2017 FNA Book of Reports
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Florida Nurses Association<br />
Membership Assembly<br />
September 29-30, <strong>2017</strong><br />
Naples Grande Resort, Naples, FL<br />
Promoting Health through Advocacy<br />
<strong>2017</strong><br />
<strong>Book</strong> <strong>of</strong> <strong>Reports</strong>
<strong>2017</strong> Florida Nurses Association<br />
Table <strong>of</strong> Contents<br />
Continuing Education Disclosure Statement. ................................................3<br />
Membership Assembly Agenda. .........................................................5<br />
Roll <strong>of</strong> Past Presidents. ..............................................................13<br />
<strong>2017</strong> Convention Rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />
2015 Summary <strong>of</strong> Action…. ...........................................................18<br />
2015-16 Goals and Priorities ..........................................................21<br />
2016 Special Called Membership Assembly (Current Bylaws). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58<br />
Staff Report. ......................................................................72<br />
Legislative Report ..................................................................80<br />
Meet the New Lobbying Firm. ..........................................................82<br />
Audit and Financial Information. ........................................................92<br />
<strong>2017</strong> Proposed Goals and Priorities. ....................................................106<br />
Annual <strong>Reports</strong> ...................................................................108<br />
Membership Comparison ............................................................115<br />
Special <strong>Reports</strong>. ..................................................................116<br />
Parliamentary Information. ...........................................................128<br />
Proposed Bylaw Changes. ...........................................................130<br />
Index <strong>of</strong> <strong>FNA</strong> Positions 1983-2015 .....................................................136<br />
Lamplighters and Diamond Awards.....................................................140<br />
Published and Printed for the Florida Nurses Association by:<br />
Arthur L. Davis Publishing Agency<br />
517 Washington St. PO Box 216<br />
Cedar Falls, IA 50613<br />
319-277-2414<br />
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<strong>2017</strong> Florida Nurses Association<br />
2
<strong>2017</strong> Florida Nurses Association<br />
Continuing Education Disclosure Statement<br />
3
<strong>2017</strong> Florida Nurses Association<br />
4
<strong>2017</strong> Florida Nurses Association<br />
Membership Assembly Agenda<br />
September 29-30, <strong>2017</strong><br />
Thursday, September 28, <strong>2017</strong><br />
1:00 AM – 2:00PM Acacia 1-3 QUIN Council Meeting<br />
5:30 PM – 8:00 PM Royal Palm & Orchid Exhibitor Setup<br />
Foyers<br />
6:00 PM – 9:00 PM Acacia 4-6 <strong>FNA</strong> Board <strong>of</strong> Directors Meeting and Dinner<br />
Friday, September 29, <strong>2017</strong><br />
7:00 AM – 4:00 PM Meeting Planner’s Registration<br />
Office<br />
7:00 AM – 8:00 AM Royal Palm Foyer Exhibit Hall/Poster Display Open<br />
8:00 AM – 9:30 AM<br />
1 CH<br />
Royal Palm 4-5<br />
Opening Session – Introductions<br />
How Nurses Can Promote Health through Advocacy<br />
Dr. Susan Hassmiller<br />
Senior Advisor for Nursing, Robert Wood Johnson Foundation<br />
Report <strong>of</strong> the Tellers – Election Results<br />
9:30 AM – 9:45 AM Royal Palm Foyer Exhibit Hall/Poster Display Open<br />
9:45 AM – 11:30 AM Orchid 2-4 “Hot Topics” Café<br />
SUGGESTED Topics or select your own:<br />
q Healthy Work Environment<br />
q Human Trafficking in Florida<br />
q Medical Marijuana<br />
q Nursing Role in the Opioid Crisis<br />
q Teen Suicide<br />
q Other - Input from Members<br />
11:30 AM – 12:00 PM Royal Palm & Orchid<br />
Foyers<br />
12:00 PM – 1:00 PM Vista Ballroom<br />
1 CH<br />
1:15 PM – 2:15 PM<br />
1 CH<br />
Banyan 1-2<br />
Royal Palm 7<br />
Royal Palm 8<br />
Royal Palm 3<br />
1:15 PM – 3:15 PM Royal Palm 6<br />
2 CH<br />
2:15 PM – 2:30 PM Royal Palm & Orchid<br />
Foyers<br />
Exhibit Hall/Poster Display Open<br />
Lunch<br />
QUIN Council Panel Discussion<br />
Breakout Sessions<br />
I. Florida Action Coalition Presentation –<br />
Individual & Collective Advocacy<br />
Andrea Russell & Jannah Amiel<br />
II. Emerging Infections – They Just Keep Coming<br />
Barbara Russell<br />
III. Ethics SIG Presentation – Moral Distress: Practice Experiences,<br />
Flourishing, and Ethical Considerations<br />
Jean Davis & Panel<br />
IV. Framing Your Message<br />
Alisa LaPolt<br />
Creating Healing Environments using Therapeutic Touch<br />
Jean Kijek & Mary Anne Hanley<br />
Exhibit Hall/Poster Display Open<br />
5
<strong>2017</strong> Florida Nurses Association<br />
6
Friday, September 29, <strong>2017</strong> (continued)<br />
<strong>2017</strong> Florida Nurses Association<br />
2:30 PM – 3:30 PM<br />
1 CH<br />
3:30 PM – 4:30 PM<br />
1 CH<br />
Royal Palm 2<br />
Banyan 1-2<br />
Royal Palm 8<br />
Royal Palm 3<br />
Royal Palm 4-5<br />
Breakout Sessions<br />
I. Florida Nurses Association: History <strong>of</strong> Political Activism/Importance <strong>of</strong><br />
Individual Nurse Engagement for the Future <strong>of</strong> Nursing<br />
Janice Hess<br />
II. Telehealth – The New Frontier<br />
Rebecca Falanga<br />
III. HPV: Efforts at Prevention<br />
Deborah Hogan, Theresa Morrison, Chris Varela<br />
IV. Can Nurses Really Develop Trauma?<br />
Deborah Orr<br />
Plenary Session<br />
Pain Management Amidst the Opioid Crisis<br />
Dana Viviano<br />
4:30 PM – 5:30 PM<br />
1 CH<br />
Advance Directives & Advance Health Care Planning for Health Providers<br />
Dr. Ileana Leyva<br />
5:30 PM – 6:30 PM Break<br />
6:30 PM – 7:00 PM Sunset Veranda Awards Reception (Cash Bar)<br />
Welcome in the New Board <strong>of</strong> Directors<br />
7:30 PM – 9:00 PM Vista Ballroom Annual Awards Celebration<br />
Saturday, September 30, <strong>2017</strong><br />
7:00 AM – 3:00 PM Meeting Planner’s<br />
Office<br />
7:30 AM – 8:45 AM Vista Ballroom<br />
1 CH<br />
Registration<br />
Advocacy Breakfast<br />
Nursing Regulation: An Update from the FBON on Recent Legislation<br />
& the Enhanced Nurse Licensure Compact<br />
Joe Baker, Jr. & Sherri Sutton-Johnson<br />
Florida Board <strong>of</strong> Nursing<br />
9:00 AM – 12:30 PM Royal Palm 4-5 Business Meeting<br />
Intros/<strong>Reports</strong>/Bylaws/Reference Proposals/Legislative Agenda/<br />
New Board Installation<br />
12:30 PM – 1:30 PM Royal Palm 1-3 Foundation Luncheon<br />
Scholarships and Grants Announced<br />
Presenter: Dr. Joy Parchment – Past Grant Recipient<br />
1:45 PM – 2:45 PM<br />
Region Meetings<br />
Banyan 1-2<br />
Royal Palm 7<br />
I.<br />
II.<br />
Northwest Region<br />
North Central Region<br />
Royal Palm 8<br />
Mangrove 1-2<br />
III. Northeast Region<br />
IV. East Central Region<br />
Acacia 4-6<br />
V. West Central Region<br />
Royal Palm 6<br />
Orchid 1<br />
Acacia 1-3<br />
VI. Southwest Region<br />
VII. Southeast Region<br />
VIII. South Region<br />
2:30 PM – 3:00 PM Hibiscus Post Conference Board Meeting<br />
Greetings and set dates for 2018<br />
7
<strong>2017</strong> Florida Nurses Association<br />
YOUR CAREER<br />
MATTERS.<br />
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We <strong>of</strong>fer: Medical/dental/vision, 401K retirement plan, paid holidays, vacation, and education<br />
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To apply, email resumes to jobs@concorde.edu or visit www.concorde.edu/careers<br />
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EOE/M/F/D/V<br />
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Major Credit Cards, Personal or Business Checks,<br />
Money Orders, Purchase Orders Accepted<br />
8
<strong>2017</strong> Florida Nurses Association<br />
Agenda for Business Meeting<br />
Saturday, September 30, <strong>2017</strong><br />
9:00am-12:00pm<br />
Adoption <strong>of</strong> Membership Assembly Rules<br />
Adoption <strong>of</strong> Membership Assembly Program<br />
President’s Message<br />
Business Meeting<br />
<strong>Reports</strong> <strong>of</strong> Officers and Directors<br />
<strong>Reports</strong> <strong>of</strong> the Pr<strong>of</strong>essional Staff<br />
Financial Report<br />
Other Organization <strong>Reports</strong><br />
Report <strong>of</strong> the Bylaws Committees<br />
Reference <strong>Reports</strong><br />
Proposed <strong>FNA</strong> Goals and Priorities<br />
Proposed Legislative Agenda<br />
New Business<br />
Announcements<br />
Adjournment<br />
9
<strong>2017</strong> Florida Nurses Association<br />
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<strong>2017</strong> Florida Nurses Association<br />
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<strong>2017</strong> Florida Nurses Association<br />
THIS IS A PUBLIC HEALTH<br />
MOMENT<br />
We’re Looking for<br />
a Few Good Nurses<br />
Lake Wales Medical Center is seeking<br />
compassionate, caring nurses to join our<br />
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Receive Your $5,000 Sign-On Bonus when Selected<br />
for a Full-Time Position with Lake Wales Medical!<br />
We <strong>of</strong>fer:<br />
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Take the next step in your pr<strong>of</strong>essional nursing career!<br />
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Offering an Accelerated MPH<br />
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Innovative | Global | Leaders<br />
Learn more at: publichealth.med.miami.edu<br />
Florida – State Chapter for Organization<br />
for Associate Degree Nursing (FL-OADN)<br />
OADN Mission Statement:<br />
Promote Associate Degree Nursing through<br />
leadership, collaboration, advocacy, and education<br />
to ensure excellence in the future <strong>of</strong> health care<br />
and pr<strong>of</strong>essional nursing practice.<br />
To join: www.oadn.org; join/renew<br />
OADN <strong>2017</strong> Convention –<br />
November 17-19, <strong>2017</strong> Scottsdale, AZ<br />
For more information contact:<br />
Valerie Browne, EdD, RN, CNE<br />
vbrowne@mdc.edu<br />
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<strong>2017</strong> Florida Nurses Association<br />
Roll <strong>of</strong> Presidents<br />
1949 Undine Sams<br />
1951 Mary Livingston<br />
1953 Bertha King<br />
1954 Martha O. Wolfe<br />
1956 Vivian Duxbury<br />
1960 Mabel Shepard<br />
1962 Marion McKenna<br />
1964 Enid Mathison<br />
1965 Wava Hartsel<br />
1967 Helen Voss<br />
1969 Marion McKenna<br />
1970 Helen “Pat” Keefe<br />
1972 Sadie Reading<br />
1973 Shirley Martin<br />
1975 Ruth Jacobs<br />
1977 Carol Hayes<br />
1979 Martha Sparks<br />
1981 Marie Cowart<br />
1983 Nancy Breen<br />
1985 Bobbie Hughes<br />
1987 Katherine P. Webster<br />
1989 Richard Bednar<br />
1991 Gerry Green<br />
1993 Ann-Lynn Denker<br />
1997 Mary Lou Brunell<br />
2001 Patricia Quigley<br />
2003–2005 Mary Tittle<br />
2007–2011 Andrea Gregg<br />
2011–2013 Mavra Kear<br />
2013–2015 Edward Briggs<br />
2015–<strong>2017</strong> Leah Kinnaird<br />
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<strong>2017</strong> Florida Nurses Association<br />
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<strong>2017</strong> Florida Nurses Association<br />
Member Meeting Rules<br />
1. Registration – Members and guests shall register before entering the session room, and shall sit in<br />
assigned places.<br />
2. Badges – Members shall wear badges to all meetings.<br />
3. Meetings – Non Members <strong>of</strong> the Florida Nurses Association will be admitted by invitation only.<br />
4. All meetings shall be called promptly.<br />
5. No tape recorders are permitted.<br />
6. Any member in good standing <strong>of</strong> the Florida Nurses Association may speak at the Membership Assembly.<br />
A member addressing the Chair shall give his or her name and Region.<br />
7. Discussion from the floor shall be limited to three minutes at one time and no member may speak the<br />
second time to the same question as long as any member desires to speak who has not spoken to the<br />
question.<br />
8. The Pages will pass <strong>of</strong>ficial motion slips, carry messages, and motion slips to the platform.<br />
9. Motions and amendments shall be written, signed by the maker and seconder, and one copy sent to the<br />
Secretary at once. A member shall not be recognized to speak on a motion or amendment until a copy <strong>of</strong><br />
the motion slip is received by the Secretary. Official motion slips shall be supplied by the Pages.<br />
10. Smoking is not permitted during the sessions <strong>of</strong> the Membership Assembly or general meetings.<br />
11. Voting – Only members in good standing may propose or vote on motions. State Only members may only<br />
vote on state level issues. Full members vote on all issues.<br />
13. All persons shall place all pagers, cell phones, etc. on quiet/vibrate/silent mode during all meetings and<br />
sessions.<br />
Legal statement regarding permission to photo video at the conference.<br />
Rules Governing Motions<br />
Do This… Recognition you say this… Second Amend Debate Vote<br />
Introduce business Yes I move that... Yes Yes Yes Majority<br />
Change or modify a motion Yes I move to amend by... Yes Yes Yes Majority<br />
Send to a committee for study Yes I move to refer to committee… Yes Yes Yes Majority<br />
Put <strong>of</strong>f action<br />
Yes<br />
I move to postpone consideration<br />
<strong>of</strong> the question until...<br />
15<br />
Yes Yes Yes Majority<br />
Limit or extend discussion Yes I move the previous question Yes No No 2/3<br />
Stop Discussion Yes I move the previous question Yes No No 2/3<br />
Lay the motion aside<br />
temporarily<br />
Yes<br />
I move to lay the motion on the<br />
table...<br />
Yes No No Majority<br />
To take a motion from Yes I move to take from the table Yes No No Majority<br />
If you doubt the vote No I call for a division No No No No Vote<br />
Request information No I rise for information No No No No Vote<br />
Call attention to an error in<br />
the procedure<br />
No I rise to a Point <strong>of</strong> Order No No No No Vote
<strong>2017</strong> Florida Nurses Association<br />
16
<strong>2017</strong> Florida Nurses Association<br />
Board <strong>of</strong> Directors<br />
2015 – <strong>2017</strong><br />
Officers<br />
Leah Kinnaird, RN, EdD, President<br />
Janegale Boyd, RN, President Elect<br />
Barbara Russell, RN, MPH, CIC, Vice President<br />
Jill Tahmooressi, MSN, RN, Secretary<br />
Ann-Lynn Denker, PhD, RN, Treasurer<br />
Directors<br />
Deborah Hogan, MPH, RN<br />
Doreen Perez, DNP, RN-BC<br />
Marsha Martin, RN, CCRN<br />
Janice Hess, DNP, ARNP, FNP-BC<br />
Theresa Morrison, PhD, CNS-BC<br />
Marion Marino-Meyash, PhD, RN<br />
Recent Graduate Liaison<br />
Hannah McRoberts, BSN, RN<br />
Gratitude to Lisa Fussell & Debra Hain<br />
for their service as Region Directors.<br />
17
<strong>2017</strong> Florida Nurses Association<br />
Nurses:<br />
Shaping the Future <strong>of</strong><br />
Healthcare and Health<br />
<strong>FNA</strong> Membership Assembly<br />
September 11–12, 2015<br />
Renaissance World Golf Village<br />
St. Augustine, FL<br />
2015 Membership Assembly<br />
2015 SUMMARY <strong>Book</strong> OF <strong>of</strong> ACTIONS <strong>Reports</strong><br />
18
<strong>2017</strong> Florida Nurses Association<br />
September 11–12, 2015<br />
Renaissance World Golf Village<br />
St. Augustine, Florida<br />
Summary <strong>of</strong> Actions<br />
This was the 5th year <strong>of</strong> the redesigned <strong>FNA</strong> Membership Assembly which continues<br />
to be a work in progress. The members continued to work on the transformation <strong>of</strong> the<br />
association by honing the bylaws and placing more structure for the leadership <strong>of</strong> the<br />
Regions. Workforce Violence was the subject <strong>of</strong> a Reference Proposal and there will be<br />
focus on that work throughout the year. The Second Great 100 Nurses were honored as<br />
well as an outstanding Legislator. A new Board <strong>of</strong> Directors was elected as listed below.<br />
Board <strong>of</strong> Directors<br />
2015-<strong>2017</strong><br />
Officers<br />
Leah Kinnaird, EdD, RN – President Elect<br />
Janegale Boyd, RN – President Elect<br />
Barbara Russell, MPH, RN – Vice President<br />
Jill Tahmooressi, MBA, BSN, RN – Secretary<br />
Ann-Lynn Denker, PhD, MN, BSN, RN – Treasurer<br />
Directors<br />
Deborah Hogan, MPH, BSN, RN – Director at Large, Southeast<br />
Doreen Perez, MS, BSN, RN-BC – Director at Large, Northeast Region<br />
Marsha Martin, RN – Director at Large, North Central<br />
Lisa Fussell, BSN, RN – Director at Large, West Central<br />
Janice Hess, DNP, FNP-BC, ARNP – Director at Large, East Central<br />
Theresa Morrison, PhD, CNS-BC – Director at Large, Southwest<br />
Suzie Farthing, MSN, RN – Director at Large, Northwest<br />
Debra Hain, PhD, RN – Director at Large, South<br />
Board Liaisons<br />
Deborah Hogan, MPH, BSN, RN – LERC Liaison<br />
Published by Florida Nurses Association * P.O. Box 536985 * Orlando, FL 32853-6985<br />
407-896-3261 * FAX 407-896-9042 * Email: info@floridanurse.org<br />
Http://www.floridanurse.org<br />
19
<strong>2017</strong> Florida Nurses Association<br />
20
<strong>2017</strong> Florida Nurses Association<br />
GOALS FOR 2015 – 2016<br />
1. Maintain a strong nursing organization in Florida to provide relevant services and value.<br />
2. Enhance public understanding <strong>of</strong> the roles and responsibilities <strong>of</strong> registered nurses to improve health in<br />
local communities and across the state.<br />
3. Serve as the essential resource for career development for Florida’s registered nurses.<br />
4. Advance a legislative platform that protects and enhances the ability <strong>of</strong> all registered nurses to practice to<br />
the full extent <strong>of</strong> their education and experience.<br />
5. Build organizational relationships to advance nursing and healthcare outcomes.<br />
6. Maintain a strong organizational structure that advances nursing.<br />
Adopted by the Membership Assembly<br />
Saturday 9/12/2015<br />
21
<strong>2017</strong> Florida Nurses Association<br />
22
<strong>2017</strong> Florida Nurses Association<br />
Proposal #1<br />
Title: Removing Florida’s 5-Year Waiting Period for Lawfully Residing Immigrant Children to Receive Health<br />
Care Coverage<br />
Submitted by: Laura Brennaman<br />
Statement <strong>of</strong> Concern: Currently, legally residing immigrant children in Florida are forced to wait five years<br />
before becoming eligible for Florida KidCare—our state’s subsidized health care program for children. These<br />
kids are ten times more likely to have unmet medical needs, five times more likely to go two or more years<br />
without seeing a doctor and 25% more likely to be absent from school due to health issues. 1 Since 2009, the<br />
number <strong>of</strong> uninsured children living in Florida has consistently been higher than the national average. Florida<br />
