Judge, Executive Director

American Nurses Foundation whose thought provoking presentation pertaining to nurses serving on boards

received high praises from all the attendees. The Nurses Charitable Trust, a Silver Level Sponsor of the

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keynote address participated actively among the 280+ attendees that consisted of nursing faculty, practicing

nurses, and nursing students exceeding the regions attendance expectations as it was well above the previous

attendance levels. The Region hosted at the symposium 50 accomplished posters with awards for posters as

well as annual nursing awards were issued. The recipient of the South Region Outstanding Nurse of the Year

was Dr. Steadley Foster.

The South Region was supported by the Nurses Charitable Trust, the Royce Foundation and Dr. Sara Fishman’s

family for sponsoring nursing student scholarships awarded at the symposium and award ceremony. Supporting

the event as well was vendors and exhibitors with the Gold Level Sponsor being American DataBank and the

Silver was the Nurses Charitable Trust.

The South Region’s annual symposium and award ceremony, now in its seventh consecutive year is legendary

within the community as a note-worthy event celebrating nursing. This event could not be made possible

without the tireless efforts and commitment by the South Region Voluntary Leadership Council:

Alina Diaz-Cruz, MSN, MA, RN member awards committee, Peggy Davis, DHSc, MSN, MEd, RN, South Region

FNA Chair of Program CE, Marie O. Etienne, DNP, ARNP, PLNC Chair of Nursing Ethnic Diversity, Sheree Mundy,

DNP, BSc, ARNP Chair of Posters, Lolita McCarthy, PhD, MBA-HCM, RN Treasurer, Patricia R. Messmer, PhD,

RN-BC, FAAN, Chair The Nurses Charitable Trust & Chair Florida Nurses Foundation, Elizabeth Olafson, MSN,

MSEd, RN-BC Chair of Scholarships and membership, Barbara Russell, BSHSA, MPH, RN, CIC Vice-President

FNA member scholars committee and research grant, Karen Sinclair, MSN, MBA, RN members of poster

and award selection, Jill Tahmooressi, MBA, BSN, RN-BC, NCSN, South Region Activity Manager, Maxine

Jacobowitz, BSN, RN, CPN, South Region Chair of Gifts, Stephanie Yzer RN, BSN member of gifts committee,

finance, & award selection committee, Ferrona Beason PhD, RN, member of poster and award selection

committee.

The Region has already started plans and looks forward to seeing everyone next year at the 8th Annual

Symposium and Awards Ceremony at Gulfstream in Hallandale, scheduled for Saturday April 14th, 2018 from

8am- 2:30pm.

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2017 Florida Nurses Association

FNA Membership Comparison

1978-2017

Year

Membership Count

1980 4045

1981 4536

1982 4700

1983 4800

1984 5026

1985 5517

1986 5763

1987 6019

1988 6333

1989 7370

1990 7880

1991 8018

1992 7244

1993 6913

1994 7114

1995 7026

1996 7281

1997 7120

1998 7120

1999 6443

2000 7237

2001 7126

2002 6745

2003 6836

2004 6145

2005 6335

2006 6245

2007 6579

2009 6256

2010 5285 (Loss of VA units)

2011 4810

2012 4582

2013 4663

2014 4792

2015 4573

2016 4070

Current

4428(June)

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2017 Florida Nurses Association

FNA Structural Units

Florida Nurses Foundation (FNF)

Florida Nurses Political Action Committee(FNPAC)

Labor Employment Relations Commission (LERC)

Florida Nurses Leadership Academy (FNLA)

Bylaws Committee

Membership Committee

Reference Report

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2017 Florida Nurses Association

Board of Trustees

Patricia Messmer, President

Hollywood, FL

Germinia Rio, DNSC, ARNP, CPH - Treasurer

Jacksonville, FL

Regina Mirabella, RN, MSN, Secretary

Hudson, FL

TRUSTEES

Darlene Fritsma, MSN, ARNP

Orlando, FL

Fran Downs, ARNP, PhD.

Miami, FL

Janice Hess, ARNP, DNP

Lake Helen, FL

George Byron Peraza-Smith, DNP, GNP-BC, CNE

Tampa, FL

Daleen Penoyer, PhD, RN, CCRP, FCCM

Orlando, FL

Gratitude to Jaibun Earp and Debi Wagner to their years of service to the Foundation. Welcome to Darlene

Fritsma as a new Trustee. In support of the mission of the Florida Nurses Association (FNA), the Florida Nurses

Foundation (FNF) promotes optimal health care for Florida citizens through prudent stewardship of entrusted

funds and through creative philanthropy focused on outcomes that support and advance the profession of

nursing. The FNF exists to promote nursing and delivery of healthcare through the advancement of research

education and practice. Each year funds are provided to registered nurses and students for scholarships and

research grants. The FNF was established by FNA members in 1983. The first grants were given in 1986 at

the FNA Convention. The FNF focus has evolved over time to include contributions to support nursing education

and research and to provide assistance to nurses in need.

Today the FNF initiatives are to:

1) Develop financial support for scholarships and research;

2) Advance knowledge of the nursing profession;

3) Encourage nursing research and career development;

4) Assist nurses in need;

5) Educate nurses regarding advocacy and public policy through the Barbara Lumpkin Institute.

FNF offers several ways for and friends of nursing to build for the future: Named Fund: $10,000 Individuals or

groups can contribute toward the establishment of a named fund:

Leadership Circle: $1,000 and above

Gold Circle: $500 and above

Silver Circle: $250 and above

Bronze Circle: $100 and above

Patron: $50 - $100

Donor: Less than $50

Any member receives a Distinctive Foundation pin for all donations over $25.00

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FNF Endowed Scholarships

District 4 Florida Nurses Scholarship/Research Award

District 8 Charlotte Anzalone Scholarship

Ruth Jacobs District 46 Scholarship (formerly Districts 13 & 33)

District 14 Marcy Klosterman Memorial Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 20 The Evelyn Baxter Memorial Fund

District 21 Louise Fiske Memorial Scholarship Fund

District 24 Erma B. Kraft Scholarship Fund

District 46 Olive Ramsey Memorial Scholarship Fund

Edna Hicks Fund Scholarship

Mary York Scholarship Fund

Nina Brookins Scholarship Fund

Eleanor Bindrum Scholarship Fund

Charlotte Liddell Scholarship Fund

Undine Sams and Friends Scholarship Fund.