currently ranks 47th in the nation <strong>of</strong> 50 states and the District <strong>of</strong> Columbia for percent <strong>of</strong> uninsured children<br />
(11 percent, about 445,000 children) 2 About 25,000 <strong>of</strong> these children are uninsured due to the five-year<br />
waiting period.<br />
Background Information: The federal legislature passed the Children’s Health Insurance Program Reauthorization<br />
Act <strong>of</strong> 2009 (CHIPRA) giving states the option to cover lawfully residing immigrant children through Medicaid and<br />
the State Children’s Health Insurance Program (CHIP) without enduring the five-year waiting period that applies to<br />
most public assistance programs for immigrants. Florida has not accepted this option.<br />
Extending coverage to these children is likely to improve their health outcomes and reduce the cost <strong>of</strong><br />
uncompensated care in the health system as a whole. Low-income immigrant children who are insured are<br />
more likely to receive preventive health care and less likely to use hospital emergency rooms. Providing timely<br />
care for children who are otherwise eligible and will eventually enroll in the KidCare program will help children<br />
succeed in school and avoid costly emergency department care and hospital bills.<br />
In its analysis <strong>of</strong> the proposed legislation (2015), AHCA has estimated that approximately 24,679 lawfully<br />
residing immigrant children would be eligible for KidCare under this initiative. This would increase total KidCare<br />
enrollment by only one percent.<br />
If enacted in 2015 - 2016:<br />
• The maximum cost to the state for covering these children, in the ear waiting period, would total about<br />
$1.18 million for all KidCare components, including Healthy Kids, MediKids, Children’s Medical Service<br />
Network, and Medicaid for Children.<br />
• Because <strong>of</strong> the enhanced Federal Medical Assistance Percentages (FMAP) rate, Florida would draw down<br />
approximately $44.5 million in federal matching funds.<br />
• Expanding coverage to lawfully residing children will reduce costs associated with providing Emergency<br />
Medicaid Assistance (EMA) for Non-Citizens.<br />
This legislation does not seek to eliminate the waiting period for adult legal immigrants.<br />
Furthermore, it reaffirms that undocumented immigrants will continue to be ineligible for both Medicaid and<br />
CHIP regardless <strong>of</strong> how long they have resided in the United States.<br />
As <strong>of</strong> March 2015, twenty-nine states (including the District <strong>of</strong> Columbia) have adopted this option, including<br />
Texas, Virginia, Ohio, Nebraska, Kentucky, Montana, Pennsylvania, Iowa, Wisconsin, New York, Illinois, and<br />
California.<br />
1<br />
Bloom B, Cohen RA, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2010. National<br />
Center for Health Statistics. Vital Health Stat 10(250). 2011.<br />
2<br />
U.S. Census Bureau, Report S2701: Health Insurance Coverage Status. American Community Survey 3-year estimate 2011-2013<br />
23
<strong>2017</strong> Florida Nurses Association<br />
We are dedicated to developing and<br />
supporting your career with more<br />
opportunities for advancement.<br />
We are dedicated to developing and supporting your<br />
career with more opportunities for advancement.<br />
Registered Nurses<br />
• Work one-on-one with patients<br />
• Work for a company with<br />
Registered Nurses<br />
• Work one-on-one with patients<br />
• Work for a company with a team approach<br />
a • Enjoy team a better approach work/life balance<br />
• Enjoy a better work/life balance<br />
Call us today at<br />
855-KND-AT-HOME<br />
(855.563.2846) or visit<br />
www.kindredathome.com/careers<br />
Call us today at<br />
We are dedicated to developing and supporting your<br />
career with more opportunities for advancement.<br />
855-KND-AT-HOME<br />
Registered Nurses<br />
• Work one-on-one with patients<br />
• Work for a company with a team approach<br />
• Enjoy a better work/life balance<br />
(855.563.2846) or visit<br />
www.kindredathome.com/careers<br />
Call us today at<br />
855-KND-AT-HOME<br />
(855.563.2846) or visit<br />
www.kindredathome.com/careers<br />
© 2016 Kindred at Home CSR 188899-12 AA/EOE M/F/D/V encouraged to apply. 3191v1<br />
EEO<br />
EEO<br />
24
<strong>2017</strong> Florida Nurses Association<br />
Pertinent Definitions<br />
CHIP – Children’s Health Insurance Program<br />
Florida, CHIP is operationalized as KidCare. It was created through Title XXI <strong>of</strong> the Social Security Act and<br />
reauthorized in 2009. The 4-pronged program covers children from birth through age 18:<br />
• Medicaid covers children birth through one-year at up to 206% <strong>of</strong> Federal Poverty Level (FPL), 1-5 years up to<br />
140% FPL children 6- – 18 years up to 133% <strong>of</strong> FPL<br />
• Medikids- Covers children ages 1-4 with subsidized premiums between 133-200% FPL ($15 -$20 a month<br />
per child)<br />
• Florida Healthy Kids – covers children 5-18 with subsidized premiums between 133-200% FPL ($15 -$20 a<br />
month per child)<br />
• Children’s Medical Service Network – covers children birth through 18 years special health care needs who<br />
are clinically and financially eligible at no cost to families<br />
Federal Poverty Level (FPL) –The annual income amount set by the federal government to establish eligibility for<br />
federal aid programs. The formula takes into account family size and income. In 2015, the FPL for a family <strong>of</strong><br />
four is $24,250.<br />
The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount <strong>of</strong> federal matching<br />
funds for state expenditures for assistance payments for medical insurance expenditures. The Social Security<br />
Act requires the Secretary <strong>of</strong> Health and Human Services to calculate and publish the FMAPs each year. For<br />
2016 the Florida FMAPs are Medicaid: 60.67, enhanced FMAP for CHIP: 95.47.<br />
Overview on nursing role/function<br />
According to the American Nurses Association, the nursing pr<strong>of</strong>ession has a leadership role in defining the<br />
organizational, social, policy, and political factors that affect our communities’ access to quality and effective<br />
healthcare. 3 The leadership role for the <strong>FNA</strong> includes advocating for expanded health care access to improve<br />
the health outcomes for about 25,000 lawfully residing immigrant children in Florida who would be eligible for<br />
coverage by elimination the five-year waiting period.<br />
Legal/ethical considerations<br />
Nurses and the American Nurses Association have long considered access for all American residents to high<br />
quality and affordable health care as a human right. 4 Expanding health care access to 25,000 lawfully residing<br />
immigrant children in Florida is consistent with the ethical stance <strong>of</strong> the nursing pr<strong>of</strong>ession.<br />
Consequences to Health Outcomes<br />
Multiple researchers have submitted substantial evidence that childhood coverage through Medicaid and CHIP<br />
programs promotes positive lifelong health outcomes. Longitudinal studies demonstrate that adults who were<br />
eligible for Medicaid as children had 26% lower incidence <strong>of</strong> high blood pressure in adulthood and “Children with<br />
Medicaid had lower rates <strong>of</strong> hospitalizations and emergency room visits in adulthood—leading the government to<br />
recoup between 3 and 5 percent <strong>of</strong> the initial cost <strong>of</strong> Medicaid eligibility expansions in just one year.” 5<br />
During adolescence, Medicaid enrollees have fewer mental illnesses, fewer eating disorders, engage in risky<br />
substance use or sexual activity less frequently 6 , and have overall lower BMIs. 7<br />
3<br />
American Nurses Association. (2010). Nursing’s social policy statement: The essence <strong>of</strong> the pr<strong>of</strong>ession (3rd ed.). Silver Spring, MD: Author.<br />
4<br />
American Nurses Association. (2008). Health system reform agenda. Retrieved from http://www.nursingworld.org/content/<br />
healthcareandpolicyissues/agenda/anashealthsystemreformagenda.pdf<br />
5<br />
Chester, A. & Alker, J. (2015) Medicaid at 50: A look at the long-term benefits <strong>of</strong> childhood Medicaid. Georgetown University Health Policy<br />
Institute, Center for Children and Families.<br />
6<br />
S. Cohodes, et al., “The Effect <strong>of</strong> Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions,” National Bureau<br />
<strong>of</strong> Economic Research (May 2014)<br />
7<br />
S. Miller and L. Wherry, “The Long Term Health Effects <strong>of</strong> Early Life Medicaid Coverage,” Forthcoming (2015)<br />
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Statement <strong>of</strong> position<br />
Florida should remove the five-year waiting period for lawfully residing immigrant children.<br />
Recommendations for action<br />
The Florida Nurses Association should support removing Florida’s 5-Year waiting period for lawfully residing<br />
immigrant children, and lobby the State Legislature and the Governor for its support.<br />
_________________________________________________________________________________________________<br />
Proposal #2<br />
Title: Defining the Clinical Nurse Specialist Scope <strong>of</strong> Practice in Florida<br />
Submitted by: Theresa Morrison, PhD, CNS, CNS-BC, Patricia Geddie, PhD, CNS, AOCNS, Julie Lampe, RN<br />
Criteria for Proposal<br />
Resubmission <strong>of</strong> proposal presented to the <strong>FNA</strong> Board January 2014, to include Clinical Nurse Specialists’<br />
(CNS’) in FS 464.003 “Advanced or specialized nursing practice” definition and align with the Consensus<br />
Model for APRN Regulation (National Council for State Board <strong>of</strong> Nursing).<br />
Statement <strong>of</strong> concern<br />
Florida Statute 464.003 excludes the CNS from the defined scope <strong>of</strong> advance practice nursing and<br />
prescriptive authority. FS 464.003 includes all other APRNs (nurse practitioners, nurse midwives and nurse<br />
anesthetists).<br />
Background Information<br />
In the U.S., Advanced Practice Registered Nurses (APRNs) by category included 60 percent NPs and 16 percent<br />
CNSs. In 2007, Florida legislation approved CNS title protection, yet there are less than 200 CNSs in Florida,<br />
compared to 59,242 in the U.S. Historically, Florida CNSs other than those who function in mental health have<br />
not sought credentialing due to the lack <strong>of</strong> prescriptive authority. In Florida, the ARNP license is an upgrade<br />
<strong>of</strong> the RN license resulting in expanded scope <strong>of</strong> practice. The CNS license protects the CNS title but with no<br />
expanded scope practice.<br />
Florida CNSs are board certified in many recognized APRN roles, such as:<br />
• Adult Psychiatric & Mental Health<br />
• Certified Critical Care Nurse Specialist<br />
• Adult Health (Medical Surgical Nursing)<br />
• Gerontological Nursing<br />
• Advanced Diabetes Management<br />
• Child & Adolescent Psychiatric and Mental Health<br />
• Advanced Oncology Clinical Nurse Specialist<br />
• Advanced Certified Hospice and Palliative Nurse<br />
• Pediatric Nursing<br />
• Public/Community Health Nursing<br />
Thirty six states and territories in the U.S., permit CNSs an expanded scope <strong>of</strong> practice with prescriptive<br />
authority. CNSs licensed outside <strong>of</strong> Florida lose all APRN privileges when relocating to practice in Florida.<br />
ii. Pertinent Definitions<br />
“Advanced or specialized nursing practice” (FS 464.003): “the performance <strong>of</strong> advanced-level nursing acts<br />
approved by the board which, by virtue <strong>of</strong> post-basic specialized education, training, and experience, are<br />
appropriately performed by an advanced registered nurse practitioner.”<br />
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“Advanced registered nurse practitioner”(FS 464.003): “means any person licensed in this state to practice<br />
pr<strong>of</strong>essional nursing and certified in advanced or specialized nursing practice, including certified registered<br />
nurse anesthetists, certified nurse midwives, and nurse practitioners.”<br />
“Clinical nurse specialist practice” (FS 464.003): “means the delivery and management <strong>of</strong> advanced practice<br />
nursing care to individuals or groups, including the ability to: (a) Assess the health status <strong>of</strong> individuals and<br />
families using methods appropriate to the population and area <strong>of</strong> practice. (b) Diagnose human responses<br />
to actual or potential health problems. (c) Plan for health promotion, disease prevention, and therapeutic<br />
intervention in collaboration with the patient or client. (d) Implement therapeutic interventions based on<br />
the nurse specialist’s area <strong>of</strong> expertise and within the scope <strong>of</strong> advanced nursing practice, including, but<br />
not limited to, direct nursing care, counseling, teaching, and collaboration with other licensed health care<br />
providers. (e) Coordinate health care as necessary and appropriate and evaluate with the patient or client the<br />
effectiveness <strong>of</strong> care.<br />
iii. Overview on CNS and ARNP Educational Preparation<br />
CNS and ARNP Florida licensing requirements are the same. The CNS and ARNP must hold a master’s<br />
degree and provide pro<strong>of</strong> <strong>of</strong> current certification from a nationally recognized certifying body or if there is no<br />
certification within the specialty show pro<strong>of</strong> <strong>of</strong> 1,000 hours <strong>of</strong> clinical experience, with a minimum <strong>of</strong> 500<br />
hours <strong>of</strong> clinical practice after graduation. Core educational curriculum for CNS and ARNPs include: physical<br />
assessment, pathophysiology, and pharmacology.<br />
iv. legal/ethical considerations<br />
Centers for Medicare and Medicaid Services (CMS) recognize CNSs as prescribers. 38 percent <strong>of</strong> Medicare<br />
Part B providers are nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists.<br />
The National Association <strong>of</strong> Clinical Nurse Specialists (NACNS) recognizes prescriptive authority as an<br />
important part <strong>of</strong> the CNS core competencies.<br />
v. consequences to patient care<br />
Employers cannot fill vacant positions for CNSs because the current limitation in scope <strong>of</strong> practice for Florida<br />
CNS, as defined in the Florida Statute, discourages CNSs from relocating to our State and CNS programs are<br />
almost non-existent in Florida. Florida licensing regulations for the APRN are not consistent with the Consensus<br />
Model for APRN Regulation, resulting in delayed treatment and therapeutic interventions and hospital<br />
discharges.<br />
Recommendations for action<br />
• CNS inclusion in the FS 464.003 definition <strong>of</strong> “Advanced or specialized nursing practice.”<br />
• Prescriptive authority for CNS to be in alignment with the current prescriptive authority <strong>of</strong> ARNPs<br />
References<br />
1. Institute <strong>of</strong> Medicine. The Future <strong>of</strong> Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press; 2010.<br />
2. Federal Trade Commission Staff Letter To The Honorable Daphne Campbell, Florida House <strong>of</strong> Representatives, Concerning<br />
Florida House Bill 4103 and the Regulation <strong>of</strong> Advanced Registered Nurse Practitioners (64.67 KB)<br />
3. Lyon,B. Advanced Practice Registered Nurse Compact: A Call to Action With a Primer on the Regulation <strong>of</strong> CNS Practice. (2003).<br />
17(4)p. 185-187.<br />
4. Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse<br />
5. specialist services. In CMS Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/<br />
R75BP.pdf. Accessed June 8, 2014.<br />
6. Centers for Medicare and Medicaid Services (2013). Detailed written orders for covered items.<br />
7. In Medicare Program Integrity Manual. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/<br />
pim83c05.pdf. Accessed June 8, 2014.<br />
8. National Association <strong>of</strong> Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the Clinical<br />
Nurse Specialist.<br />
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9. National Council <strong>of</strong> State Boards <strong>of</strong> Nursing. (2011). Title XVIII: APRN scope <strong>of</strong> nursing practice. Accessed June 22, 2012 at<br />
https://www.ncsbn.org/1455.htm<br />
10. National Council for State Boards <strong>of</strong> Nursing (2008). Consensus model for APRN regulation:<br />
11. Licensure, accreditation, certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_<br />
July_2008.pdf. Accessed June 8, 2014.<br />
12. O’Grady, E. (2008) Advanced Practice Registered Nurses: The Impact on Patient Safety and Quality, in AHRQ, Patient Safety and<br />
quality: An evidence-based handbook for nurses (ed. Ronda G. Hughes) 2-606.<br />
13. Ponto, J., Sabo, J., Fitzgerald, M.A., & Wilson, D.E., (2002). Operationalizing Advanced Practice Registered Nurse Legislation<br />
Perspectives From a Clinical Nurse Specialist Task Force. Clinical Nurse Specialist, 16(5), p 263-269.<br />
_________________________________________________________________________________________________<br />
Proposal #3<br />
Title: Continuous Observation in the Acute Care Setting<br />
Submitted by: Wuesth<strong>of</strong>f Bargaining Unit/Local 713<br />
Author: Matthew Price, RN, BSN, CCRN<br />
a. Statement <strong>of</strong> Concern<br />
Standards for Continuous Observation <strong>of</strong> Patients in Acute Care Settings Do Not Exist putting patients and<br />
staff at risk.<br />
b. Rationale<br />
i. Background Information<br />
The use <strong>of</strong> safety attendants for continuous observation is used in Acute Care settings for various reasons.<br />
Observers can be used to prevent falls, monitor aggression, prevent suicide, improve delirium, help detect<br />
symptoms <strong>of</strong> alcohol or drug withdrawal, and help assure guidelines are followed for Baker Act, Marchman Act<br />
patients.<br />
In 2010, The Joint Commission established general guidelines for the assessment and safety <strong>of</strong> patients that<br />
are at risk for suicide in Emergency Departments and Medical/Surgical Units. These guidelines failed to define<br />
what instrument should be used to assess this population and what interventions should be implemented. The<br />
Joint Commission gave a general recommendation <strong>of</strong> using the SAD PERSONS scale and follow up at discharge<br />
(Jacobs & Joint Commission on Accreditation <strong>of</strong> Healthcare, 2007). Many tools have been created to assess<br />
patients at risk for suicide but there is insufficient evidence to support a single tool for determining which<br />
patients that attempt suicide (Simon, 2002, p. 342).<br />
Increasing numbers <strong>of</strong> patients have medical conditions that preclude them from being admitted to the Acute<br />
Psychiatric/Behavioral Unit. This transition <strong>of</strong> care to inpatient medical units puts patients with psychiatric<br />
crises at risk <strong>of</strong> escalation, which include, self-harm, harm to others, or a worsening <strong>of</strong> their psychiatric<br />
condition (Mitchell, Garand, Dean, Panzak, & Taylor, 2005).<br />
Outside <strong>of</strong> suicide, falls may be prevented or harm lessened by having a safety attendant or continuous<br />
observer. In 2014, the Pennsylvania Patient Safety Authority found that, while falls did not decline with sitter<br />
use, falls with harm did (Feil, Wallace, & Pennsylvania Patient Safety Authority, 2014)<br />
The cost <strong>of</strong> providing one to one observation has been prohibitive for many institutions. Therefore, some<br />
institutions have been creative in their use <strong>of</strong> paid observers, utilizing them to view patients from hallways or<br />
placing them in rooms with multiple patients. The Office <strong>of</strong> Inspector General found this to be an inappropriate<br />
use <strong>of</strong> continuous observation (Department <strong>of</strong> Veterans Affairs. Office <strong>of</strong> Inspector General, 2011). Besides<br />
31
<strong>2017</strong> Florida Nurses Association<br />
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<strong>2017</strong> Florida Nurses Association<br />
providing levels <strong>of</strong> care, paid observers usually have little or no training to monitor these patients (Carr, 2013).<br />
The Pennsylvania Patient Safety Authority has shown in its research that a clearly defined program with proper<br />
training can pay for itself in reduction <strong>of</strong> falls with harm and decrease in severity <strong>of</strong> injury (Feil et al., 2014)<br />
ii. Pertinent Definitions for Level <strong>of</strong> Observation<br />
Intermittent Observation- rounding on a patient at risk at defined time intervals (usually 15minutes)<br />
• Constant Observation - one observer may observe more than one patient<br />
• 1:1 – observer in the room and no physical barriers between the patient and staff member<br />
• Intensive Psychiatric Observation- requires staff to keep their eyes on the patient and remain within arm’s<br />
reach <strong>of</strong> the patient at all times in an adequately lighted area. (Jan<strong>of</strong>sky, 2009, p. 20)<br />
iii. Overview on Nursing Role/Function<br />
Nursing’s’ role is to assess throughout the continuum <strong>of</strong> care, develop a plan <strong>of</strong> care, implement interventions,<br />
and evaluate their effectiveness. This role includes interventions that prevent or reduce harm to patients at<br />
risk until the patient is declared medically and psychiatrically stable (Mitchell et al., 2005, p. 4). The nurse’s<br />
decision to use a Level <strong>of</strong> Observation will be based on a reliable tool and include any sudden unexpected<br />
aggressive or harmful behavior. “The level <strong>of</strong> suicide precautions must be based on an adequate risk<br />
assessment and a clinical rationale.” (Jan<strong>of</strong>sky, 2009, p. 17)<br />
iv. Legal/Ethical Considerations<br />
Patients deserve to be safe during medical treatment, a failure to provide safety may lead to harm or even<br />
death. We have an ethical duty to the needs <strong>of</strong> the whole patient: mental, physical, and spiritual. Litigation<br />
related to falls has been on the rise because it is seen as negligence when healthcare institutions fail to<br />
provide a safe environment for our patients.<br />
v. Consequences to Patient Care<br />
The implementation <strong>of</strong> clearly defined, evidenced based practices for utilizing safety attendants for continuous<br />
observation will clarify patients at risk and best practices to improve patient care and safety.<br />
c. Statement <strong>of</strong> Position<br />
Let it be said, that the Florida Nurse Association supports using evidenced based practice guidelines for the<br />
use <strong>of</strong> Safety Attendants for Continuous Observation in Acute Care Settings. The evidence guidelines include:<br />
minimum education/training <strong>of</strong> observers, evaluation tools to determine patients at risk, Sitter/ Staffing<br />
Observation Level based on a reliable tool, criteria for reducing Sitter/ Staffing Observation Level based on a<br />
reliable tool, and minimum safety attendant levels for each patient population and Observation Level.<br />
d. Recommendations for action<br />
1. Advocate for policy that will protect patients, nurses, and healthcare workers when providing Safety<br />
Attendants in Continuous Observation <strong>of</strong> Patients in Acute Care Settings.<br />
2. Advocate for policy for minimum education/training levels <strong>of</strong> safety attendants/sitters that includes a list<br />
<strong>of</strong> competencies.<br />
3. Define types <strong>of</strong> patients requiring observation.<br />
4. Define Levels <strong>of</strong> Observation based on objective assessments using standardized tools.<br />
5. Advocate for policy for minimum safety attendant levels when providing continuous observation to<br />
maintain a safe environment for patients, nurses, and healthcare workers.<br />
6. Form a Task Force to develop a Tool Kit for Model Policy for Acute Care Settings.<br />
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References<br />
1. Bagley, S. (2013). Identifying Patients at Risk for Suicide: Brief Review. Making Healthcare Safer II: An Updated Critical Analysis<br />
<strong>of</strong> the Evidence for Patient Safety Practices.. Agency for Healthcare Research and Quality. Retrieved from www.ncbi.nlm.nih.gov/<br />
books/NBK133374/<br />
2. Brim, C., Lindauer, C., Halpern, J., Storer, A., Barnason, S., Young Bradford, J., ... Williams, J. (2012, December). Clinical<br />
Practice Guideline: Suicide Risk Assessment. Full Version., 1-15. Retrieved from https://www.ena.org/practice-research/<br />
research/CPG/Documents/SuicideRiskAssessmentCPG.pdf<br />
3. Carr, F. (2013). The Role <strong>of</strong> Sitters in Delirium: An Update.. Canadian Geriatrics Journal, 16(1), 22-36. doi: http://dx.doi.<br />
org/10.5770/cgj.16.29<br />
4. Degelau, J., Belz, M., Bugnum, L., Flavin, P. L., Leys, K., Lundquist, L., & Webb, B. (2012, April). Prevention <strong>of</strong> falls (acute care).<br />
Health care protocol.. Institute for Clinical Systems Improvement. Retrieved from http://www.guideline.gov/content.aspx?id=36906<br />
5. Department <strong>of</strong> Veterans Affairs. Office <strong>of</strong> Inspector General. (2011). Healthcare Inspection: Attempted Suicide During Treatment<br />
West Palm Beach VA Medical Center (11-01052-233). Retrieved from Department <strong>of</strong> Veterans Affairs. Office <strong>of</strong> Inspector General<br />
Report: http://www.va.gov/oig/54/reports/VAOIG-11-01052-233.pdf<br />
6. Feil, M., Wallace, S. C., & Pennsylvania Patient Safety Authority, (2014, March). The Use <strong>of</strong> Patient Sitters to Reduce Falls:<br />
Best Practices. Pennsylvania Patient Safety Advisory, 11, 8-14. Retrieved from http://patientsafetyauthority.org/ADVISORIES/<br />
AdvisoryLibrary/2014/Mar;11 (1)/Pages/08.aspx<br />
7. Harding, A. D. (2010, October). Observation Assistants: Sitter Effectiveness and Industry Measures. Nursing Economics, 28,<br />
330-336. Retrieved from https://www.nursingeconomics.net/necfiles/Harding_Sitters.pdf<br />
8. Jacobs, D., & Joint Commission on Accreditation <strong>of</strong> Healthcare, (2007). JCAHO: 2007 Patient Safety Goals on Suicide. Retrieved<br />
from http://www.sprc.org/sites/sprc.org/files/library/jcsafetygoals.pdf<br />
9. Jan<strong>of</strong>sky, J. S. (2009). Reducing Inpatient Suicide Risk: Using Human Factors Analysis to Improve Observation Practices.<br />
The Journal <strong>of</strong> the American Academy <strong>of</strong> Psychiatry and the Law, 37, 15-24.<br />
10. Knoll IV, J. L. (2012, May 22). Inpatient Suicide: Identifying Vulnerability in the Hospital Setting. Psychiatric Times. Retrieved<br />
from http://www.psychiatrictimes.com/suicide/inpatient-suicide-identifying-vulnerability-hospital-setting<br />
11. Mackay, I., Patterson, B., & Cassells, C. (2005, August). Constant or special observations <strong>of</strong> inpatients presenting a risk <strong>of</strong><br />
aggression or violence: nurses; perceptions <strong>of</strong> the rules <strong>of</strong> engagement.. Journal <strong>of</strong> Psychiatric and Mental Health Nursing, 12,<br />
464-471. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16011502<br />
12. Mitchell, A. M., Garand, L., Dean, D., Panzak, G., & Taylor, M. (2005, October). Suicide Assessment in Hospital Emergency<br />
Departments. Top Emergency Medicine, 27, 302-312. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864482/<br />
13. Simon, R. I. (2002). Suicide Risk Assessment: What Is the Standard <strong>of</strong> Care?. Journal <strong>of</strong> the American Academy <strong>of</strong> Psychiatry and<br />
the Law, 30, 340-344. Retrieved from http://www.jaapl.org/content/30/3/340.full.pdf<br />
14. Targum, S. D., Friedman, F., & Pacheco, M. N. (2014, Sept-Oct). Assessment <strong>of</strong> Suicidal Behavior in the Emergency Department.<br />
Innovations in Clinical Neuroscience, 11, 194-200. Retrieved from httP://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267796/<br />
_________________________________________________________________________________________________<br />
Proposal #4<br />
Title: Nurses’ Responsibility and Ethical Duty in Prison Healthcare<br />
Submitted by: Deborah Hogan, MPH, RN<br />
Background Information<br />
In the 1976 Supreme Court decision, Estelle v Gamble, the Court held that deprivation <strong>of</strong> health care<br />
constitutes cruel and unusual punishment, a violation <strong>of</strong> the Eighth Amendment. 1 The Supreme Court further<br />
ruled that this rule applies regardless <strong>of</strong> whether the medical care is being provided by a state agency or<br />
private medical contractors. 5 The court also found that prison health systems are obligated to treat all “serious<br />
medical needs.” 5<br />
Courts have determined that a “serious medical need” is at issue when “ 6 whether a reasonable doctor or<br />
patient would perceive the medical need in question as important and worthy <strong>of</strong> comment or treatment;<br />
5<br />
whether the medical condition significantly affects daily activities; and 6 the existence <strong>of</strong> chronic and<br />
substantial pain.” 7 Additionally, courts will be likely to find a “serious medical need” if a condition “has been<br />
diagnosed by a physician as mandating treatment or ... is so obvious that even a lay person would easily<br />
recognize the necessity <strong>of</strong> a doctor’s attention.” 7<br />
35
<strong>2017</strong> Florida Nurses Association<br />
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<strong>2017</strong> Florida Nurses Association<br />
The Palm Beach Post has reported that since the State <strong>of</strong> Florida transitioned all prison healthcare services<br />
to private, for provide healthcare corporations the death rate <strong>of</strong> inmates has risen from 12.8% to 57%, with 30<br />
inmates dying in seven months. 1<br />
Of those prison deaths reported Illness related deaths accounted for the majority (88%) <strong>of</strong> deaths in state<br />
prisons. 2<br />
The data available on the health <strong>of</strong> prisoners indicates that the quality <strong>of</strong> health is not optimal and does not<br />
parallel the health <strong>of</strong> the general population, 4 and<br />
The correlation between transition <strong>of</strong> prison healthcare service provider and increased morbidity and mortality<br />
within the prison health system suggests that inadequate or inappropriate healthcare services are being<br />
provided to prisoners within the new prison healthcare systems as a result <strong>of</strong> policy changes by prison<br />
healthcare providers, and<br />
Nurses are subject to moral distress due the ethical conflict created by dual loyalty to the patient while also<br />
being required to fulfill the requirements <strong>of</strong> the employer, and<br />
Consistent with the American Nurses Association Code <strong>of</strong> Ethics for Nurses 2015 Article 3.5, 8 “Nurses must<br />
be alert to, and must take appropriate action in ALL instances <strong>of</strong> incompetent, unethical, illegal or impaired<br />
practice or actions the place the rights or best interests <strong>of</strong> the patient in jeopardy.”<br />
Therefore, be it resolved, The Florida Nurses Association will continue to advocate for appropriate health care<br />
for those inmates in the prison system. This will include, but not be limited to:<br />
1. Promoting legislative action to ensure proper healthcare provision, and<br />
2. Coordinating efforts with other entities working to ensure safe and appropriate prison healthcare delivery.<br />
And it be Further Resolved, The Florida Nurses Association will continue to educate the community regarding:<br />
1. Ethical and legal standards regarding prisoner healthcare;<br />
2. Existing prison healthcare systems;<br />
3. Negative prisoner healthcare outcome date,<br />
4. Ethical and legal obligations <strong>of</strong> the state to provide all prisoners with adequate and appropriate health<br />
care services.<br />
Reference<br />
1. <strong>FNA</strong> Position Statement to the ANA, 2015 ANA Membership Assembly<br />
2. Noonan, Margaret, and Ginder, Scott, “Mortality in Local Jails and State prisons, 2000-2012-Statistical Tables, ”Bureau <strong>of</strong><br />
Justice Statistics, October 2014.<br />
3. Jotterand, Fabrice & Wangmo,Tenzin ( 2014), “The Principle <strong>of</strong> Equivalence Reconsidered: Assessing the Relevance <strong>of</strong> the<br />
Principle <strong>of</strong> Equivalence in Prison Medicine,” The American Journal <strong>of</strong> Bioethics, 14:7, 4-12.<br />
4. Davis, Mary, “Keeping Pace: ANA’s revised Code <strong>of</strong> Ethics for Nursing,” American Nurse Today, Volume 10, Number 3, p.16.<br />
5. West v. Atkins, 487 U.S. 42, 57-58 (1988); Richardson v. McKnight, 521 U.S. 399 (1997).<br />
6. Estelle v. Gamble, 429 U.S. 97, 103 (1976).<br />
7. Hill v. DeKalb Regional Youth Detention Ctr., 40 F.3d 1176, 1187 (11th Cir. 1994)<br />
8. American Nurses Association (2015) Code <strong>of</strong> Ethics for Nurses with Interpretive Statements, http://nursingworld.org/<br />
DocumentVault/Ethics_1/Code-<strong>of</strong>-Ethics-for-Nurses.html<br />
37
<strong>2017</strong> Florida Nurses Association<br />
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38
<strong>2017</strong> Florida Nurses Association<br />
Florida Nurses Association Bylaws<br />
2015-2016<br />
ARTICLE I Name<br />
The name <strong>of</strong> this Association shall be the Florida Nurses Association, hereinafter referred to as <strong>FNA</strong>.<br />
ARTICLE II Purposes and Functions<br />
Section 1. Purposes<br />
A. The purposes <strong>of</strong> the <strong>FNA</strong> shall be to:<br />
1. Foster high standards <strong>of</strong> nursing practice;<br />
2. Promote the pr<strong>of</strong>essional and educational advancement <strong>of</strong> nurses; and<br />
3. Promote the welfare <strong>of</strong> nurses to the end that all people may have better nursing care.<br />
B. These purposes shall be in accordance with ANA Bylaws.<br />
Section 2. Functions<br />
The functions <strong>of</strong> the <strong>FNA</strong> shall be to:<br />
A. Advocate standards <strong>of</strong> nursing practice, nursing education and nursing services and promote these<br />
standards through such activities as position statements and legislative activities;<br />
B. Act and speak for the nursing pr<strong>of</strong>ession before allied pr<strong>of</strong>essional, community and governmental<br />
groups on issues <strong>of</strong> importance to the pr<strong>of</strong>ession including legislation and governmental programs;<br />
C. Develop and maintain relationships with nursing organizations, allied health, nursing students and<br />
consumer groups;<br />
D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code <strong>of</strong> Ethics<br />
for Nurses;<br />
E. Promote and protect the economic and general welfare <strong>of</strong> nurses;<br />
F. Promote the continuing pr<strong>of</strong>essional development <strong>of</strong> nurses;<br />
G. Provide for representation in the ANA Membership Assembly<br />
H. Preserve documents and other materials which contribute to the historical and cultural development <strong>of</strong><br />
nursing;<br />
I. Assume an active role as consumer advocate;<br />
J. Initiate and influence legislation, governmental programs and national health policy;<br />
K. Support systematic study, evaluation and research in nursing.<br />
ARTICLE III Membership, Dues, Membership Year<br />
Section 1. Composition<br />
A. Membership in <strong>FNA</strong> shall consist <strong>of</strong> members <strong>of</strong> the state regions who meet the qualifications and<br />
responsibilities specified in these bylaws.<br />
B. Membership options:<br />
1. Full Membership includes ANA and <strong>FNA</strong>.<br />
2. State Only Membership includes <strong>FNA</strong>.<br />
3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and have<br />
voice but no vote.<br />
C. Membership shall be unrestricted in accordance with ANA/<strong>FNA</strong> Bylaws.<br />
39
<strong>2017</strong> Florida Nurses Association<br />
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40
<strong>2017</strong> Florida Nurses Association<br />
Section 2. Qualifications<br />
A member is one:<br />
A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or<br />
the District <strong>of</strong> Columbia <strong>of</strong> the United States and who does not have a license under suspension or<br />
revocation in any state, or is otherwise entitled by law to practice, or<br />
B. Whose application for membership in <strong>FNA</strong> has been accepted in accordance with <strong>FNA</strong> policy; and,<br />
C. Whose dues are not delinquent; and,<br />
D. Whose membership is not under revocation for violation <strong>of</strong> the ANA Code <strong>of</strong> Ethics for Nurses or <strong>FNA</strong>/<br />
ANA Bylaws.<br />
Section 3. Membership Privileges and Obligations<br />
A. Full Members shall have privileges as follows:<br />
1. Voting for:<br />
a. Representatives and alternates to Membership Assembly.<br />
b. <strong>FNA</strong> Officers; and<br />
c. <strong>FNA</strong> Directors.<br />
2. Serving as an ANA representative, alternate or in any elected or appointed positions in accordance<br />
with ANA Bylaws and applicable policies.<br />
3. Being nominated to an Officer or Director position after twelve months <strong>of</strong> membership in <strong>FNA</strong>.<br />
4. Attending and voting in the Membership Assembly, attending Board <strong>of</strong> Directors and Committee<br />
meetings, and other unrestricted functions <strong>of</strong> <strong>FNA</strong>/ANA;<br />
5. Receiving regular ANA and <strong>FNA</strong> communications;<br />
B. Full Members <strong>of</strong> <strong>FNA</strong> shall continue to have all the rights <strong>of</strong> membership in ANA as provided in the<br />
ANA bylaws, until such time as ¾ <strong>of</strong> the entire <strong>FNA</strong> full membership votes to disaffiliate from the<br />
ANA. Full membership is defined as individual members <strong>of</strong> <strong>FNA</strong> who have ANA rights and privileges<br />
<strong>of</strong> membership as a result <strong>of</strong> their <strong>FNA</strong> membership. The vote may occur by mail, phone or electronic<br />