Ruth Finamore Scholarship Fund

Connie Dorry ARNP Memorial Fund District V

Great 100 Nursing Scholarship Nursing- Northeast Florida

Agnes Naughton RN-BSN Fund

District 3 Scholarship (Increased to $20,000 endowment)

Ingeborg Mauksch Scholarship

Research Grants

Evelyn Frank McKnight Grant

Frieda Norton District 5 Charitable Trust Grant

Undine Sams and Friends Research Grant

Blanche Case Research Grant

Edna Hicks Research Grant

District 20 The Evelyn Baxter Memorial Grant

Imogene King Research Grant

Nurses in Need Fund

The Nurses in Need Fund was established by the nurses of FNA to be able to give small grants to help nurses

in immediate need of help. An initial fundraiser was held at a past convention with a donation from the

District 5 Nurses Charitable trust along with a challenge at the House of Delegates that year. Since then the

Foundation has helped numerous nurses with issues such as rent, or even license renewals. Nurses must be

able to document the need and funds available depending on completion of the application. The Foundation

encourages FNA members to donate to help colleagues in crisis.

Undine Sams Fund for Nurses in Need

Maureen Finney Nurses in Need Fund

Katherine Gutwald/Lillian Smith District 9 Fund

Paula Massey Nurses in Need Fund (reached $10,000- Trustees voted to raise $5000 more to increase

amount given.)

Debi Wagner coordinated the Nurses in Need program for the past several years and has worked to make sure

the funds were distributed appropriately. This year there were 2 research grant applicants and over 37 valid

scholarship applicants. Scholarships and grants will be awarded at this Membership Assembly.

_________________________________________________________________________________________________

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2017 Florida Nurses Association

Florida Nurses Political Action Committee

Bonnie Sklaren, ARNP-BC

2016 saw Statewide midterm elections for the Florida House of Representatives and select Florida Senate

seats. A candidate questionnaire was developed and disseminated to all candidates asking their opinions on

issues pertinent to health care delivery and of importance to Florida nurses.

Nurses were encouraged to meet with candidates, review the questions with them and provide feedback to the

Trustees.

The PAC trustees, along with our lobbyists Bob Levy and Alisa LaPolt, held a series of candidate interviews.

The trustees met at FNA headquarters, first interviewing candidates via telephone, who had primary races

and later those in the general election not previously interviewed. The questions asked were based on their

responses to the questionnaire. If a questionnaire was not completed that fact was taken into account.

Following the interview, a decision was voted on as to the amount of money that would be given the candidate

in conjunction with the endorsement. Endorsements were noticed in a press release. Checks and letters of

endorsement were either mailed to the candidate or given in person by a nurse from the candidates’ district.

We also did a fund-raising plea, via The Florida Nurse, and SIGs to raise funds. A never-ending need.

This report would not be complete without noting the passing of our long term lobbyist and friend Robert (Bob)

Levy. Bob worked tirelessly to promote and move our legislative agenda for about 30 years. He was well known

and respected in Tallahassee and helped open many doors for us. He offered cogent and thoughtful advice

and helped us navigate the torturous halls of Tallahassee. He is and will be sorely missed. Rest in peace Bob.

_________________________________________________________________________________________________

FNA/OPEIU

Labor and Employment Relations Council

Local 713

Shands Hospital at the University of Florida (Gainesville)

Wuesthoff Memorial Hospital (Rockledge)

Professional Health Care Unit (State Unit)

Florida State University – University Health Services (Tallahassee)

Florida International University (Coral Gables)

Labor and Employment Relations Commission

Deborah Hogan – Chair of LERC

John Berry, Director of Labor Relations and Governmental Affairs

The FNA Labor and Employment Relations Council (LERC) brings all of the FNA unions together to make

decisions that will strengthen our membership. This past year, for LERC, has been one of rebuilding and

solidifying the base. The different bargaining units have all been through change and challenges and are

ready for the future! We are looking forward to the fifth annual Labor Leadership Institute that will be held on

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September 30 through October 1, 2015, in Orlando. We have national speakers lined up to speak on numerous

issues, including but not limited to, internal organizing, negotiations, grievances, and employment law. We

encourage our members to attend as the conference provides a venue to share workplace concerns, meet

fellow members, and learn about collective bargaining and becoming involved in your organization.

LERC has been working with the Office and Professional Employees International Union (with whom LERC

affiliated in July 2013) to increase membership in each bargaining unit. We are working on a new organizing

campaign, and membership drives are being scheduled for each unit across the state of Florida.

This past year saw a lot of activity on the labor front. The Professional Health Care Unit (state unit) took center

stage as it has been functioning in a tense environment at the state level. The state government has made

and continues to make every effort to downsize the workforce and minimize the workplace benefits of our state

unit members. Debbie Hogan, the President of the state unit, and Jeanie Demshar, the FNA Director of Labor

Relations, have worked hard on behalf of our collective bargaining members and the Association in this arena.

The FNA and the State of Florida recently reached a tentative agreement for a two-year contract with a

reopener in 2016 for wages and five other articles. While we did not achieve the economic gains we sought,

we were able to keep the job security provisions which are so critically important in these troubling times for

public employees. The unit’s goal is to increase membership before negotiating with the state in 2016 for the

reopener. The state unit will hold elections for new officers in 2015.

The Shands Unit is doing well. There has been an increase in membership, and the existing contract is

effective through April 2017 with reopeners each year. The parties recently met for the 2015 reopener, and

the changes to the contract were ratified by the membership. The unit has its own website and Facebook page

which has been very effective in communicating with members.

The Wuesthoff unit is also doing well, and we have seen an increase in membership in that unit. The existing

contract is effective through February 2017 and does not contain a reopener. The Wuesthoff unit will hold

elections for new officers in 2015.