ballot, with appropriate notice and procedures to protect the integrity and validity <strong>of</strong> the vote.<br />
C. Full members shall have membership obligations as follows:<br />
1. Abide by <strong>FNA</strong> and ANA Bylaws; and<br />
2. Abide by ANA Code <strong>of</strong> Ethics for Nurses.<br />
D. State Only Members shall have privileges as follows:<br />
1. Voting for:<br />
a. <strong>FNA</strong> Officers;<br />
b. <strong>FNA</strong> Directors after twelve months <strong>of</strong> membership in <strong>FNA</strong> being nominated to a Director position;<br />
c. Executive Committees <strong>of</strong> other structural units to which they affiliate;<br />
2. Serving in any <strong>FNA</strong> appointed position;<br />
3. After twelve months <strong>of</strong> membership in <strong>FNA</strong> being nominated to a Director position;<br />
4. Attending and voting in Membership Assembly, attending Board <strong>of</strong> Directors and Committee<br />
meetings, and other unrestricted functions <strong>of</strong> <strong>FNA</strong>;<br />
5. Receiving regular <strong>FNA</strong> communications.<br />
E. State Only Members shall have membership obligations as follows:<br />
1. Abide by the bylaws <strong>of</strong> <strong>FNA</strong>.<br />
2. Abide by the ANA Code <strong>of</strong> Ethics for Nurses.<br />
Section 4. Disciplinary Action<br />
A. Cause for disciplinary action by <strong>FNA</strong> against a member shall be limited to:<br />
1. Failure to fulfill the obligations as cited in these bylaws; and<br />
2. Other actions detrimental to the purposes, goals and functions <strong>of</strong> <strong>FNA</strong> and ANA.<br />
3. Activity supporting a union that is in direct competition with <strong>FNA</strong>.<br />
4. Falsely providing public testimony or opinion as representing that <strong>of</strong> <strong>FNA</strong>.<br />
B. Disciplinary proceedings:<br />
41
<strong>2017</strong> Florida Nurses Association<br />
42
<strong>2017</strong> Florida Nurses Association<br />
1. Shall be conducted in accordance with policies and procedures established and adopted by the<br />
Board <strong>of</strong> Directors, which shall have final disciplinary authority over members; and<br />
2. A member shall have the right to due process as provided for under common parliamentary or<br />
statutory law,<br />
C. Disciplinary Action shall depend on the severity <strong>of</strong> the violation, and may include:<br />
1. Reprimand;<br />
2. Censure;<br />
3. Suspension from membership; or<br />
4. Permanent expulsion from membership.<br />
D. A member may appeal any disciplinary action in accordance with procedures adopted by the <strong>FNA</strong> Board<br />
<strong>of</strong> Directors.<br />
E. Recognition <strong>of</strong> Disciplinary Action by another State Nurses Association (hereinafter referred to as SNA):<br />
Any disciplinary action taken by another SNA against one <strong>of</strong> its members shall be given full recognition<br />
and enforcement, provided such action was taken in accordance with the bylaws <strong>of</strong> the disciplining SNA<br />
and its disciplinary procedures.<br />
Section 5. Dues<br />
A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly, assessments as<br />
set by affiliate organizations to which <strong>FNA</strong> or its structural units belong, and <strong>FNA</strong> dues as established<br />
by <strong>FNA</strong> members participating in the Annual Membership Meeting.<br />
B. State only <strong>FNA</strong> Membership dues include <strong>FNA</strong> dues as set forth in <strong>FNA</strong> bylaws and policies.<br />
C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall include the<br />
present rate <strong>of</strong> dues paid by the <strong>FNA</strong> to the ANA and other organizations to which the structural units<br />
affiliate.<br />
D. The Board <strong>of</strong> Directors may initiate pilot dues recruitment strategies with a report to the following<br />
membership assembly for action.<br />
E. A vote <strong>of</strong> two-thirds (2/3) <strong>of</strong> the voting members present and a previous notice <strong>of</strong> sixty days (60) shall<br />
be required to change the <strong>FNA</strong> dues.<br />
Section 6. Assessment<br />
A. Each member <strong>of</strong> a <strong>FNA</strong> Collective Bargaining Unit shall be assessed an annual fee to support collective<br />
bargaining activities.<br />
B. The annual assessment shall be established by the Membership Assembly.<br />
C. Members shall be notified in Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly <strong>of</strong> a proposal to change<br />
the dues at least sixty (60) days prior to the meeting at which the proposal will be presented.<br />
D. A vote <strong>of</strong> two-thirds (2/3) <strong>of</strong> the members present and voting and previous notice <strong>of</strong> sixty days (60)<br />
shall be required to change the dues.<br />
Section 7. Transfer <strong>of</strong> Dues/Assessment and Membership<br />
A. A full member who has completed full payment <strong>of</strong> dues and moved out <strong>of</strong> Florida may apply to the <strong>FNA</strong><br />
Executive Director for transfer to another state association <strong>of</strong> the ANA.<br />
B. A member <strong>of</strong> another state association <strong>of</strong> the ANA who has completed full payment <strong>of</strong> dues and fees<br />
for the membership year and who moves into or works within the boundaries <strong>of</strong> Florida may transfer to<br />
<strong>FNA</strong> without further payment or refund <strong>of</strong> dues for the remainder <strong>of</strong> the membership year. The request<br />
for transfer shall be signed by the secretary <strong>of</strong> the state nurses association issuing the transfer.<br />
C. A member may transfer from one <strong>FNA</strong> region to another within the state without further payment <strong>of</strong><br />
dues assessment for the remainder <strong>of</strong> the membership year. Application for transfer shall be made to<br />
the <strong>FNA</strong> Executive Director.<br />
43
<strong>2017</strong> Florida Nurses Association<br />
Section 8. Membership Year<br />
The membership year shall be a period <strong>of</strong> twelve (12) consecutive months from the time <strong>of</strong> application for<br />
membership status.<br />
Section 9. Life Membership<br />
A. Life membership may be conferred on an individual who has rendered distinguished service or valuable<br />
assistance to the nursing pr<strong>of</strong>ession. Recommendation for life membership comes from the Board <strong>of</strong><br />
Directors. A two-thirds (2/3) vote at the Membership Assembly is required.<br />
B. Life membership shall not be conferred on more than one individual per annum.<br />
C. Life membership shall carry full membership privileges and exemption from payment <strong>of</strong> dues.<br />
Section 10. Honorary Membership<br />
A. Honorary membership may be conferred on any individual who has rendered distinguished service or<br />
valuable assistance to the organization. Recommendation for Honorary Membership comes from the<br />
Board <strong>of</strong> Directors. A two-thirds (2/3) vote <strong>of</strong> the attending members at the Membership Assembly is<br />
required.<br />
B. Honorary membership shall carry no responsibilities or privileges.<br />
Section 11. Emeritus Membership<br />
A. Emeritus Membership may be conferred on each <strong>FNA</strong> member <strong>of</strong> 50 or more consecutive years, upon<br />
reaching the age <strong>of</strong> 80.<br />
B. Emeritus Members may serve on committees, but not as chair, nor hold <strong>of</strong>fice at the state level.<br />
C. Emeritus Members will be exempted from dues.<br />
D. Emeritus Members will receive reduced rates at all <strong>FNA</strong> functions.<br />
Section 12. Organizational Affiliates<br />
A. Definition: An organizational Affiliate <strong>of</strong> <strong>FNA</strong> is an association that has been granted organizational<br />
affiliate status by the <strong>FNA</strong> Board <strong>of</strong> Directors.<br />
B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board <strong>of</strong><br />
Directors and shall:<br />
1. Maintain a mission and purpose harmonious with the purposes and functions <strong>of</strong> <strong>FNA</strong><br />
2. Have bylaws that do not conflict with <strong>FNA</strong> bylaws<br />
3. Be comprised <strong>of</strong> registered nurses and have a governing body composed <strong>of</strong> registered nurses<br />
4. Pay an annual organization fee established by the <strong>FNA</strong> Board <strong>of</strong> Directors<br />
C. Rights: Each organizational affiliate shall be entitled to:<br />
1. Have one seated representative to the Membership Assembly who must also be a current <strong>FNA</strong><br />
member and who shall be eligible to vote on all matters in the Membership Assembly except setting<br />
<strong>of</strong> membership dues, amendment <strong>of</strong> bylaws and election <strong>of</strong> <strong>of</strong>ficers and directors.<br />
2. Make reports or presentations to the <strong>FNA</strong> Membership Assembly within its area <strong>of</strong> expertise,<br />
including the presentation <strong>of</strong> action reports.<br />
ARTICLE IV. Officers and Directors<br />
Section 1. Officers<br />
A. The <strong>of</strong>ficers are President, President-elect, Vice-President, Secretary, and Treasurer.<br />
B. The <strong>of</strong>ficers are elected by members and are accountable to the Membership<br />
Section 2. Directors<br />
A. There shall be eight Directors representing each <strong>of</strong> eight Regions and one additional director who is a<br />
recent graduate <strong>of</strong> a pre-licensure nursing program within five years or less.<br />
B. The directors are elected by members and are accountable to the membership.<br />
44
<strong>2017</strong> Florida Nurses Association<br />
Section 3. Qualifications<br />
A. All nominees for Officers and Directors shall be <strong>FNA</strong> members in good standing.<br />
B. Nominees must be dues paying members <strong>of</strong> the <strong>FNA</strong> for a period <strong>of</strong> at least twelve months prior to<br />
being nominated as an Officer or Director.<br />
C. An employee <strong>of</strong> <strong>FNA</strong> is eligible to be a candidate contingent upon resignation <strong>of</strong> the staff position if<br />
elected.<br />
Section 4. Term <strong>of</strong> Office<br />
A. The term <strong>of</strong> <strong>of</strong>fice for Officers and Directors shall be two years or until their successors are elected.<br />
B. The term shall commence at the adjournment <strong>of</strong> the Membership Assembly at which they are elected.<br />
C. President and President-Elect shall serve no more than one term consecutively in each <strong>of</strong>fice.<br />
D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four<br />
consecutive terms on the Board <strong>of</strong> Directors.<br />
E. An Officer or Director who has served more than one-half (1/2) term shall be deemed to have served a<br />
full term.<br />
Section 5. Duties<br />
A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted<br />
parliamentary authority, and as directed by the Board <strong>of</strong> Directors and the Membership Assembly.<br />
B. Officers and Directors, upon expiration <strong>of</strong> their terms <strong>of</strong> <strong>of</strong>fice, shall surrender to the <strong>FNA</strong> Executive<br />
Director all properties in their possession belonging to their respective <strong>of</strong>fices.<br />
C. The President shall be:<br />
1. A full member <strong>of</strong> <strong>FNA</strong><br />
2. Chair <strong>of</strong> the Board <strong>of</strong> Directors;<br />
3. Chair <strong>of</strong> the Executive Committee;<br />
4. Chair <strong>of</strong> the Advisory Committee;<br />
5. Ex <strong>of</strong>ficio member <strong>of</strong> all committees except the Nominating Committee;<br />
6. <strong>FNA</strong>’s representative at meetings <strong>of</strong> the ANA Constituent Assembly;<br />
7. Responsible for appointing members to committees and designating the chairs, with the approval <strong>of</strong><br />
the Board <strong>of</strong> Directors, except as hereinafter provided in these bylaws; and<br />
8. Concurrently elected as a representative to the ANA Membership Assembly.<br />
D. The President-Elect shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong><br />
2. Act as assistant to the President; and<br />
3. In the absence <strong>of</strong> the President, assume the duties <strong>of</strong> the President.<br />
4. Review any reference proposals submitted to the Membership Assembly.<br />
5. Serve as Chair <strong>of</strong> the Advisory Council.<br />
E. The Vice-President shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong><br />
2. In the absence <strong>of</strong> the President and President-Elect, assume the duties <strong>of</strong> the President;<br />
3. Be chairperson <strong>of</strong> the <strong>FNA</strong> Membership Committee.<br />
F. The Secretary shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong><br />
2. record the minutes <strong>of</strong> meetings <strong>of</strong> the <strong>FNA</strong>;<br />
3. Board <strong>of</strong> Directors;<br />
4. Executive Committee; and<br />
5. Advisory Committee.<br />
G. The Treasurer shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong><br />
2. Report to the Board <strong>of</strong> Directors the financial standing <strong>of</strong> <strong>FNA</strong>;<br />
3. Make a full report to <strong>FNA</strong> at each Membership Assembly;<br />
45
<strong>2017</strong> Florida Nurses Association<br />
4. Serve as Chair <strong>of</strong> the Finance Committee; and<br />
5. Be bonded.<br />
H. The Region Directors shall:<br />
1. Be responsible for the implementation <strong>of</strong> the purposes and functions as created in these bylaws;<br />
2. Serve as members <strong>of</strong> the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
3. Serve as liaisons between the <strong>FNA</strong> Board <strong>of</strong> Directors and the Regions and bargaining units as<br />
designated by the Board;<br />
4. Recommend to the <strong>FNA</strong> Board <strong>of</strong> Directors the establishment <strong>of</strong> Ad Hoc Committees deemed<br />
necessary to implement the purposes and functions <strong>of</strong> <strong>FNA</strong>.<br />
I. The Director-Recent Graduate shall:<br />
1. Serve as facilitator <strong>of</strong> the New Graduate Special Interest Group (SIG)<br />
2. Coordinate activities for members who are recent graduates <strong>of</strong> their initial nursing program<br />
3. Serve as a member <strong>of</strong> the Membership Committee<br />
Section 6. Vacancies in Office<br />
A. Vacancy in the <strong>of</strong>fice <strong>of</strong> President.<br />
1. A vacancy in the <strong>of</strong>fice <strong>of</strong> President shall be filled by the President-Elect.<br />
2. An <strong>of</strong>ficer or member other than the President-Elect who fills a vacancy in the <strong>of</strong>fice <strong>of</strong> a president<br />
or assumes the duties <strong>of</strong> an absent president may serve as an ANA representative only if elected to<br />
the ANA representative position.<br />
B. If a vacancy occurs in the <strong>of</strong>fice <strong>of</strong> President-Elect, this position will remain vacant until the next<br />
election cycle or until the Board <strong>of</strong> Directors orders a special election by the full membership.<br />
C. In all other vacancies in elected positions on the Board, the Board <strong>of</strong> Directors shall appoint a qualified<br />
<strong>FNA</strong> member to serve for the remainder <strong>of</strong> that term.<br />
Section 7. Removal <strong>of</strong> an Elected Official<br />
A. Any Officer or Director elected by the membership or appointed Board Member may be removed from<br />
<strong>of</strong>fice whenever such action is deemed to be in the best interest <strong>of</strong> the association, or for other just<br />
cause, by<br />
a. A vote <strong>of</strong> three-fourths <strong>of</strong> the current members <strong>of</strong> the <strong>FNA</strong> Board <strong>of</strong> Directors; or<br />
b. A written petition signed by 25% <strong>of</strong> the members <strong>of</strong> <strong>FNA</strong> on the last annual count, and approval <strong>of</strong><br />
the petition by 2/3 <strong>of</strong> the members <strong>of</strong> <strong>FNA</strong>. Voting may occur by electronic ballot; or<br />
c. By no longer being a member in good standing <strong>of</strong> <strong>FNA</strong>.<br />
ARTICLE V. Executive Director<br />
Section 1. Accountability<br />
The Executive Director is accountable to and will be evaluated annually by the Board <strong>of</strong> Directors.<br />
Section 2. Authority<br />
The Executive Director has the authority to manage, plan, develop, administer and coordinate activities <strong>of</strong><br />
the association in accordance with policies established by the Board <strong>of</strong> Directors.<br />
ARTICLE VI. Nominations and Elections<br />
Section 1. Nominating Committee<br />
The Nominating Committee shall consist <strong>of</strong> five (5) members, who shall be elected by secret ballot by<br />
plurality vote:<br />
A. The members elected to the Nominating Committee will choose their Chair;<br />
B. No Region shall be entitled to have more than one member serve on the Nominating Committee;<br />
C. The term <strong>of</strong> <strong>of</strong>fice shall be two years, or until their successors are elected.<br />
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D. A member shall not serve more than two consecutive terms on the Nominating Committee;<br />
E. No member shall serve concurrently on the Nominating Committee and on the Board <strong>of</strong> Directors;<br />
F. If a member <strong>of</strong> the Nominating Committee is submitted as a suggested candidate for an <strong>of</strong>fice <strong>of</strong> <strong>FNA</strong><br />
and the member consents to be considered as a candidate, said member shall immediately resign from<br />
the Nominating Committee. This does not apply to a present member <strong>of</strong> the Committee whose name is<br />
submitted as suggested candidate for the Nominating Committee for the next term or as an ANA Delegate.<br />
G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received the next<br />
highest vote at the Membership Assembly at which the Committee members were elected.<br />
Section 2. Nomination Process<br />
A. Suggestions for nominees for elected <strong>of</strong>fices shall be solicited from each Region and structural unit;<br />
B. Individuals may nominate candidates or self-nominate;<br />
C. Requests for nominees shall be published in The Florida Nurse.<br />
D. The Committee shall propose a tentative <strong>FNA</strong> ballot containing nominees for:<br />
1. ANA Delegates<br />
2. <strong>FNA</strong> Officers, Directors and Nominating Committee<br />
E. After presentation to the Board <strong>of</strong> Directors for information only, the tentative ballot shall be published<br />
in the Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly.<br />
F. Within the 30 day period following the publication <strong>of</strong> the tentative ballots in the <strong>FNA</strong> <strong>of</strong>ficial publication,<br />
additional nominations may be made to the Chair <strong>of</strong> the Nominating Committee by any individual<br />
member, Region, or structural unit.<br />
G. The Nominating Committee shall formulate the final ballots by the addition <strong>of</strong> the nominees submitted,<br />
provided that all eligibility and membership requirements are met;<br />
H. A person shall not appear on the <strong>FNA</strong> ballot as a nominee for more than one <strong>of</strong>fice.<br />
I. The completed ballots shall be:<br />
1. In conformity with the <strong>FNA</strong> bylaws, and the policies as adopted by the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
2. Identified, for each person running, as to the region and city or county <strong>of</strong> membership;<br />
3. Presented for information only to the Board <strong>of</strong> Directors before being published in the Official Call to<br />
Meeting.<br />
J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected statement<br />
and the Conflict <strong>of</strong> Interest statement.<br />
K. The biographies <strong>of</strong> the nominees, including region and city or county <strong>of</strong> membership, shall be published<br />
with the ballots in the Official Call to Membership Assembly.<br />
Section 3. Election Process<br />
A. Elections shall be held in the odd-numbered years.<br />
B. Elections shall be held by secret ballot via electronic and/or phone ballot.<br />
1. A plurality <strong>of</strong> votes cast by those entitled to vote, and voting, shall constitute an election;<br />
2. In the case <strong>of</strong> a tie, the choice shall be determined by lot at the Membership Assembly.<br />
C. Members may vote for persons other than those whose names appear on the ballot by writing in the<br />
names <strong>of</strong> qualified candidates who have signed the consent-to-serve form.<br />
D. The voting shall be completed no later than midnight <strong>of</strong> the twenty-eighth (28th) day prior to the first<br />
day <strong>of</strong> the Membership Assembly.<br />
E. The Tellers shall:<br />
1. Verify membership and tabulate the votes;<br />
2. Compile a report <strong>of</strong> all votes received; and<br />
3. Send the results by certified mail, in duplicate, to the <strong>FNA</strong> Secretary at the <strong>FNA</strong> Headquarters.<br />
F. The Secretary shall announce the election results at the Membership Assembly;<br />
G. The President, President-Elect, Vice-President, Secretary, Treasurer, Directors. <strong>FNA</strong> Nominating<br />
Committee and any other elected position on the ballot shall be declared as elected at the membership<br />
assembly.<br />
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Section 4. ANA Representatives<br />
A. All <strong>FNA</strong> members with full membership may vote for ANA representatives.<br />
B. The <strong>FNA</strong> President and President-Elect shall be concurrently elected as representatives.<br />
C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full<br />
members <strong>of</strong> <strong>FNA</strong>.<br />
D. Each representative and alternate shall be elected for a two-year term or until a successor is elected.<br />
ARTICLE VII. Meetings<br />
Section 1.<br />
The <strong>of</strong>ficial meeting <strong>of</strong> the Florida Nurses Association is the Membership Assembly and will be held at least<br />
biennially. It will consist <strong>of</strong> reports from the Board <strong>of</strong> Directors, Regions, and committees; and adoption <strong>of</strong><br />
bylaws and proposals. Additional activities may include educational programs, networking, and pr<strong>of</strong>essional<br />
updates.<br />
Section 2. Order <strong>of</strong> Business<br />
The Order <strong>of</strong> Business <strong>of</strong> each membership assembly <strong>of</strong> <strong>FNA</strong> shall be in accordance with a program<br />
adopted at the beginning <strong>of</strong> the meeting.<br />
Section 3. Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly<br />
The Official Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly shall be noticed via mail or electronic<br />
communication at least sixty (60) days before the first day <strong>of</strong> the Membership Assembly.<br />
Section 4. Special Meetings<br />
A. Special meetings <strong>of</strong> <strong>FNA</strong> may be called by the <strong>FNA</strong> Board <strong>of</strong> Directors upon the written request <strong>of</strong> a<br />
majority <strong>of</strong> the Regions and/or collective bargaining units.<br />
B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen days<br />
before the first day <strong>of</strong> the meeting.<br />
Section 5. Quorum<br />
Five members <strong>of</strong> the Board <strong>of</strong> Directors, one <strong>of</strong> whom shall be the President or President-Elect, and<br />
representatives from a majority <strong>of</strong> the Regions shall constitute a quorum for the transaction <strong>of</strong> business at<br />
any Membership Assembly or special meeting <strong>of</strong> the <strong>FNA</strong>.<br />
Section 6. Membership<br />
The voting body at all Membership Assemblies and special meetings <strong>of</strong> this Association shall consist <strong>of</strong> the<br />
Board <strong>of</strong> Directors and all <strong>FNA</strong> members in good standing who are in attendance.<br />
ARTICLE VIII. Board <strong>of</strong> Directors<br />
Section 1. Composition<br />
There shall be a Board <strong>of</strong> Directors composed <strong>of</strong> the Officers and the Directors.<br />
Section 2. Meetings <strong>of</strong> the Board <strong>of</strong> Directors<br />
A. Meetings shall be held at such times and places as shall be determined by the Board <strong>of</strong> Directors.<br />
B. Special Meetings:<br />
1. May be called by the President on seven (7) days’ notice to each member <strong>of</strong> the Board, either by<br />
mail, telephone, or electronic communication; and<br />
2. Shall be called by the President in like manner or on like notice upon the written request <strong>of</strong>:<br />
a. Five (5) or more members <strong>of</strong> the Board <strong>of</strong> Directors, or<br />
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b. A majority <strong>of</strong> the Regions.<br />
3. Shall be held at such times and places as may be specified in the notice there<strong>of</strong>.<br />
C. Business that requires action by the Board <strong>of</strong> Directors between regular meetings may be conducted<br />
by mail, telephone or electronic communication. Such action shall be subject to ratification at the next<br />
regular meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />
D. Attendance<br />
1. Any member <strong>of</strong> the Board <strong>of</strong> Directors may have one (1) absence from the Board <strong>of</strong> Directors’<br />
meetings within a one-year period.<br />
2. A board member on <strong>of</strong>ficial business as designated by the President <strong>of</strong> <strong>FNA</strong> or Board <strong>of</strong> Directors at<br />
the time <strong>of</strong> the Board Meeting shall not be considered absent.<br />
3. A partial absence shall consist <strong>of</strong> not more than two (2) hours, unless an unforeseen emergency<br />
occur en-route to the meeting.<br />
4. At the second absence <strong>of</strong> any member <strong>of</strong> the Board <strong>of</strong> Directors, the Board <strong>of</strong> Directors shall vote<br />
on removal <strong>of</strong> said board member from position.<br />
E. <strong>FNA</strong> members, the Chair <strong>of</strong> the Labor and Employment Relations Commission, and the President <strong>of</strong><br />
the FNSA or a designee, shall be eligible to attend meetings <strong>of</strong> the Board <strong>of</strong> Directors. They shall have<br />
voice, but no vote.<br />
Section 3. Quorum<br />
A majority <strong>of</strong> the Board <strong>of</strong> Directors, including the President or the President-Elect shall constitute a quorum<br />
at any meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />
Section 4. Duties <strong>of</strong> the Board <strong>of</strong> Directors<br />
The Board shall:<br />
A. Establish major administrative policies governing <strong>FNA</strong> and provide for the transaction <strong>of</strong> general<br />
business <strong>of</strong> the organization;<br />
B. Provide for the expenditure, investment and surveillance <strong>of</strong> <strong>FNA</strong> funds;<br />
C. Provide for the bonding <strong>of</strong> appropriate <strong>of</strong>ficers and staff;<br />
D. Provide for the adoption and administration <strong>of</strong> a budget, and for a periodic review statement by a<br />
Certified Public Accountant;<br />
E. Provide for the operation and maintenance <strong>of</strong> a state headquarters;<br />
F. Employ an Executive Director, define duties and fix compensation;<br />
G. Employ legal and other counsel as deemed necessary, define duties and fix compensation;<br />
H. Determine the registration fee, date and location <strong>of</strong> Membership Assembly;<br />
I. Determine the time and place <strong>of</strong> meetings <strong>of</strong> the Advisory Council;<br />
J. Recommend to the Governor nominations for appointments to the Florida State Board <strong>of</strong> Nursing and<br />
any other appropriate boards;<br />
K. Report to <strong>FNA</strong> members the business transacted by the Board <strong>of</strong> Directors;<br />
L. Act upon recommendations and/or plans <strong>of</strong> committees prior to implementation;<br />
M. Establish regional boundaries<br />
N. Receive, for information only, reports from the Bylaws, Nominating and Reference Committees<br />
O. Fill vacancies in <strong>of</strong>fice as provided in these bylaws; and<br />
P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the <strong>FNA</strong><br />
membership.<br />
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ARTICLE IX. Executive Committee<br />
Section 1. Composition<br />
There shall be an Executive Committee composed <strong>of</strong> the Officers <strong>of</strong> the Board <strong>of</strong> Directors.<br />
Section 2. Powers<br />
The Executive Committee shall have all the powers <strong>of</strong> the Board <strong>of</strong> Directors to transact business between<br />
meetings <strong>of</strong> the Board. Such action shall be subject to ratification at the next regular meeting <strong>of</strong> the Board<br />
<strong>of</strong> Directors.<br />
Section 3. Meetings<br />
A. The Executive Committee shall meet at the call <strong>of</strong> the President;<br />
B. Meetings may be conducted in person, by mail, telephone or electronic communication.<br />
Section 4. Quorum<br />
A majority <strong>of</strong> the members <strong>of</strong> the Executive Committee shall constitute a quorum at any meeting <strong>of</strong> the<br />
Committee.<br />
ARTICLE X. Committees<br />
Section 1. General<br />
A. Committees shall assume such duties as assigned by the Board <strong>of</strong> Directors, and as specified in these<br />
Bylaws and report action as requested.<br />
B. Committees shall meet only with the approval <strong>of</strong> the President or Board <strong>of</strong> Directors.<br />
C. Committees shall meet on the call <strong>of</strong> the Chair, with no less than fifteen (15) days’ notice to committee<br />
members and <strong>FNA</strong> Headquarters.<br />
D. Unnoticed absences from two meetings <strong>of</strong> a committee shall constitute a resignation.<br />
E. A majority <strong>of</strong> the members <strong>of</strong> any standing or ad hoc committee shall constitute a quorum.<br />
F. Members <strong>of</strong> the FNSA shall be eligible to attend <strong>FNA</strong> committee meetings.<br />
Section 2. Ad Hoc Committees<br />
There shall be ad hoc committees appointed by the President, the Board <strong>of</strong> Directors, and/or the <strong>FNA</strong><br />
representatives attending the Membership Assembly as deemed necessary to act upon issues pertinent to <strong>FNA</strong>.<br />
Section 3. Membership Committee<br />
The composition <strong>of</strong> the Membership Committee shall be the Vice-President as chair, the Treasurer and<br />
at least five (5) members appointed after each election by the President with approval <strong>of</strong> the Board <strong>of</strong><br />
Directors, to serve until their successors are appointed.<br />
Duties:<br />
A. Identify strategies for retention <strong>of</strong> members,<br />
B. Develop a marketing campaign to seek new members,<br />
C. Recommend membership options,<br />
D. Submit suggestions to <strong>FNA</strong> Board <strong>of</strong> Directors,<br />
E. Report to the <strong>FNA</strong> membership on the status <strong>of</strong> membership.<br />
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Section 4. Reference Committee<br />
The Reference Committee shall consist <strong>of</strong> five (5) members appointed after each election by the President<br />
with the approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their successors are appointed.<br />
Duties:<br />
A. Seek reference proposals from Regions, LERC, and members,<br />
B. Review proposals for appropriate structure,<br />
C. Make appropriate suggestions to authors as needed,<br />
D. Present proposals at the Membership Assembly.<br />
Section 5. Bylaws Committee<br />
A. Composition.<br />
The Bylaws Committee shall consist <strong>of</strong> at least five (5) members appointed after each election by the<br />
President with the approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their successors are appointed.<br />
B. Duties.<br />
1. Receive and review all proposed amendments to the <strong>FNA</strong> bylaws and edit for conformity;<br />
2. Submit proposed amendments to <strong>FNA</strong> bylaws as appropriate;<br />
3. Present the proposed amendments to the <strong>FNA</strong> Board <strong>of</strong> Directors; and<br />
4. Submit the proposed amendments to the membership at the <strong>FNA</strong> Membership Assembly in<br />
accordance with the provisions for amendments to these bylaws.<br />
Section 6. Finance Committee<br />
A. Composition.<br />
The Finance Committee shall consist <strong>of</strong> at least five (5) members, including the <strong>FNA</strong> Treasurer who<br />
shall serve as Chair. Four members shall be appointed after each election by the President, with<br />
approval by the Board <strong>of</strong> Directors, to serve until their successors are appointed. One <strong>of</strong> the appointed<br />
members shall be a member <strong>of</strong> the Labor and Employment Relations Commission.<br />
B. Duties. The committee shall:<br />
1. Supervise the preparation <strong>of</strong> an annual budget for the fiscal year defined as the calendar year<br />
January 1 to December 31;<br />
2. Present the budget for approval to the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
3. Advise the <strong>FNA</strong> Board <strong>of</strong> Directors and other <strong>FNA</strong> structural units regarding financial matters and<br />
feasibility <strong>of</strong> funding for expenditures;<br />
4. Advise and report on the expenditure <strong>of</strong> funds to the <strong>FNA</strong> Board <strong>of</strong> Directors; and<br />
5. Report to the Membership Assembly the financial status <strong>of</strong> <strong>FNA</strong>.<br />
ARTICLE XI. Regions<br />
Section 1. General<br />
A. There shall be Regions which meet the following requirements:<br />
1. Regions must be in conformity with the bylaws <strong>of</strong> <strong>FNA</strong><br />
ARTICLE XII. Labor and Employment Relations Council (LERC)<br />
Section 1. General<br />
The Labor and Employment Relations Commission shall exist for the purpose <strong>of</strong> overseeing the conduct <strong>of</strong><br />
<strong>FNA</strong>’s labor/employment relations and collective bargaining program which shall include the formation <strong>of</strong><br />
appropriate policies and procedures.<br />
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Section 2. Term <strong>of</strong> Office<br />
Each member shall serve a term on the Commission which shall be concurrent with the term as President<br />
<strong>of</strong> the Local Bargaining Unit.<br />
Section 3. Responsibilities<br />
The Labor and Employment Relations Commission shall:<br />
A. Oversee the conduct <strong>of</strong> the <strong>FNA</strong>’s labor/employment relations and collective bargaining program, which<br />
shall include the formulation <strong>of</strong> appropriate policies and procedures;<br />
B. Formulate programs <strong>of</strong> assistance and training for local bargaining units;<br />
C. Consider and adjudge requests for legal assistance involving employment issues and contract<br />
grievances from members <strong>of</strong> local bargaining units;<br />
D. Make preliminary annual budget projections and recommendations to the <strong>FNA</strong> Finance Committee prior<br />
to adoption <strong>of</strong> the budget by the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
E. Establish, when needed, subordinate Councils to conduct studies and make recommendations in<br />
specific substantive areas <strong>of</strong> labor and employment relations;<br />
F. Assist <strong>FNA</strong> staff in the development <strong>of</strong> local unit organizing activities; and<br />
G. Communicate with the Board <strong>of</strong> Directors concerning economic and welfare issues relative to the<br />
nursing pr<strong>of</strong>ession.<br />
H. Receive and review the bylaws <strong>of</strong> any Collective Bargaining Unit making application for <strong>FNA</strong> to be its<br />
bargaining agent; and<br />
I. Receive and review the bylaws <strong>of</strong> each Collective Bargaining Unit on a periodic basis.<br />
Section 4. National Labor Convention (NLC) Delegates<br />
A. All Collective Bargaining Unit (CBU members may vote for NLC delegates.<br />
B. NLC delegates will be elected by secret ballot by plurality vote.<br />
C. Each delegate and alternate will be elected for a two-year term.<br />
D. Each CBU may nominate up to five delegate candidates.<br />
ARTICLE XIII. Advisory Council<br />
Section 1. Composition<br />
A. The <strong>FNA</strong> Board <strong>of</strong> Directors and representatives from Regions, Collective Bargaining units, and/or their<br />
designees, facilitators for each Special Interest Group, the FNPAC Chair, and the FNF President shall<br />
constitute an Advisory Council to consider and promote the interests <strong>of</strong> <strong>FNA</strong>.<br />
B. Two <strong>of</strong>ficers <strong>of</strong> FNSA shall be eligible to attend meetings <strong>of</strong> the Advisory Council.<br />
Section 2. Meetings<br />
A. The Advisory Council shall meet at such other times and places as may be determined:<br />
1. By the <strong>FNA</strong> President; or<br />
2. By the <strong>FNA</strong> Board <strong>of</strong> Directors; or<br />
3. At the request <strong>of</strong> fifty (50%) percent <strong>of</strong> the Regions.<br />
ARTICLE XIV. Florida Nursing Students’ Association<br />
Section 1. General<br />
It shall be the responsibility <strong>of</strong> <strong>FNA</strong> to set up communications with Florida Nursing Students’ Association<br />