The FNA’s contract with the University Health Services at the Florida State University is effective through June

2017. The parties recently met for the 2015 reopener, and the changes to the contract were ratified by the

membership. Elections for new officers will be held in 2015.

LERC’s most recent unit includes the nurses at Florida International University in Coral Gables. The three year

contract with the University is effective through 2017.

_________________________________________________________________________________________________

Florida Nurses Leadership Academy

The Florida Nurses Leadership Academy (FNLA) is a partnership program of the Florida Nurses Association

(FNA) and the Florida Nurses Foundation (FNF) with the purpose of developing future nursing leaders. The

goal is to provide tools, education, and opportunities to registered nurses to assist them in becoming active

members and skillful leaders in the Florida Nurses Association. Four (4) candidates were accepted into the

2017 FNLA.

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The recipients of the 2017 FNLA are:

Beverly Craig, MSN, RN-BC is currently an instructor at West Coast University in Doral, FL. She received

her ADN in 1992 from Tennessee State University in Nashville, TN. She later returned to school where she

received her BSN and MSN from Jacksonville University in Jacksonville, FL. She is currently working on her

DNP at Samford University located in Birmingham, AL. In addition to teaching, Bev is a lover of animals and

an enthusiastic Tennessee Volunteers fan. She currently resides with her husband, Doug, and their dog,

Preslee, in Margate, FL. Jill Tahmooressi, FNA Secretary, will be Beverly’s FNLA mentor.

Malissa Moss, MSN, RN, CCM, currently works at eQHealth as the Senior Vice President, Commercial

Operations. She graduated with a Diploma in Nursing from St. Francis Hospital School of Nursing in 1996

after a long and successful career in advertising and marketing. She continued her educational track

by attending the RN-BSN program at GVSU in Michigan. Due to heavy travel requirements, she chose

to complete her BSN degree at WGU, an on-line fully accredited nursing program. In June, 2014, she

completed her Master’s Degree in Nursing with a Leadership and Management focus. On a personal note,

Malissa enjoys watching football and writing in her spare time. She lives in Tampa and is active in her

church where she volunteers regularly. She is married and has two animal children, Mercedes and Benz.

Sue Hartranft, past FNA West Central Region Director, will be Malissa’s FNLA mentor.

Karen Perez, DNP, MSN Ed, RN-BC received her Bachelor of Science in nursing degree from Florida

International University in 2008, her Masters of Science in Nursing Education in 2013, and Doctor of

Nursing Practice in 2015 from the University of Miami. She is a board certified Gerontological Nurse with

experience working with the geriatrics population (in Nursing Homes, Assisted Living Facilities, Home

Health Care and with the State of Florida as an Ombudsman). She resides in Miami and holds the Senior

Nurse Educator position at University of Miami Sylvester Comprehensive Cancer Center. She published

“Critical Thinking: A Concept Analysis” in 2015, in Horiz Enferm Journal and has done several posters and

oral presentations at conferences. She has written multiple Continuing Educations on issues related to

geriatric population and nursing education. Leah Kinnaird, Current FNA President, will be Karen’s FNLA

mentor.

Sandy Weiss, MBA, RN, LHRM, CPHQ, CPPS is a registered nurse with a Master of Business Administration

focusing in Healthcare Management. Her nursing experience includes business development, marketing, and

quality/risk/safety. Ms. Weiss is a Certified Professional in Healthcare Quality (CPHQ), Licensed Healthcare

Risk Manager (LHRM), and is a Certified Professional in Patient Safety (CPPS). She is working on her Doctor

of Business Administration at Saint Leo University, where her studies focus on ethical leadership, and the

relationship between nursing burnout and intent to leave employer. Additionally, Ms. Weiss is an Ironman

distance triathlete and an ultra-marathon runner, who enjoys spending time with her husband and four dogs.

Edward Briggs, past FNA President, will be Sandy’s FNLA mentor.

The Florida Nurses Association and the Florida Nurses Foundation would like to thank the Leadership

Development Committee Members consisting of Palma Iacovitti, Denise McNulty, and Rose Rivers, for

volunteering their time to review the candidates’ applications and to make the selection for the 2017 Florida

Nurses Leadership Academy. We would also like to thank the following mentors, Edward Briggs, Sue Hartranft,

Leah Kinnaird, and Jill Tahmooressi, for working with these exceptional future nurse leaders.

_________________________________________________________________________________________________

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2017 Florida Nurses Association

Bylaws Committee 2017

Janegale Boyd, Chair

Earthy “Willie” Spaulding

Clare Good

Janice Hess

Barbara Russell

In 2016, it was necessary to revise the bylaws to include a necessary dues increase for the FNA Bargaining

Units. A Special Membership Assembly was called and the bylaws committee reviewed the proposed by-laws

changes and made further changes. A pass-through for dues from affiliated organizations was also included.

The intent to increase dues was properly noticed as was the Special Called Membership Assembly. The bylaws

revisions were approved.

In 2017, a review of the Bylaws was requested by the chair of the bylaws committee and approved by the

Board of Directors. Ann Guiberson, FNA Parliamentarian reviewed the bylaws and made several suggestions for

revision. Some were grammatical or structural changes, but several require approval by the FNA Membership

Assembly. The Bylaws Committee considered these changes which can be found in this Book of Reports on

page 130.

_________________________________________________________________________________________________

Membership Committee

The staff continues to work on strategies developed by the Membership Committee over the past four years,

including engaging new graduates, recognizing recruitment, rewarding long term members, multiple contacts for

renewal, engaging volunteers for short term commitments ( micro-volunteering) and personal contact. For the

past two years, regional directors have been contacting members via email, handwritten notes and phone calls

to promote membership and renewals. A post card campaign and text reminders with new graduates have

yielded some results but we would like to see more membership conversion and more engagement from our

new graduates. We are promoting the monthly deduction as it prevents members from being deleted because

they didn’t open their renewals. We continually hear from members who didn’t know they were deleted until

they call Headquarters with a question or respond to an article in The Florida Nurse.

We will continue to recognize recruiters in our Star Campaign and this year we will be recognizing our most

prolific recruiters in our Membership Assembly.

Our membership remains steady but we would love to see significant increases are look forward to hearing any

innovative ideas toward that goal.

_________________________________________________________________________________________________

Reference Reports

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2017 Florida Nurses Association

Special Interest Groups (SIGs)

HEALTH POLICY SPECIAL INTEREST GROUP

(HP-SIG)

2017 ANNUAL REPORT

HP-SIG MISSION STATEMENT:

The Health Policy Special Interest Group (HP-SIG) is FNA’s leader of grassroots initiatives for public policy

change that enhances the heath and welt being of all Floridians. It encourages and supports all nurses to

become engaged in the policy and legislative process to improve the health status of our communities and the

practice and working environments of nurses.

HP-SIG GOALS AND OBJECTIVES:

1. Developing and maintaining a network for communication through FNA Regions to educate and inform FNA

members in public policy issues.

2. Developing and maintaining education and information resources regarding health policy and legislation

among all stake holders.

3. Promoting and supporting health policy agendas that benefit all Florida RN’s, APRN’S regarding their

scopes of practice, patient advocacy and quality outcomes and work environment safety.

It has been an active and productive year for the HP-SIG. We currently have 494 members. In addition to the

group meeting during the 2014 Membership Assembly, we have had 10 conference call meetings over the

year. We reviewed the goals and objectives of the SIG and reaffirmed our agreement to them. We filled all

Regional Liaison positions. Members attended and provided input regarding our Legislative priorities during

numerous Legislative Delegation meetings around the State, utilizing information packets provided by FNA.

There was a special election in Jacksonville in which members actively participated in, in an effort to elect

a Representative sensitive to our issues who was endorsed by our Political Action Committee. They were

successful. Many members participated in Advocacy Days (formerly Lobby Days) in March 2014 again in an

effort to communicate our issues to the elected officials.

Members expressed a desire for more educational opportunities. To that we sponsored several Webinars

covering varied topics: Media training, Navigating the FNA4 ACTION PACKET, Preparation for Advocacy Days.

We had regular Legislative Updates from our lobbyist Alisa LaPolt while the Legislature was in session.

It was a good year and we all look forward to continued success and participation. Thank you to all who have

helped make this SIG successful and productive.

_________________________________________________________________________________________________

FNA Clinical Nurse Specialist Special Interest Group

Theresa Morrison

The CNS-SIG met by tele-conference nine times this year, excluding the two time we didn’t quite get the invite

and connection working we had productive dialogue. We revised the 2014 Reference Proposal and Membership

Assembly presentation. We wrote a section of the Nurses4Action and published about the CNS role in Florida

in the Florida Nurse. Our attendance varied from three to seven, varying nurses at each meeting.

_________________________________________________________________________________________________

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2017 Florida Nurses Association

Ethics Special Interest Group

Jean Davis, EdD, DNP, HCRM, PHCNS-BC, FNP-BC

SIG Chairperson

The ethics of social justice in nursing practice was the ethics theme for 2016. Lively discussions were held

throughout the year regarding correctional nursing challenges related to social justice. ANA’s Center for Ethics

solicited comments on the updated ANA position statement Capital Punishment and Nurses’ Participation

in Capital Punishment (2016). Dr. Jill Winland-Brown, an FNA member who was on the Advisory Board of the

Center for Ethics at the time, brought this to the Ethics Group’s attention. After lively discussion of this topic

Ethics Group members were encouraged to provide feedback to the ANA on the proposed revision of the policy

statement which was adopted in December 2016. Additionally, in 2016, the ethics of gift and ghost authorship

in nursing publications was discussed—a timely and important issue.

Moral distress was chosen as the theme for the Ethics Group’s discussions and activities in 2017. Moral

distress has been discussed and literature shared from many areas of practice. In July the Ethics Group

webinar Moral Distress in Military Nursing was held with Navy Nurse Corps Captain Julio C. Albornoz as our

guest speaker. A family nurse practitioner, Captain Albornoz provided thought provoking insights into the moral

distress that can be inherent in military nursing practice.

A panel discussion on moral distress will be hosted by the Ethics Group at Membership Assembly in

September. Speakers representing a variety of practice areas will briefly present and open discussion will

ensue. Part of the presentation will focus on flourishing and resilience in the face of moral distress in nursing

practice.

Although there are only 10 members of the Advisory Board of ANA’s Center for Ethics, another Florida member

was appointed as Dr. Jill Winland-Brown’s term expired. We are honored to now be represented by FNA member

Dr. Michele Upvall who brings her extensive global nursing perspective to the Board. Congratulations to Michele

on her appointment.

Thanks to the many nurses and nursing students devoted to ethical nursing practice who bring energetic

enthusiasm to each monthly conference call. The richness of unique practice and academic experiences

shared on each call provides insight for all participants. New Ethics Group members are always welcome as

each new perspective enhances our discussions and activities. Please consider joining one of our calls!

_________________________________________________________________________________________________

FNA Health Literacy Special Interest Group

Submitted by Vicki Sumagpang, MSN/ed, RN

The FNA Health Literacy Special Interest Group was proud to partner with the Florida Literacy Coalition to

provide a speaker at the 2017 Florida Health Literacy Summit, which was held on January 20, 2017 at

Nemours Children’s Hospital in Orlando, FL. Dr. C. Victoria Framil, on behalf of Florida International University

and a member of the FNA Health Literacy SIG, presented “Nursing and Health Literacy: Meeting the

Challenges of Incorporating Health Literacy Skills into Patient Care.” The session highlighted the successes

and challenges associated with addressing the health literacy needs of students and families seeking care at a

school-based community health clinic in a medically under-served neighborhood in Miami. Participants learned

strategies to address the challenges associated with educating families about how to navigate the health care

system, to access preventative and primary care resources and to advocate for a healthier community.