that will foster an organization <strong>of</strong> students <strong>of</strong> pr<strong>of</strong>essional nursing which will assist in preparing them to<br />
meet their pr<strong>of</strong>essional obligations as graduate nurses.<br />
Section 2. Meetings<br />
Meetings <strong>of</strong> the FNSA may be held in conjunction with the <strong>FNA</strong> Membership Assembly.<br />
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ARTICLE XV. Relationship <strong>of</strong> <strong>FNA</strong> to ANA<br />
Section 1. Membership<br />
A. The annual dues for a full <strong>FNA</strong> member shall be set forth in dues policy and shall include the present<br />
rate <strong>of</strong> dues paid by the <strong>FNA</strong> to the ANA. In the event that the rate <strong>of</strong> dues payable to the ANA by the <strong>FNA</strong><br />
increases, any such change shall be automatically added to the annual dues paid by a full <strong>FNA</strong> member.<br />
B. The <strong>FNA</strong> shall continue to pay dues to the ANA pursuant to the ANA bylaws and House <strong>of</strong> Delegates<br />
policy until such time as 2/3 <strong>of</strong> the entire full <strong>FNA</strong> membership votes to disaffiliate from the ANA. The<br />
vote may occur by mail, phone or electronic ballot, with appropriate notice and procedures to protect<br />
the integrity and validity <strong>of</strong> the vote.<br />
Section 2. ANA Constituent Assembly<br />
<strong>FNA</strong> shall be entitled to representation at the ANA Constituent Assembly by the President <strong>of</strong> <strong>FNA</strong> and the<br />
Executive Director, or their designated alternates.<br />
Section 3. ANA Delegates<br />
A. <strong>FNA</strong> shall be entitled to representation at the ANA Membership Assembly as determined in the ANA bylaws.<br />
B. <strong>FNA</strong> shall elect representatives as allocated in accordance with policies adopted by the ANA House <strong>of</strong><br />
Delegates.<br />
ARTICLE XVI. Official Publication<br />
Section 1. The Florida Nurse shall be the <strong>of</strong>ficial publication <strong>of</strong> <strong>FNA</strong>.<br />
Section 2. LERC Today shall be the <strong>of</strong>ficial publication <strong>of</strong> the Economic and General Welfare Program.<br />
ARTICLE XVII. Parliamentary Authority<br />
The rules contained in Robert’s Rules <strong>of</strong> Order Newly Revised shall govern meetings <strong>of</strong> <strong>FNA</strong> in all cases to<br />
which they are applicable and in which they are not inconsistent with these bylaws.<br />
ARTICLE XIII. Amendments<br />
Section 1. Previous Notice<br />
A. These bylaws may be amended at any <strong>FNA</strong> Membership Assembly by a two-third (2/3) vote <strong>of</strong> the<br />
members present and voting.<br />
B. All proposed amendments shall be in the possession <strong>of</strong> the <strong>FNA</strong> Executive Director at least sixty<br />
(60) days before the Membership Assembly, and shall be published at least 30 days prior to the <strong>FNA</strong><br />
Membership Assembly.<br />
Section 2. Without Previous Notice<br />
These bylaws may be amended, without previous notice, at any Membership Assembly by a ninety-five<br />
percent (95%) vote <strong>of</strong> the members present and voting.<br />
ARTICLE XIX. Dissolution<br />
In the event that this organization should be dissolved for any reason, any remaining assets shall be liquidated and<br />
distributed in accordance with governmental regulations. No funds can inure to the benefit <strong>of</strong> any individual member.<br />
Approved by Membership Assembly<br />
September 15, 2015<br />
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<strong>2017</strong> Florida Nurses Association<br />
2015 Reference Proposals<br />
Increasing the Number <strong>of</strong> Male Registered Nurses &<br />
Advanced Registered Nurse Practitioners in the State <strong>of</strong> Florida<br />
Statement <strong>of</strong> Concern<br />
The number <strong>of</strong> male registered nurses (RN’s) and advanced registered nurse practitioners (ARNP’s) in the<br />
state <strong>of</strong> Florida is significantly less than the number <strong>of</strong> Florida female RN’s and ARNP’s. Despite state-wide<br />
nursing recruitment and retention strategies, a significant increase in the number <strong>of</strong> male nurses in Florida has<br />
not been observed. There is currently no state-wide formal recruitment program for men to enter the nursing<br />
pr<strong>of</strong>ession. An increase in the number <strong>of</strong> male nurses in the state <strong>of</strong> Florida is needed in order to better serve<br />
our patient populations and to encourage diversity in nursing.<br />
Background Information<br />
Rationale<br />
Nursing, in Western cultures, has been traditionally viewed as a female role. The number <strong>of</strong> men becoming<br />
nurses has grown significantly over the past several decades. In 1980, there were approximately 45,000 RN’s<br />
in the USA; but that number has grown to over 168,000 in 2004 (HRSA, 2006). Nationally, men still occupy<br />
a small sector <strong>of</strong> RN’s. In 2010, the total national average male RN population was 7% (HRSA, 2010). Florida<br />
data from 2010-2011 show that about 10% <strong>of</strong> RN’s and 14 % <strong>of</strong> ARNP’s in Florida’s nursing workforce are men<br />
(FCN, 2012). Despite being more gender-diverse than the national average, Florida and the nursing pr<strong>of</strong>ession<br />
as a whole have much work to accomplish in order to match the gender diversification <strong>of</strong> our physician<br />
colleagues. In 2012, the number <strong>of</strong> licensed female physicians (medical doctors and doctors <strong>of</strong> osteopathy) in<br />
the USA was 30.2% (Young, et al, 2013). The number <strong>of</strong> female physicians is expected to increase. In 2009,<br />
almost half <strong>of</strong> all medical school graduates in the United States were women (KFF, 2010).<br />
The Institute <strong>of</strong> Medicine (IOM), in its “Future <strong>of</strong> Nursing” report, recommended that more men should be<br />
recruited into the nursing pr<strong>of</strong>ession (IOM, 2011). Numerous reasons have been cited as barriers for men<br />
entering nursing. Such barriers include social stereotypes, Western cultural gender roles, the predominance <strong>of</strong><br />
women in the pr<strong>of</strong>ession, and perceived religious/cultural values (IOM, 2011). In order to better facilitate care<br />
for male patients and add diversity to the nursing workforce, the IOM recommends actively recruiting men to<br />
the nursing pr<strong>of</strong>ession.<br />
Pertinent Definitions<br />
Schools and colleges <strong>of</strong> nursing are only those that are accredited by [insert accrediting bodies here]. Nurses,<br />
in this proposal, refer to RN’s and ARNP’s.<br />
Overview on Nursing Role/Function<br />
Kumar Jairamdas, RN<br />
The men in nursing are not widely dispersed throughout the pr<strong>of</strong>ession. The available data on male nurses<br />
indicates that they work primarily in critical care, emergency department, and in inpatient medical-surgical units<br />
(Hodes, 2005). Only about 1% or less <strong>of</strong> male nurses hold a nursing doctorate degree (Hodes, 2005). This fact<br />
does not bode well for advancing advocacy to increase the number <strong>of</strong> doctoral prepared male nursing school<br />
faculty. More research is required in order to determine the breadth and depth <strong>of</strong> involvement that men share<br />
within nursing.<br />
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Legal/Ethical Considerations<br />
Male nursing students and male nurses have reported gender-related concerns in their clinical settings. 57%<br />
<strong>of</strong> surveyed male nursing students reported perceived gender-related difficulties , and 56% <strong>of</strong> male nursing<br />
students reported a perception <strong>of</strong> feeling like “muscle” for female nursing staff to help lift heavy patients<br />
(Hodes, 2005). More alarming is that even more men (71%) who complete nursing programs have the<br />
perception that they are “muscle” for female nursing staff to help lift heavy patients in clinical settings (Hodes,<br />
2005). 50% <strong>of</strong> men reported communication and other problems with female nursing staff due to being <strong>of</strong> the<br />
male gender (Hodes, 2005). It is concerning that male nurses and male nursing students are encountering and<br />
perceiving discrimination from their fellow nursing pr<strong>of</strong>essionals in the clinical environment.<br />
Consequences to Patient Care<br />
With approximately half <strong>of</strong> the population being male, having a persistently small percentage <strong>of</strong> male nurses<br />
only serves to further increase the already present health disparities in men. Having increased numbers <strong>of</strong><br />
male nurses may encourage more men to seek healthcare.<br />
The IOM recommends that the nursing pr<strong>of</strong>ession diversify to meet and encourage the increasing diversity<br />
<strong>of</strong> patient populations (IOM, 2011). Men bring unique cultural and social perspectives to the clinical care<br />
environment and will help alleviate the nursing shortage (IOM, 2011).<br />
Statement <strong>of</strong> Position<br />
Upon review <strong>of</strong> relevant and current available data, it is determined that there is a significant disparity in the<br />
number <strong>of</strong> male nurses compared to female nurses in the state <strong>of</strong> Florida. There are no current state initiatives<br />
to increase the number <strong>of</strong> men in the nursing pr<strong>of</strong>ession. Active recruitment <strong>of</strong> men to nursing educational<br />
programs may significantly increase the number <strong>of</strong> men in the pr<strong>of</strong>ession. Such recruitment methods and<br />
subsequent positive results may serve as a future best-practice beacon for the rest <strong>of</strong> the pr<strong>of</strong>ession on a<br />
national level.<br />
Recommendations for Actions<br />
In cooperation and partnership with accredited colleges and schools <strong>of</strong> nursing, hospitals, primary, secondary<br />
and postsecondary schools and guidance counselors, third-party stakeholders, and the American Assembly<br />
for Men in Nursing (AAMN), it is with great sincerity that the Florida Nurses Association is requested and<br />
recommended to initiate a plan (see Appendix A) to actively recruit men to the nursing pr<strong>of</strong>ession, both at the<br />
RN and advanced practice levels, in the state <strong>of</strong> Florida. A critical part <strong>of</strong> this recruitment plan should include<br />
recruiting and retaining male doctoral-prepared nursing school faculty.<br />
Appendix A<br />
Action Plan for Increasing the Number <strong>of</strong> Florida male RN’s & ARNP’s<br />
Timetable for implementation: 1 year<br />
A. Assessment & Diagnostic Phase<br />
1. Enact <strong>FNA</strong>-approved committee appointed to engage action plan<br />
2. Develop mission statement<br />
3. Poll all FL accredited RN and ARNP programs to determine the number <strong>of</strong> currently enrolled men<br />
and women in the respective academic programs<br />
4. Establish a contact person at each college <strong>of</strong> nursing (CON). This person will volunteer to coordinate<br />
the future efforts <strong>of</strong> that school<br />
5. Collect and analyze data from each CON. This data set will be known as Data Set<br />
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6. Approach USF College <strong>of</strong> Fine Arts to request assistance with developing media products<br />
7. Report to <strong>FNA</strong><br />
B. Planning Phase<br />
1. Make initial contact with AAMN and request contact with regional AAMN representatives<br />
2. Make initial contact with Johnson & Johnson, Robert Wood Johnson Foundation, and Institute <strong>of</strong><br />
Medicine<br />
3. Develop media campaign plan<br />
a. support from USF College <strong>of</strong> Fine Arts<br />
b. to include print and video<br />
4. Develop promotional print media<br />
5. Develop CON-based action plan<br />
6. Develop action plan for college advisors<br />
7. Develop action plan for high school advisors<br />
8. Report to <strong>FNA</strong><br />
C. Intervention Phase<br />
1. Disseminate Data Set and promotional media to <strong>FNA</strong> and FCN<br />
2. Disseminate Data Set, CON-based action plan, and promotional media to CON’s via CON<br />
representatives<br />
3. Disseminate Data Set, action plan for college advisors, and promotional media to colleges<br />
4. Disseminate Data Set, action plan for high school advisors, and promotional media to high Schools<br />
5. Disseminate Data Set and promotional media to AAMN, Johnson & Johnson, hospitals, and/or other<br />
third party stakeholders, request their support<br />
1. Report to <strong>FNA</strong><br />
D. Evaluation Phase<br />
1. Request new Data Set 1 year after initial data set<br />
2. Request feedback from CON’s, colleges, high schools<br />
3. Send letters <strong>of</strong> appreciation to advisors, USF College <strong>of</strong> Fine Arts and any supportive organizations<br />
on a yearly and as needed basis<br />
4. Analyze 1 year Data Set and compare with first year’s Data Set<br />
5. Reevaluate action plan and revise if necessary (at least every 1-2 months)<br />
6. Report to <strong>FNA</strong>, FCN and any stakeholders<br />
7. Present data at <strong>FNA</strong> meeting and/or national ANA, AANP, or AAMN meeting(s)<br />
Our Public Health Infrastructure<br />
Submitted by Deborah Hogan<br />
Our Healthy People 2020 initiative provides a vision for how we can all achieve the goal <strong>of</strong> living longer,<br />
healthier lives. We depend on our public health system to help us reach these goals.<br />
For many <strong>of</strong> us, access to clean air and water is something we take for granted. We depend on our local health<br />
departments to monitor air and water quality, as well as provide epidemiological surveillance to monitor infectious<br />
disease outbreaks. Vaccines for vaccine preventable diseases are also a resource health departments provide,<br />
along with family planning and treatment for sexually transmitted diseases. Tuberculosis and HIV education and<br />
treatment are also provided, as well as initiatives to help us reach our Healthy People 2020 goals Preparedness<br />
programs are also part <strong>of</strong> the responsibility <strong>of</strong> local health units, as well as specific programs needed in each locale!<br />
Unfortunately, these services require financial support from state and local public jurisdictions that have<br />
suffered economically in recent years. Results from a recent survey by the National Association <strong>of</strong> County and<br />
City Health Officials ( NAACHO)shows that local health departments continue to be impacted by budget cuts<br />
leading to staff and program elimination.<br />
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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<br />
must support a public health system that seeks to decrease the impact <strong>of</strong> preventable diseases. Therefore:<br />
WHEREAS chronic disease such as heart disease, cancer and diabetes are responsible for seven out <strong>of</strong> ten<br />
deaths among Americans, each year, and account for 75% <strong>of</strong> the nation’s health spending, (Nurse.com) AND<br />
WHEREAS in spite <strong>of</strong> available preventive services such as immunizations and routine disease screenings<br />
<strong>of</strong>fered by both the public and private sectors, millions <strong>of</strong> people go without services that could protect them<br />
from disease, (Nurse.com) AND<br />
WHEREAS Americans live shorter lives and experience more injuries and illnesses than people in other high<br />
income countries( Australia, Canada, France, Japan)(National Research Council Report, 2013), AND<br />
WHEREAS 3.1% <strong>of</strong> 2.5 trillion spent on health ( 77.2 billion) is spent on the work <strong>of</strong> government public health<br />
agencies, which is $251 out <strong>of</strong> $8,086 spent on health overall ( Institute <strong>of</strong> Medicine, 4/10/12), AND<br />
WHEREAS between July 2010 and June 2011, 55% <strong>of</strong> all local health departments made cuts to at least one<br />
program with 68% <strong>of</strong> the US population living in one <strong>of</strong> those affected jurisdictions (NalbothNewsbrief, 2012), AND<br />
WHEREAS many local health departments struggle to retain skilled staff due to low wages and morale (Nalboth<br />
Newsbrief, 2012) AND<br />
WHEREAS since 2008, local health departments throughout the nation have shed 34,400 employees, loosing<br />
three times as many staff as they gained (Nalboth Newsbrief, 2012)<br />
WHEREAS nearly half (45% <strong>of</strong> al local health departments reported a lower budget this fiscal year compared to<br />
last, and 52% expect more reductions in the next fiscal year (Nalboth Newsbrief, 2012) AND<br />
WHEREAS Florida experienced the third highest percentage (72%) <strong>of</strong> budget cuts from 2012-2013 (NACCHO<br />
survey, 2013), AND<br />
WHEREAS the trend in Florida in average turnover rates for nurses in public health has increased from 2009 to<br />
2013 ( Florida Center for Nursing Survey, 2013), AND<br />
WHEREAS the estimated statewide growth in public health nursing positions in Florida is among the lowest <strong>of</strong><br />
all practice settings in the state (Florida Center for Nursing Survey, 2013), AND<br />
WHEREAS the projected growth in Florida for RN’s in public health in 2013 was at “13”, the lowest <strong>of</strong> all<br />
specialty positions (Florida Center for Nursing Survey, 2013),<br />
BE IT RESOLVED, that the Florida Nurses Association<br />
1.) Will provide ongoing education to applicable agencies/programs regarding concerns associated with<br />
decreased public health staffing, and its effect on the health <strong>of</strong> the citizens <strong>of</strong> the state <strong>of</strong> Florida, and<br />
2.) Work with other organizations to increase awareness <strong>of</strong> the effects <strong>of</strong> decrease public health resources<br />
on the health <strong>of</strong> the citizens <strong>of</strong> Florida, and<br />
3.) Continue to work with its Health Care Pr<strong>of</strong>essionals ( HCP) Bargaining Unit through lobbying efforts to<br />
support state employees’ issues.<br />
Costs to <strong>FNA</strong> – Since <strong>FNA</strong> already has membership funding from the HCP, education is the only expenditure.<br />
Resources:<br />
Florida Center for Nursing, Florida center for Nursing’s 2013 Statewide Nurse Employer Survey:<br />
Institute <strong>of</strong> Medicine, Committee on Public Health Strategies to Improve Health, Public Release, April 10, 2012.<br />
National Research Council, http://cdc.gov/nchs/data/dvs/2011_Final_Mortality_Data_Release.pdf<br />
NACCHO, National Association <strong>of</strong> County and City Health Officials, www.naccho.org/lhdbudget.<br />
Nalboth Newsbrief, “ Naccho’s Survey Reveals Continued Cuts at Local Health Departments,” 1st Quarter/2012, Volume 19, issue 1, pg. 6-7.<br />