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2017 Florida Nurses Association

Other Nursing Groups and Organizations

Florida Center for Nursing

QUIN Council

Florida Nursing Students Association (FNSA)

Florida Coalition of Advanced Practice Nurses (FL-CAPN)

Florida Cancer Control & Research Advisory Council (CCRAB)

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Florida Center for Nursing

The Florida Center for Nursing Report will be found in your convention materials.

_________________________________________________________________________________________________

Florida Nursing Students Association

Chris Demezier, President

Florida Nursing Students Association (FNSA) remains dedication to advocating for students

and providing an environment of enrichment for the student experience of our future nurses.

We look forward to leading the next generation to become the change that we want to see

in the nursing community. Finally, we aim to empower students to mature into professional

nurses in the next level of their careers in nursing associations like FNA and ANA.

In 2016, FNSA had over 1,300 nursing students and nurses from all over the state come

and represent their schools with pride. This convention continues to be one of the largest in the country every

year and is a point of excitement for the students. The 2017 FNA Lobby Days in Tallahassee featured a number

of nursing students from as far south as Miami proper to as far west as Pensacola. The student learned to

work cooperatively with nurses and lobbyists to advocate for issues that directly impact nurses’ and their

respective care of patients. The 2017 NSNA Annual Convention in Dallas, Texas was a great experience for

students as we had the second highest number of delegates in attendance. Students were able to showcase

their intellectual abilities; Florida had all 6 of their resolutions passed in front of the House of Delegates. There

was one member appointed to the NSNA Resolutions Committee as well.

FNSA celebrated its Leadership Retreat and Preconvention in Orlando at the University of Central Florida. We

had over 50 student leaders attend and learn about ways to promote leadership within themselves as well as

their constituents. We also gave a sneak peek into what to expect for the 2017 FNSA Annual Convention.

As we wrap up this cycle, we want to say thank you to our wonderful executive director, Willa Fuller, RN,

BSN, who is a continuing inspiration to our executive board members. We also want to highlight the help

of consultants, Randy Jackson, RN, MSN, and Susan Rivers, RN, MSN, without whom we may have had

some sleepless nights. Finally, I want to thank you to every member of the FNSA executive board for staying

committed to the future of nursing, your futures are going to very bright.

Please consider attending the 2017 FNSA convention in Palm Harbor. Our 2nd Vice President, Kristin Glavan,

has created a program that has phenomenal speakers and intriguing breakout sessions. Our theme this

year is Building the Future of Nursing: Finding Your Fit as a testament to the diversity of nursing. Our growing

partnership is one of the best in the country and we hope to continue that relationship and foster its growth.

_________________________________________________________________________________________________

QUIN Council

Quality and Unity in Nursing

QUIN Council panel presentation will serve as their report.

_________________________________________________________________________________________________

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Florida Coalition of Advanced Practice Nurses

Ed Briggs – Co-Chair and Jan Hess, FNA Rep

(The Florida Coalition of Advanced Practice Nurses (FCAPN) is a coalition of Florida Nursing Organizations that

represent nurses in advanced practice roles. The coalition works to remove unnecessary barriers to practice and

to improve health outcomes in Florida.)

The Florida Coalition of Advanced Practice Nurses (FCAPN) met on Saturday July 22, 2017 at the FNA

Headquarters. The Coalition came together to talk with representatives of the National Council of States

Boards of Nursing to discuss the scope and implementation of the Consensus Model for Advanced Practice

Nursing across the nation. Joe Baker, Executive Director for the Florida Board of Nursing was gracious enough

to also join the coalition for this important meeting.

The NCSBN representatives educated coalition members regarding the scope and parameters of the

Consensus Model for Advanced Practice Nursing. The primary focus of their presentation was discussing how

states coalitions and State Boards of Nursing can work with the NCSBN to advance implementation of the

Consensus Model across the nation. The NCSBN shared their belief that Florida is a state that they feel has

strong potential for the implementation of the Consensus Model.

The NCSBN representatives shared with the coalition that they have begun initial work towards a media

relations campaign to educate communities and legislators about the benefits of the Consensus Model in

improving health outcomes.

FCAPN discussed the plans of the NCSBN and looks forward to working with them to advance legislation in

Florida to allow advanced practice nurses to practice to the full scope of their education and training.

For more information about the Consensus model visit:

The FCAPN members also discussed the importance of advanced practice nurses in improve health outcomes

in diverse communities in our state. In response to identified health care needs for Florida FCAPN decided

to form a Practice Committee within the coalition with dedication to developing educational opportunities and

resources to aide coalition organizational members to better meet these health needs.

In coming months FCAPN anticipates the development and implementation of targeted programs to support

advancement of the Consensus Model. The coalition also anticipates working with community members to

develop educational resources to advance improved healthcare access and outcomes for at risk populations

within our state.

_________________________________________________________________________________________________

Florida Cancer Control & Research Advisory Council

Theresa Morrison PhD CNS

CCRAB meets twice a year in Tampa, Florida, and welcomes the nursing profession’s input and collabora-tion.

Of significance, nurses in their communities should consider participating in colorectal screening campaigns

and HPV awareness campaigns. In collaboration with the American Cancer Society, Debbie Hogan, FNA

member and Florida Health Department HPV specialist, will present at the Membership Assembly, helping to

fulfill the goal of heling Floridians practice healthy behavior.

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Parliamentary Information

Robert’s Rules of Order Newly Revised, is the parliamentary authority that shall govern the Membership

Assembly. The Chair, as the presiding officer, rules on all matters relative to parliamentary law and procedures.

The parliamentarian serves only in an advisory capacity to the presiding officer and members of the

Membership Assembly.

Participation in the business session is governed by the standing rules of the Membership Assembly.

The motions that follow are defined in terms of action a member may desire to propose. Rules governing these

motions are listed in Table 3 which follows:

A main motion introduces a subject to the Membership Assembly for consideration and is stated: “I move that...”

An amendment (primary) is a motion to modify the wording of a motion. The motion to amend may be made in

one of the following forms, determined by the action desired: “I move to amend by...

...striking (word(s), phrase, paragraph).”

...inserting (word (s), phrase, paragraph).”

...striking and inserting (word(s), phrase, paragraph).”

...adding (word (s), phrase, or paragraph at the end of the motion).”

...substituting (paragraph or entire text of a resolution or main motion and inserting another that is germane).”

An amendment to an amendment is a motion to modify the wording of the proposed amendment and is made

as follows: “I move to amend the amendment by...”The same forms for making an amendment are applicable

for making a secondary amendment.

The motion to commit or refer is generally used to send a pending motion (also called “the question”) to a

small group of selected persons -a committee, board or commission, for example --so that the question may to

consider. The motion is stated: “I move to commit the question to . . . for further study.”

The motion to limit or extend debate is a motion that allows the Assembly to exercise special control over

debate on a pending question and is stated: “I move to limit further debate to (minutes, certain number of

speakers, certain number of speakers pro and con).”

The motion to close debate (previous question), if seconded and approved by a two-thirds vote, stops

discussion on the pending question and is stated: “I move the previous question.”

A division of the assembly may be called by any one member if the chair’s decision on a voice vote is in

question. The member proceeds to the microphone and states: “I call for a division of the House.” The chair

then takes a standing vote.

A division of the question may be called when a pending motion relates to a single subject but contains

several parts, each capable of standing as a complete proposition. The parts can be separated and each

considered and voted on as a distinct question.

The motion to reconsider enables a majority of the assembly to bring back for further consideration a motion

that has already been voted. The purpose of reconsidering a vote is to permit correction of hasty, ill-advised,

or erroneous action, or to take into account added information situation that has changed since the vote was

taken. (note exception on Table 3, Rules Governing Motions).

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Parliamentary inquiry is a question directed to the presiding officer to obtain information on parliamentary law

or the roles of the organization as relevant to the business at hand. A member addresses the chair and states:

“I rise to point of parliamentary inquiry.”

Point of information is a request, directed to the chair or through the chair to another officer or member,

for information relevant to the business at hand. The request is not related to parliamentary procedure. The

member addresses the chair and states: “I rise to a point of information.”

The motion to appeal the decision of the chair is made at the time the chair makes a ruling. If it is made by

a member and seconded by another member, the question is taken from the chair and vested the House for a

final decision. The motion is stated: “I move to appeal the decision of the chair.”

Before a member can make a motion or address the assembly on any question, it is necessary that he or she

obtain the floor through recognition by the presiding officer.

The delegates must:

• rise and proceed to the microphone.

• address the chair by saying, “Madam Chairperson”

• await recognition

• give name and the Region he or she is from

• state immediately the reason he or she has risen.

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2017 Florida Nurses Association

Index of FNA Position Statements

1983-2015

1. Practice

• Continuous Observation in Acute Care Settings 2015

• Defining the Clinical Nurse Specialist Scope of Practice in Florida 2015

• Changing DNR (Do Not Resuscitate) to AND (Allow Natural Death) 2011

• Nurse Residency Program 2011

• Removal of Barriers to Nurse Practitioner Practice 2011

• Medication Administration by Unlicensed Assistive Personnel 2007

• Retention of the Mature/Experienced Nurse 2003

• Nursing Workforce Safety: No Lift Environments and Safe Patient Handling and Movement Initiatives 2003

• Advancing Registered Nurse’s Satisfaction 2001

• Public Health Nursing – Keep Florida Healthy 1998

• Nursing Quality Indicators for Health Care 1995

• Promoting Volunteerism within the Nursing Profession 1993

• Cultural Diversity in Nursing 1993

• Cigarette Smoking 1993

• Pursue Funding for Adequate Immunization to Florida’s Children 1992

• Women’s Need for Universal Access to Care 1992

• Utilization of ARNP’s in Nursing Homes 1992

• Prescriptive Privileges for Nurse Practitioners in Florida 1991

• Prescribing Controlled Substances - ARNP’s 1991

• Case Management 1990

• Public Health Nursing Leadership in Home Visiting Programs in Florida 1990

• Recognizing and Supporting Aerospace Nursing 1989

• Teenage Sexual Responsibility 1988

• Opposition to AMA’s RCT Concept 1988

• 70/90 Coalition 1988

• Long Term Care 1988

• Reaffirmation of 1985 Resolution to Promote Nursing Participation in Multidisciplinary

Ethics Committees 1998

• Guidelines for Cancer Chemotherapy and Nursing Practice 1986

• Role of the Professional Nurse in the Planning, Organization and Delivery of Disaster Services 1985

• Responsibility for Clients Requiring Nursing Services in the Home Health Setting 1985

• Reduction in Medicare Home Health Care Visits Potentates Health Hazard 1985

• Position on Gerontological Nursing 1983

• Public Health Nurses Authority to Dispense Medication 1983

• Patient Teaching 1983

• Organ Donor Program 1983

2. Health Care Policy/Legislation

• Addressing the Public Health Infrastructure in Florida 2014

• Statement on Unity Among Nurses 2011

• Support of Health System Reform 2010

• Commission on Excellence in Health Care’s Legislative Actions: Implications for Nursing 2001

• Proposal to Support the Florida Commission on Mental Health and Substance Abuse 2001

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• Medication Waste In Long Term Care Facilities 1999

• Medicaid Fee Increase in Home Health Settings 1999

• Education on End of Life Decisions 1998

• Reaffirmation of Need for Child Safety Restraints 1998

• Improper Use of the Term “Nurse” 1998

• Medical and Nursing Services for Ventilator Dependent Adults Over the Age of 21 Years 1998

• Adequate Nursing Staffing Based on Acuity in Skilled Nursing Facilities 1998

• Background Checks for All Staff Across All Health Care Settings 1998

• Adequate Staffing in Home Health Settings 1998

• ARNP Scope of Practice and the Life Prolonging Procedure Act of Florida 1996

• Registered Nurses Administering Over-the-Counter Medications As An Independent Nursing Function 1996