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<strong>2017</strong> Florida Nurses Association<br />
Special Called Membership Assembly<br />
November 2016<br />
It was necessary to call a special Membership Assembly to address a dues deficit for the <strong>FNA</strong> Bargaining<br />
Units. A call to meeting was issued with proper notice <strong>of</strong> intent to increase the dues for Bargaining Unit<br />
Members. Before the Assembly, the Bylaws Committee reviewed the proposed bylaws proposals and made<br />
revisions for the purpose <strong>of</strong> simplification. The bylaws were sent to the members and the Membership<br />
Assembly was held in November at Valencia Community College.<br />
The bylaws were presented, discussed and debate by those registered and present on-site and via ZOOM<br />
conferencing s<strong>of</strong>tware.<br />
After lengthy discussion, the bylaws were approved. A copy <strong>of</strong> the current bylaws are found here:<br />
Florida Nurses Association Bylaws<br />
2015-<strong>2017</strong><br />
ARTICLE I Name<br />
The name <strong>of</strong> this Association shall be the Florida Nurses Association, hereinafter referred to as “<strong>FNA</strong>” or “Association.”<br />
ARTICLE II Purposes and Functions<br />
Section 1. Purposes<br />
A. The purposes <strong>of</strong> the <strong>FNA</strong> shall be to:<br />
1. Foster high standards <strong>of</strong> nursing practice;<br />
2. Promote the pr<strong>of</strong>essional and educational advancement <strong>of</strong> nurses; and<br />
3. Promote the welfare <strong>of</strong> nurses to the end that all people may have better nursing care.<br />
B. These purposes shall be in accordance with ANA Bylaws.<br />
Section 2. Functions<br />
The functions <strong>of</strong> the <strong>FNA</strong> shall be to:<br />
A. Advocate standards <strong>of</strong> nursing practice, nursing education, and nursing services and promote these<br />
standards through such activities as position statements and legislative activities;<br />
B. Act and speak for the nursing pr<strong>of</strong>ession before allied pr<strong>of</strong>essional, community, and governmental<br />
groups on issues <strong>of</strong> importance to the pr<strong>of</strong>ession including legislation and governmental programs;<br />
C. Develop and maintain relationships with nursing organizations, allied health, nursing students, and<br />
consumer groups;<br />
D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code <strong>of</strong> Ethics<br />
for Nurses;<br />
E. Promote and protect the economic and general welfare <strong>of</strong> nurses;<br />
F. Promote the continuing pr<strong>of</strong>essional development <strong>of</strong> nurses;<br />
G. Provide for representation in the ANA Membership Assembly;<br />
H. Preserve documents and other materials which contribute to the historical and cultural development <strong>of</strong><br />
nursing;<br />
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I. Assume an active role as consumer advocate;<br />
J. Initiate and influence legislation, governmental programs, and national health policy;<br />
K. Support systematic study, evaluation, and research in nursing.<br />
ARTICLE III Membership, Dues, Membership Year<br />
Section 1. Composition<br />
A. Membership in <strong>FNA</strong> shall consist <strong>of</strong> members <strong>of</strong> the state regions who meet the qualifications and<br />
responsibilities specified in these bylaws.<br />
B. Membership options:<br />
1. Full Membership includes ANA and <strong>FNA</strong>.<br />
2. State Only Membership includes <strong>FNA</strong>.<br />
3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and have<br />
voice but no vote.<br />
C. Membership shall be unrestricted in accordance with ANA/<strong>FNA</strong> Bylaws.<br />
Section 2. Qualifications<br />
A member is one:<br />
A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or<br />
the District <strong>of</strong> Columbia <strong>of</strong> the United States, and who does not have a license under suspension or<br />
revocation in any state, or is otherwise entitled by law to practice; or<br />
B. Whose application for membership in <strong>FNA</strong> has been accepted in accordance with <strong>FNA</strong> policy; and<br />
C. Whose dues are not delinquent; and<br />
D. Whose membership is not under revocation for violation <strong>of</strong> the ANA Code <strong>of</strong> Ethics for Nurses or <strong>FNA</strong>/<br />
ANA Bylaws.<br />
Section 3. Membership Privileges and Obligations<br />
A. Full Members shall have privileges as follows:<br />
1. Voting for:<br />
a. Representatives and alternates to Membership Assembly;<br />
b. <strong>FNA</strong> Officers; and<br />
c. <strong>FNA</strong> Directors.<br />
2. Serving as an ANA representative, alternate, or in any elected or appointed positions in accordance<br />
with ANA Bylaws and applicable policies.<br />
3. Being nominated to an Officer or Director position after twelve months <strong>of</strong> membership in <strong>FNA</strong>.<br />
4. Attending and voting in the Membership Assembly, attending Board <strong>of</strong> Directors and Committee<br />
meetings, and other unrestricted functions <strong>of</strong> <strong>FNA</strong>/ANA.<br />
5. Receiving regular ANA and <strong>FNA</strong> communications.<br />
B. Full Members <strong>of</strong> <strong>FNA</strong> shall continue to have all the rights <strong>of</strong> membership in ANA as provided in the<br />
ANA bylaws, until such time as ¾ <strong>of</strong> the entire <strong>FNA</strong> full membership votes to disaffiliate from the<br />
ANA. Full membership is defined as individual members <strong>of</strong> <strong>FNA</strong> who have ANA rights and privileges <strong>of</strong><br />
membership as a result <strong>of</strong> their <strong>FNA</strong> membership. The vote may occur by mail, phone, or electronic<br />
ballot, with appropriate notice and procedures to protect the integrity and validity <strong>of</strong> the vote.<br />
C. Full members shall have membership obligations as follows:<br />
1. Abide by <strong>FNA</strong> and ANA Bylaws; and<br />
2. Abide by ANA Code <strong>of</strong> Ethics for Nurses.<br />
D. State Only Members shall have privileges as follows:<br />
1. Voting for:<br />
a. <strong>FNA</strong> Officers;<br />
b. <strong>FNA</strong> Directors after twelve months <strong>of</strong> membership in <strong>FNA</strong> being nominated to a Director<br />
position;<br />
c. Executive Committees <strong>of</strong> other structural units to which they affiliate.<br />
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2. Serving in any <strong>FNA</strong> appointed position.<br />
3. After twelve months <strong>of</strong> membership in <strong>FNA</strong>, being nominated to a Director position.<br />
4. Attending and voting in Membership Assembly, attending Board <strong>of</strong> Directors and Committee<br />
meetings, and other unrestricted functions <strong>of</strong> <strong>FNA</strong>.<br />
5. Receiving regular <strong>FNA</strong> communications.<br />
E. State Only Members shall have membership obligations as follows:<br />
1. Abide by the bylaws <strong>of</strong> <strong>FNA</strong>.<br />
2. Abide by the ANA Code <strong>of</strong> Ethics for Nurses.<br />
Section 4. Disciplinary Action<br />
A. Cause for disciplinary action by <strong>FNA</strong> against a member shall be limited to:<br />
1. Failure to fulfill the obligations as cited in these bylaws;<br />
2. Other actions detrimental to the purposes, goals, and functions <strong>of</strong> <strong>FNA</strong> and ANA;<br />
3. Activity supporting a union that is in direct competition with <strong>FNA</strong>; and<br />
4. Falsely providing public testimony or opinion as representing that <strong>of</strong> <strong>FNA</strong>.<br />
B. Disciplinary proceedings:<br />
1. Shall be conducted in accordance with policies and procedures established and adopted by the<br />
Board <strong>of</strong> Directors, which shall have final disciplinary authority over members; and<br />
2. A member shall have the right to due process as provided for under common parliamentary or<br />
statutory law.<br />
C. Disciplinary Action shall depend on the severity <strong>of</strong> the violation, and may include:<br />
1. Reprimand;<br />
2. Censure;<br />
3. Suspension from membership; or<br />
4. Permanent expulsion from membership.<br />
D. A member may appeal any disciplinary action in accordance with procedures adopted by the <strong>FNA</strong> Board<br />
<strong>of</strong> Directors.<br />
E. Recognition <strong>of</strong> Disciplinary Action by another State Nurses Association (hereinafter referred to as SNA):<br />
Any disciplinary action taken by another SNA against one <strong>of</strong> its members shall be given full recognition<br />
and enforcement, provided such action was taken in accordance with the bylaws <strong>of</strong> the disciplining SNA<br />
and its disciplinary procedures.<br />
Section 5. Dues<br />
A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly, assessments as<br />
set by affiliate organizations to which <strong>FNA</strong> or its structural units belong, and <strong>FNA</strong> dues as established<br />
by <strong>FNA</strong> members participating in the Annual Membership Meeting.<br />
B. State only <strong>FNA</strong> Membership dues include <strong>FNA</strong> dues as set forth in <strong>FNA</strong> bylaws and policies.<br />
C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall include the<br />
present rate <strong>of</strong> dues paid by the <strong>FNA</strong> to the ANA and other organizations to which the structural units<br />
affiliate.<br />
D. The Board <strong>of</strong> Directors may initiate pilot dues recruitment strategies with a report to the following<br />
Membership Assembly for action.<br />
E. A vote <strong>of</strong> two-thirds (2/3) <strong>of</strong> the voting members present and a previous notice <strong>of</strong> sixty days (60) shall<br />
be required to change the <strong>FNA</strong> dues.<br />
Section 6. Assessment<br />
A. Each member <strong>of</strong> a <strong>FNA</strong> Collective Bargaining Unit shall be assessed an annual fee to support collective<br />
bargaining activities.<br />
B. The annual assessment shall be established by the Membership Assembly.<br />
C. Members shall be notified in Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly <strong>of</strong> a proposal to change<br />
the dues at least sixty (60) days prior to the meeting at which the proposal will be presented.<br />
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D. A vote <strong>of</strong> two-thirds (2/3) <strong>of</strong> the members present and voting and previous notice <strong>of</strong> sixty days (60)<br />
shall be required to change the dues.<br />
Section 7. Transfer <strong>of</strong> Dues/Assessment and Membership<br />
A. A full member who has completed full payment <strong>of</strong> dues and moved out <strong>of</strong> Florida may apply to the <strong>FNA</strong><br />
Executive Director for transfer to another state association <strong>of</strong> the ANA.<br />
B. A member <strong>of</strong> another state association <strong>of</strong> the ANA who has completed full payment <strong>of</strong> dues and fees<br />
for the membership year and who moves into or works within the boundaries <strong>of</strong> Florida may transfer to<br />
<strong>FNA</strong> without further payment or refund <strong>of</strong> dues for the remainder <strong>of</strong> the membership year. The request<br />
for transfer shall be signed by the secretary <strong>of</strong> the state nurses association issuing the transfer.<br />
C. A member may transfer from one <strong>FNA</strong> region to another within the state without further payment <strong>of</strong><br />
dues assessment for the remainder <strong>of</strong> the membership year. Application for transfer shall be made to<br />
the <strong>FNA</strong> Executive Director.<br />
Section 8. Membership Year<br />
The membership year shall be a period <strong>of</strong> twelve (12) consecutive months from the time <strong>of</strong> application for<br />
membership status.<br />
Section 9. Life Membership<br />
A. Life membership may be conferred on an individual who has rendered distinguished service or valuable<br />
assistance to the nursing pr<strong>of</strong>ession. Recommendation for Life Membership comes from the Board <strong>of</strong><br />
Directors. A two-thirds (2/3) vote at the Membership Assembly is required.<br />
B. Life membership shall not be conferred on more than one individual per annum.<br />
C. Life membership shall carry full membership privileges and exemption from payment <strong>of</strong> dues.<br />
Section 10. Honorary Membership<br />
A. Honorary membership may be conferred on any individual who has rendered distinguished service or<br />
valuable assistance to the organization. Recommendation for Honorary Membership comes from the Board<br />
<strong>of</strong> Directors. A two-thirds (2/3) vote <strong>of</strong> the attending members at the Membership Assembly is required.<br />
B. Honorary membership shall carry no responsibilities or privileges.<br />
Section 11. Emeritus Membership<br />
A. Emeritus Membership may be conferred on each <strong>FNA</strong> member <strong>of</strong> 50 or more consecutive years, upon<br />
reaching the age <strong>of</strong> 80.<br />
B. Emeritus Members may serve on committees, but not as chair, nor hold <strong>of</strong>fice at the state level.<br />
C. Emeritus Members will be exempted from dues.<br />
D. Emeritus Members will receive reduced rates at all <strong>FNA</strong> functions.<br />
Section 12. Organizational Affiliates<br />
A. Definition: An organizational Affiliate <strong>of</strong> <strong>FNA</strong> is an association that has been granted organizational<br />
affiliate status by the <strong>FNA</strong> Board <strong>of</strong> Directors.<br />
B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board <strong>of</strong><br />
Directors and shall:<br />
1. Maintain a mission and purpose harmonious with the purposes and functions <strong>of</strong> <strong>FNA</strong>;<br />
2. Have bylaws that do not conflict with <strong>FNA</strong> bylaws;<br />
3. Be comprised <strong>of</strong> registered nurses and have a governing body composed <strong>of</strong> registered nurses; and<br />
4. Pay an annual organization fee established by the <strong>FNA</strong> Board <strong>of</strong> Directors.<br />
C. Rights: Each organizational affiliate shall be entitled to:<br />
1. Have one seated representative to the Membership Assembly who must also be a current <strong>FNA</strong><br />
member and who shall be eligible to vote on all matters in the Membership Assembly except setting<br />
<strong>of</strong> membership dues, amendment <strong>of</strong> bylaws, and election <strong>of</strong> <strong>of</strong>ficers and directors; and<br />
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2. Make reports or presentations to the <strong>FNA</strong> Membership Assembly within its area <strong>of</strong> expertise,<br />
including the presentation <strong>of</strong> action reports.<br />
ARTICLE IV. Officers and Directors<br />
Section 1. Officers<br />
A. The <strong>of</strong>ficers are President, President-elect, Vice-President, Secretary, and Treasurer.<br />
B. The <strong>of</strong>ficers are elected by members and are accountable to the Membership.<br />
Section 2. Directors<br />
A. There shall be eight Directors representing each <strong>of</strong> eight Regions and one additional director who is a<br />
recent graduate <strong>of</strong> a pre-licensure nursing program within five years or less.<br />
B. The directors are elected by members and are accountable to the membership.<br />
Section 3. Qualifications<br />
A. All nominees for Officers and Directors shall be <strong>FNA</strong> members in good standing.<br />
B. Nominees must be dues paying members <strong>of</strong> the <strong>FNA</strong> for a period <strong>of</strong> at least twelve months prior to<br />
being nominated as an Officer or Director.<br />
C. An employee <strong>of</strong> <strong>FNA</strong> is eligible to be a candidate contingent upon resignation <strong>of</strong> the staff position if elected.<br />
Section 4. Term <strong>of</strong> Office<br />
A. The term <strong>of</strong> <strong>of</strong>fice for Officers and Directors shall be two years or until their successors are elected.<br />
B. The term shall commence at the adjournment <strong>of</strong> the Membership Assembly at which they are elected.<br />
C. President and President-Elect shall serve no more than one term consecutively in each <strong>of</strong>fice.<br />
D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four<br />
consecutive terms on the Board <strong>of</strong> Directors.<br />
E. An Officer or Director who has served more than one-half (1/2) term shall be deemed to have served a<br />
full term.<br />
Section 5. Duties<br />
A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted<br />
parliamentary authority, and as directed by the Board <strong>of</strong> Directors and the Membership Assembly.<br />
B. Officers and Directors, upon expiration <strong>of</strong> their terms <strong>of</strong> <strong>of</strong>fice, shall surrender to the <strong>FNA</strong> Executive<br />
Director all properties in their possession belonging to their respective <strong>of</strong>fices.<br />
C. The President shall be:<br />
1. A full member <strong>of</strong> <strong>FNA</strong>;<br />
2. Chair <strong>of</strong> the Board <strong>of</strong> Directors;<br />
3. Chair <strong>of</strong> the Executive Committee;<br />
4. Chair <strong>of</strong> the Advisory Committee;<br />
5. Ex <strong>of</strong>ficio member <strong>of</strong> all committees except the Nominating Committee;<br />
6. <strong>FNA</strong>’s representative at meetings <strong>of</strong> the ANA Constituent Assembly;<br />
7. Responsible for appointing members to committees and designating the chairs, with the approval <strong>of</strong><br />
the Board <strong>of</strong> Directors, except as hereinafter provided in these bylaws; and<br />
8. Concurrently elected as a representative to the ANA Membership Assembly.<br />
D. The President-Elect shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong>;<br />
2. Act as assistant to the President;<br />
3. In the absence <strong>of</strong> the President, assume the duties <strong>of</strong> the President;<br />
4. Review any reference proposals submitted to the Membership Assembly; and<br />
5. Serve as Chair <strong>of</strong> the Advisory Council.<br />
E. The Vice-President shall:<br />
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1. Be a full member <strong>of</strong> <strong>FNA</strong>;<br />
2. In the absence <strong>of</strong> the President and President-Elect, assume the duties <strong>of</strong> the President; and<br />
3. Be chairperson <strong>of</strong> the <strong>FNA</strong> Membership Committee.<br />
F. The Secretary shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong>; and<br />
2. Record the minutes <strong>of</strong> meetings <strong>of</strong> the <strong>FNA</strong>, Board <strong>of</strong> Directors, Executive Committee, and Advisory<br />
Committee.<br />
G. The Treasurer shall:<br />
1. Be a full member <strong>of</strong> <strong>FNA</strong>;<br />