• Reinforcing Public Health Nursing in a Restructured System 1994

• Universal Access to Care 1990

• Equal Access to Health Care 1989

• Individual Responsibility for Legislation 1985

3. Regulatory

• Removing Florida’s 5-Year Waiting Period for Lawfully Residing Immigrant Children to Receive Health Care

Coverage 2015

• Our Public Health Infrastructure 2015

• Support of Medicaid Expansion for Florida 2014

• Nurse’s Right to Privacy 2001

• Nurse Aide Competency Evaluation Testing 1996

• Licensure and Regulation of Registered Nurses 1995

• Advanced Practice Licensure in Florida 1994

• RN and EMT Licensure and Practice 1985

• Florida Board of Nursing Sunset Law 1985

• Impaired Nurse Program 1985

4. Education

• Oversight Of Nursing Educational Programs 2010

• Cigarette Smoking and Tobacco Use Prevention 2005

• Innovations in Joint-Faculty Positions 2001

• Telehealth/Telenursing 1999

• Universal Nursing Languages 1998

• Expansion of RN Mobility Programs in Florida

1996

• The Prevention and Elimination of Lead Poisoning in Children 1996

• To Faculty and Administrators of Nursing Education Programs for Content on Ethics to be Enhanced in

Curricula 1985

• Reaffirmation of FNA Educational Position 1985

• The Professional Nursing Association Represents Technical and Professional Nurses 1984

• Role of the Professional Nurse in the Educational Process 1984

• Titling and Licensure of Registered Nurse in Florida 1984

• Strategies for Implementation of Two Levels of Nursing Practice 1984

• Continuing Education 1984

5. Workplace/E&GW of Nurses

• Increasing the Number of Male Registered Nurses &

Advanced Registered Nurse Practitioners in the State of Florida 2014

• Workforce Advocacy for Safe Patient Handling: Beyond Legislation 2007

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• Effects of Physical and Emotional Fatigue on Nurses in the Workplace 2007

• Eradication of Horizontal Violence and Bullying in Nursing 2007

• Safe and Secure Work Environment 2005

• Safe Staffing 2005

• ANA’s Principles for Nurse Staffing Applied to Florida Hospitals 2001

• Models of Voluntary Overtime 2000

• Blameless Medication Error Reporting Systems 2000

• Controls To Promote Needle Safety 1999

• Latex Allergy 1999

• Shared Accountability in Today’s Work Environment 1998

• Identification of Registered Nurses as Distinct Health Care Providers 1995

• Health Care Ergonomics for Nurses 1995

• Registered Nurse Staffing Patterns 1995

• Supervision of New Graduates 1993

• Positioning Nursing in Restructuring the Workplace 1993

• Implementation of the OSHA Standards on Occupational

Exposure to Bloodborne Pathogens for State Employees 1992

• Guidelines for Practice for the Nurse with a Blood borne Disease (HIV, AIDS, HBV) 1992

• Blood borne Pathogens/Tuberculosis and Nursing Students 1992

• Third Party Reimbursement 1991

• Nurses’ Responsibility for Safe Practice 1989

• Third Party Reimbursement 1989

• Nursing Shortage 1987

• Insurance Claims Information and Data Collection 1987

• Affordable Professional Liability Coverage 1987

• Malpractice Crisis 1987

• Professional Liability Insurance 1985

• AORN Statement 1984

• First Surgical Assistant 1984

• Adequate RN Staffing in Long-term Care Facilities 1984

• Medication Administration in Long-Term Care 1984

• Statement on the Role of the Community Health Nurse 1984

• Administration of Medications by Unlicensed Personnel 1984

• Employment of Graduate Nurses 1984

• Identifying Nursing Costs 1983

• Nurses Participation in Health Care Cost Containment 1983

• Worker’s Compensation 1983

• Employee’s Right to Know Hazards in the Workplace 1983

• Liability Insurance 1983

• Establishing a Safe Work Environment by Prevention of Workplace

Violence and by Establishing Response and Recovery Strategies 2013

6. Consumer Advocacy/Ethics

• Nurses’ Responsibility and Ethical Duty in Prison Healthcare 2015

FNA’s Health Literacy Statement 2010

• Preparation for Disaster Response 2007

• Increasing Nurses’ Awareness of Public Cord Blood Donation 2007

• Obesity in Children of Florida 2005

• Opposition of Geriatric Specialist Assistant in Long Term Care 2003

• Patient Privacy in an Electronic Age 2000

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• Proposal to Support the Runaway Act of 2000 2000

• Support Tort Reform In Long Term Care (LTC) Regarding Caps on Attorney Fees 1999

• Domestic Violence 1995

• Human Rights of Citizens in Need of Mental Health Care 1995

• Human Rights of Older People and the Florida Mental Health Act 1995

• Curbing the Public Health Epidemic of Handgun Violence in Florida 1994

• Prohibition of Corporal Punishment in Schools 1992

• Domestic and Workplace Violence 1992

• Client’s Rights Regarding Administration of Artificial Sustenance 1987

• To Promote Nursing Participation in Multidisciplinary Ethics Committees 1985

• Nurse Intervention in Child Abuse Investigation and Treatment 1985

• Elderly Abuse 1984

• Client’s Rights Regarding Treatment and Care 1983

• Child Passenger Safety 1983

7. Communicable Diseases

• Influenza Immunizations 2007

• Prevention and Control of Emerging Infectious Diseases 2003

• Prevention Strategies to Reduce Pregnancy and Sexually Transmitted Diseases Among Teenagers 1998

• Women and AIDS 1993

• Tuberculosis 1992

• Nursing and Human Immunodeficiency 1992

• Reporting of HIV Exposure Data to HRS 1990

• Promotion of Increased Nursing Research on AIDS and HIV Disease 1990

• U.S. Travel Restrictions on HIV-Infected Visitors 1990

• Nursing Case Management for People with HIV/AIDS 1989

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FNA Diamond Awards –

50 Years of Continuous Membership

2017

Linda Sabin

Patricia Tyra

2015

Barbara Lumpkin

Betty Wajdowicz

2012

Ida Mizel-Gilula

Ann Marie McCrystal

2011

Clare Good

Claydell Horne

Pat Messmer

2010

Barbara T. Curtis

2007

Selina Frost

Genevieve Larsen

Jeane Stockheim

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History of FNA Lamplighters

25 Years of Continuous Membership

1988-2017

2017

Marie Cowart Cheryl Bergman Janice Wheeler-Gay

Sherry Sutton-Johnson Pricilla (Paddy) Faucher Canella Jeffries- Mutcherson

Tina Gerardi Mary Ann Hanley Mary Katherine Johnson

Vicki Stone-Gale

2015

S. Boyington Mary Goodwin Carolyn Rackmill

Valerie Browne Nancy Hayes Susan Ricci

Gloria Castenholz Myrtle Henry Cynthia Schneider

Helen Cook Janice Hess Diane Scott

Marie Cowart Bonnie Hesselberg Suzanne Sendelbach

Kathy Donovan Rhea Hurwitz Diana Swihart

Darlene Edic-Drawford Susan Irvin Bonnie Taggart

Catherine Evans Barbara Johnson Joyce Thompson

Goldie Fralick D. Littell Denise Townsend

Nancy Frizzell Stephanie Moore Darlene Tucker

Eileen Froehlich Lucille Pica Margaret Varnadore

2014

William Ahrens Helen DeFrancesco Linda Howe

Karen Coordsen Kathy Ebener Christina McClean

Patricia Cordell Shirley Hill Connie Upshaw

2013

Carol Blakeman Doris Edwards Maria Seidel

2012

Frances Aronovitz Alice Evans Susan V. White

Barbara Chasco-Papale Jeanne Sandy Oestreich Mary Alice Yoham

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2011

Pat Arcidiacono Miriam Hirschberg Sharon Parrish

Nora Howard Beauchamp Marilyn Howard Madine Rawe

Barbara Brownfield Barbara Judkins Mary Beth Reardon

Mary Lou Brunell Teresa Knight Ellen Sanders

Phyllis Bullard Valerie Kolbert Winnie Schmeling

Marlene Cataylo-Chance Lizzie Lenon George Byron Smith

Sally Chester Katherine Mason Susan Stone

Victoria Chin Sang Maura Miller Carolyn Vallone

Myrna Crawford Diana Openbriar Emma Wood

Frankie Geiger Yvonne Parchment Jacqueline Weniger Woods

2010

Janice Hoff

2009

Judith Erickson

Jeanne Siegel

2007

Banke Ayileka Inez Fielding Merrily LeVee

Judith Davies Susan Hartranft Ellicene Phillips

Johnna Dettis Carol Hayes-Christiansen Janet Townsend

Paddy Faucher Leslie Homsted Willa Fuller

Jeanne Hopple

2005

Doug Banks Dorothy Hummell Linda Brown

Lee Barks Jean Irwin Darlene Fritsma

Gail Borovsky Frances Jennings Sharon Koch-Parish

Jill Winland-Brown Sophie Karas Susan Leonard

Marianna Cowle Church Imogene King Michael Nilsson

Ann-Lynn Denker Diana Koch Jean Penny

Eileen Dondero Sue Ann Korsberg Audrey Ryal

Jo Emmons Sue Leger-Krall Frances Smith

Kay Fullwood Dierdre Krausse Jackie Spivey

Donna Giannuzzi Ann Marie McCrystal Mary Tittle

Billie Hammill Wynyard McDonald Jill Winland-Brown

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2003

Sunny Conn Margery Shake Gail B. Cass-Culver

Charlene Long Sue F. Lee Jean Wortock

Doris Mattera Janice L. Gay Betty A. Wajdowicz

Lucille Rhim Diane C. Hersh-Dickey Mary Kay Habgood

Mary Salka

Nancy Breen

2001

Isobel Bierbower Ella Jackson Katherine McLamb

Joan Burritt Barbara Janosko Edna Nastasy

Maurine Butler Sande Gracia Jones Barbara Reinhold

Janet Hatt Deborah Greenfield Alma Stitzel

2000

Barbara Barden Ann Jackson Barbara Redding

Carol Christiansen Gwen McDonald Vivian Ross

Marianna Church Susan Pennacchia Gerri Twine

Joyce Cimmento Patricia Quigley Martha Sue Wolfe

Judith Dvorak

Mary Zinion

1999

Margaret Ayres Edna Hicks Carol Riley

Frances Kate Dowling Juanita Payne Lucille Robertson

Arlene Heilig Gladys Pratt Florence Roper

Levanne Hendrix

Betty Taylor

1998

Charlotte Dison Arlena Falcon Donna Pfeifer

Grace Donovan Diana Jordan Barbara Russell

Shirley Edwards

Shirley Edwards

1997

Claydell Horne

1995

Rudy Schantz Gladys Gilliam Ann Marie Clyatt

Helen Surer Shering Eileen K. Austin Maryrose Owens

Rachael Steinmuller Kathleen Jones Charlotte Kelly

May E. Stafford

Susan Leonard

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1993

Patricia Duffy Harold MacKinnon Melanie Stewart

Hazel Gilley Etta McCulloch Muriel Watkins

Marie Grey Elizabeth Ren Betty (Thelma) Watts

1991

Margaret Ayres Deborah Hogan Betty Taylor

Arlene Heilig Barbara Lumpkin Carol L. Riley

Levanne Hendrix

Lucille Robertson

1990

Gertrude Lee Martha Kaufman Frances Haase

1989

Emily Birnbaum Ruth Gay Erma (Trudy) Maurer

Mary Bolton Phyllis Kurtz Sarah McClure

June Borden Beryl Long Rose Schniedman

Grace Fox

Norma Sims

1988

Isle Benedetti Joan Lawlis Florence Roper

Eleanor Call Adele Miller Lillabelle Rundell

Louise Fiske Reine Nichols Donna Schwier

Jean Ready

Emeritus Members

50 years of Membership/80 years of age

Clare Good

Carolyn Vallone

Sima Gebel

Jeane Stockheim

Annemarie Clyatt

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