2. Report to the Board <strong>of</strong> Directors the financial standing <strong>of</strong> <strong>FNA</strong>;<br />
3. Make a full report to <strong>FNA</strong> at each Membership Assembly;<br />
4. Serve as Chair <strong>of</strong> the Finance Committee; and<br />
5. Be bonded.<br />
H. The Region Directors shall:<br />
1. Be responsible for the implementation <strong>of</strong> the purposes and functions as created in these bylaws;<br />
2. Serve as members <strong>of</strong> the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
3. Serve as liaisons between the <strong>FNA</strong> Board <strong>of</strong> Directors and the Regions and bargaining units as<br />
designated by the Board; and<br />
4. Recommend to the <strong>FNA</strong> Board <strong>of</strong> Directors the establishment <strong>of</strong> Ad Hoc Committees deemed<br />
necessary to implement the purposes and functions <strong>of</strong> <strong>FNA</strong>.<br />
I. The Director-Recent Graduate shall:<br />
1. Serve as facilitator <strong>of</strong> the New Graduate Special Interest Group (SIG);<br />
2. Coordinate activities for members who are recent graduates <strong>of</strong> their initial nursing program; and<br />
3. Serve as a member <strong>of</strong> the Membership Committee.<br />
Section 6. Vacancies in Office<br />
A. Vacancy in the <strong>of</strong>fice <strong>of</strong> President.<br />
1. A vacancy in the <strong>of</strong>fice <strong>of</strong> President shall be filled by the President-Elect.<br />
2. An <strong>of</strong>ficer or member other than the President-Elect who fills a vacancy in the <strong>of</strong>fice <strong>of</strong> a president<br />
or assumes the duties <strong>of</strong> an absent president may serve as an ANA representative only if elected to<br />
the ANA representative position.<br />
B. If a vacancy occurs in the <strong>of</strong>fice <strong>of</strong> President-Elect, this position will remain vacant until the next<br />
election cycle or until the Board <strong>of</strong> Directors orders a special election by the full membership.<br />
C. In all other vacancies in elected positions on the Board, the Board <strong>of</strong> Directors shall appoint a qualified<br />
<strong>FNA</strong> member to serve for the remainder <strong>of</strong> that term.<br />
Section 7. Removal <strong>of</strong> an Elected Official<br />
A. Any Officer or Director elected by the membership or appointed Board Member may be removed from<br />
<strong>of</strong>fice whenever such action is deemed to be in the best interest <strong>of</strong> the Association, or for other just<br />
cause, by<br />
a. A vote <strong>of</strong> three-fourths <strong>of</strong> the current members <strong>of</strong> the <strong>FNA</strong> Board <strong>of</strong> Directors; or<br />
b. A written petition signed by 25% <strong>of</strong> the members <strong>of</strong> <strong>FNA</strong> on the last annual count, and approval <strong>of</strong><br />
the petition by 2/3 <strong>of</strong> the members <strong>of</strong> <strong>FNA</strong>. Voting may occur by electronic ballot; or<br />
c. By no longer being a member in good standing <strong>of</strong> <strong>FNA</strong>.<br />
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ARTICLE V. Executive Director<br />
Section 1. Accountability<br />
The Executive Director is accountable to and will be evaluated annually by the Board <strong>of</strong> Directors.<br />
Section 2. Authority<br />
The Executive Director has the authority to manage, plan, develop, administer, and coordinate activities <strong>of</strong> the<br />
Association in accordance with policies established by the Board <strong>of</strong> Directors.<br />
ARTICLE VI. Nominations and Elections<br />
Section 1. Nominating Committee<br />
The Nominating Committee shall consist <strong>of</strong> five (5) members, who shall be elected by secret ballot by plurality vote:<br />
A. The members elected to the Nominating Committee will choose their Chair;<br />
B. No Region shall be entitled to have more than one member serve on the Nominating Committee;<br />
C. The term <strong>of</strong> <strong>of</strong>fice shall be two years, or until their successors are elected;<br />
D. A member shall not serve more than two consecutive terms on the Nominating Committee;<br />
E. No member shall serve concurrently on the Nominating Committee and on the Board <strong>of</strong> Directors;<br />
F. If a member <strong>of</strong> the Nominating Committee is submitted as a suggested candidate for an <strong>of</strong>fice <strong>of</strong> <strong>FNA</strong><br />
and the member consents to be considered as a candidate, said member shall immediately resign from<br />
the Nominating Committee. This does not apply to a present member <strong>of</strong> the Committee whose name is<br />
submitted as suggested candidate for the Nominating Committee for the next term or as an ANA Delegate;<br />
G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received the next<br />
highest vote at the Membership Assembly at which the Committee members were elected.<br />
Section 2. Nomination Process<br />
A. Suggestions for nominees for elected <strong>of</strong>fices shall be solicited from each Region and structural unit;<br />
B. Individuals may nominate candidates or self-nominate;<br />
C. Requests for nominees shall be published in The Florida Nurse;<br />
D. The Committee shall propose a tentative <strong>FNA</strong> ballot containing nominees for:<br />
1. ANA Delegates<br />
2. <strong>FNA</strong> Officers, Directors, and Nominating Committee;<br />
E. After presentation to the Board <strong>of</strong> Directors for information only, the tentative ballot shall be published<br />
in the Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly;<br />
F. Within the 30 day period following the publication <strong>of</strong> the tentative ballots in the <strong>FNA</strong> <strong>of</strong>ficial publication,<br />
additional nominations may be made to the Chair <strong>of</strong> the Nominating Committee by any individual<br />
member, Region, or structural unit;<br />
G. The Nominating Committee shall formulate the final ballots by the addition <strong>of</strong> the nominees submitted,<br />
provided that all eligibility and membership requirements are met;<br />
H. A person shall not appear on the <strong>FNA</strong> ballot as a nominee for more than one <strong>of</strong>fice;<br />
I. The completed ballots shall be:<br />
1. In conformity with the <strong>FNA</strong> bylaws and the policies as adopted by the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
2. Identified, for each person running, as to the region and city or county <strong>of</strong> membership;<br />
3. Presented for information only to the Board <strong>of</strong> Directors before being published in the Official Call to<br />
Meeting;<br />
J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected statement<br />
and the Conflict <strong>of</strong> Interest statement;<br />
K. The biographies <strong>of</strong> the nominees, including region and city or county <strong>of</strong> membership, shall be published<br />
with the ballots in the Official Call to Membership Assembly.<br />
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Section 3. Election Process<br />
A. Elections shall be held in the odd-numbered years;<br />
B. Elections shall be held by secret ballot via electronic and/or phone ballot<br />
1. A plurality <strong>of</strong> votes cast by those entitled to vote, and voting, shall constitute an election;<br />
2. In the case <strong>of</strong> a tie, the choice shall be determined by lot at the Membership Assembly;<br />
C. Members may vote for persons other than those whose names appear on the ballot by writing in the<br />
names <strong>of</strong> qualified candidates who have signed the consent-to-serve forms;<br />
D. The voting shall be completed no later than midnight <strong>of</strong> the twenty-eighth (28th) day prior to the first<br />
day <strong>of</strong> the Membership Assembly;<br />
E. The Tellers shall:<br />
1. Verify membership and tabulate the votes;<br />
2. Compile a report <strong>of</strong> all votes received; and<br />
3. Send the results by certified mail, in duplicate, to the <strong>FNA</strong> Secretary at the <strong>FNA</strong> Headquarters;<br />
F. The Secretary shall announce the election results at the Membership Assembly;<br />
G. The President, President-Elect, Vice-President, Secretary, Treasurer, Directors, <strong>FNA</strong> Nominating<br />
Committee, and any other elected position on the ballot shall be declared as elected at the<br />
Membership Assembly.<br />
Section 4. ANA Representatives<br />
A. All <strong>FNA</strong> members with full membership may vote for ANA representatives.<br />
B. The <strong>FNA</strong> President and President-Elect shall be concurrently elected as representatives.<br />
C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full<br />
members <strong>of</strong> <strong>FNA</strong>.<br />
D. Each representative and alternate shall be elected for a two-year term or until a successor is elected.<br />
ARTICLE VII. Meetings<br />
Section 1.<br />
The <strong>of</strong>ficial meeting <strong>of</strong> the Florida Nurses Association is the Membership Assembly and will be held at least<br />
biennially. It will consist <strong>of</strong> reports from the Board <strong>of</strong> Directors, Regions, and committees; and adoption <strong>of</strong> bylaws<br />
and proposals. Additional activities may include educational programs, networking, and pr<strong>of</strong>essional updates.<br />
Section 2. Order <strong>of</strong> Business<br />
The Order <strong>of</strong> Business <strong>of</strong> each Membership Assembly <strong>of</strong> <strong>FNA</strong> shall be in accordance with a program adopted at<br />
the beginning <strong>of</strong> the meeting.<br />
Section 3. Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly<br />
The Official Call to Meeting <strong>of</strong> the <strong>FNA</strong> Membership Assembly shall be noticed via mail or electronic communication<br />
at least sixty (60) days before the first day <strong>of</strong> the Membership Assembly.<br />
Section 4. Special Meetings<br />
A. Special meetings <strong>of</strong> <strong>FNA</strong> may be called by the <strong>FNA</strong> Board <strong>of</strong> Directors upon the written request <strong>of</strong> a<br />
majority <strong>of</strong> the Regions and/or collective bargaining units.<br />
B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen days<br />
before the first day <strong>of</strong> the meeting.<br />
Section 5. Quorum<br />
Five members <strong>of</strong> the Board <strong>of</strong> Directors, one <strong>of</strong> whom shall be the President or President-Elect, and<br />
representatives from a majority <strong>of</strong> the Regions shall constitute a quorum for the transaction <strong>of</strong> business at any<br />
Membership Assembly or special meeting <strong>of</strong> the <strong>FNA</strong>.<br />
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Section 6. Membership<br />
The voting body at all Membership Assemblies and special meetings <strong>of</strong> this Association shall consist <strong>of</strong> the<br />
Board <strong>of</strong> Directors and all <strong>FNA</strong> members in good standing who are in attendance.<br />
ARTICLE VIII. Board <strong>of</strong> Directors<br />
Section 1. Composition<br />
There shall be a Board <strong>of</strong> Directors composed <strong>of</strong> the Officers and the Directors.<br />
Section 2. Meetings <strong>of</strong> the Board <strong>of</strong> Directors<br />
A. Meetings shall be held at such times and places as shall be determined by the Board <strong>of</strong> Directors.<br />
B. Special Meetings:<br />
1. May be called by the President on seven (7) days’ notice to each member <strong>of</strong> the Board, either by<br />
mail, telephone, or electronic communication;<br />
2. Shall be called by the President in like manner or on like notice upon the written request <strong>of</strong>:<br />
a. Five (5) or more members <strong>of</strong> the Board <strong>of</strong> Directors, or<br />
b. A majority <strong>of</strong> the Regions; and<br />
3. Shall be held at such times and places as may be specified in the notice there<strong>of</strong>.<br />
C. Business that requires action by the Board <strong>of</strong> Directors between regular meetings may be conducted by<br />
mail, telephone, or electronic communication. Such action shall be subject to ratification at the next<br />
regular meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />
D. Attendance<br />
1. Any member <strong>of</strong> the Board <strong>of</strong> Directors may have one (1) absence from the Board <strong>of</strong> Directors’<br />
meetings within a one-year period.<br />
2. A board member on <strong>of</strong>ficial business as designated by the President <strong>of</strong> <strong>FNA</strong> or Board <strong>of</strong> Directors at<br />
the time <strong>of</strong> the Board Meeting shall not be considered absent.<br />
3. A partial absence shall consist <strong>of</strong> not more than two (2) hours, unless an unforeseen emergency<br />
occurs en-route to the meeting.<br />
4. At the second absence <strong>of</strong> any member <strong>of</strong> the Board <strong>of</strong> Directors, the Board <strong>of</strong> Directors shall vote<br />
on removal <strong>of</strong> said board member from position.<br />
E. <strong>FNA</strong> members, the Chair <strong>of</strong> the Labor and Employment Relations Council, and the President <strong>of</strong> the<br />
FNSA or a designee, shall be eligible to attend meetings <strong>of</strong> the Board <strong>of</strong> Directors. They shall have<br />
voice, but no vote.<br />
Section 3. Quorum<br />
A majority <strong>of</strong> the Board <strong>of</strong> Directors, including the President or the President-Elect, shall constitute a quorum at<br />
any meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />
Section 4. Duties <strong>of</strong> the Board <strong>of</strong> Directors<br />
The Board shall:<br />
A. Establish major administrative policies governing <strong>FNA</strong> and provide for the transaction <strong>of</strong> general<br />
business <strong>of</strong> the organization;<br />
B. Provide for the expenditure, investment, and surveillance <strong>of</strong> <strong>FNA</strong> funds;<br />
C. Provide for the bonding <strong>of</strong> appropriate <strong>of</strong>ficers and staff;<br />
D. Provide for the adoption and administration <strong>of</strong> a budget, and for a periodic review statement by a<br />
Certified Public Accountant;<br />
E. Provide for the operation and maintenance <strong>of</strong> a state headquarters;<br />
F. Employ an Executive Director, define duties, and fix compensation;<br />
G. Employ legal and other counsel as deemed necessary, define duties, and fix compensation;<br />
H. Determine the registration fee, date, and location <strong>of</strong> Membership Assembly;<br />
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I. Determine the time and place <strong>of</strong> meetings <strong>of</strong> the Advisory Council;<br />
J. Recommend to the Governor nominations for appointments to the Florida State Board <strong>of</strong> Nursing and<br />
any other appropriate boards;<br />
K. Report to <strong>FNA</strong> members the business transacted by the Board <strong>of</strong> Directors;<br />
L. Act upon recommendations and/or plans <strong>of</strong> committees prior to implementation;<br />
M. Establish regional boundaries,<br />
N. Receive, for information only, reports from the Bylaws, Nominating, and Reference Committees;<br />
O. Fill vacancies in <strong>of</strong>fice as provided in these bylaws; and<br />
P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the <strong>FNA</strong><br />
membership.<br />
ARTICLE IX. Executive Committee<br />
Section 1. Composition<br />
There shall be an Executive Committee composed <strong>of</strong> the Officers <strong>of</strong> the Board <strong>of</strong> Directors.<br />
Section 2. Powers<br />
The Executive Committee shall have all the powers <strong>of</strong> the Board <strong>of</strong> Directors to transact business between meetings<br />
<strong>of</strong> the Board. Such action shall be subject to ratification at the next regular meeting <strong>of</strong> the Board <strong>of</strong> Directors.<br />
Section 3. Meetings<br />
A. The Executive Committee shall meet at the call <strong>of</strong> the President;<br />
B. Meetings may be conducted in person, by mail, telephone, or electronic communication.<br />
Section 4. Quorum<br />
A majority <strong>of</strong> the members <strong>of</strong> the Executive Committee shall constitute a quorum at any meeting <strong>of</strong> the Committee.<br />
ARTICLE X. Committees<br />
Section 1. General<br />
A. Committees shall assume such duties as assigned by the Board <strong>of</strong> Directors, and as specified in these<br />
Bylaws and report action as requested.<br />
B. Committees shall meet only with the approval <strong>of</strong> the President or Board <strong>of</strong> Directors.<br />
C. Committees shall meet on the call <strong>of</strong> the Chair, with no less than fifteen (15) days’ notice to committee<br />
members and <strong>FNA</strong> Headquarters.<br />
D. Unnoticed absences from two meetings <strong>of</strong> a committee shall constitute a resignation.<br />
E. A majority <strong>of</strong> the members <strong>of</strong> any standing or ad hoc committee shall constitute a quorum.<br />
F. Members <strong>of</strong> the FNSA shall be eligible to attend <strong>FNA</strong> committee meetings.<br />
Section 2. Ad Hoc Committees<br />
There shall be ad hoc committees appointed by the President, the Board <strong>of</strong> Directors, and/or the <strong>FNA</strong><br />
representatives attending the Membership Assembly as deemed necessary to act upon issues pertinent to <strong>FNA</strong>.<br />
Section 3. Membership Committee<br />
The composition <strong>of</strong> the Membership Committee shall be the Vice-President as chair, the Treasurer, and at least<br />
five (5) members appointed after each election by the President, with approval <strong>of</strong> the Board <strong>of</strong> Directors, to<br />
serve until their successors are appointed.<br />
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Duties:<br />
A. Identify strategies for retention <strong>of</strong> members,<br />
B. Develop a marketing campaign to seek new members,<br />
C. Recommend membership options,<br />
D. Submit suggestions to <strong>FNA</strong> Board <strong>of</strong> Directors, and<br />
E. Report to the <strong>FNA</strong> membership on the status <strong>of</strong> membership.<br />
Section 4. Reference Committee<br />
The Reference Committee shall consist <strong>of</strong> five (5) members appointed after each election by the President,<br />
with the approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their successors are appointed.<br />
Duties:<br />
A. Seek reference proposals from Regions, LERC, and members;<br />
B. Review proposals for appropriate structure;<br />
C. Make appropriate suggestions to authors as needed; and<br />
D. Present proposals at the Membership Assembly.<br />
Section 5. Bylaws Committee<br />
A. Composition.<br />
The Bylaws Committee shall consist <strong>of</strong> at least five (5) members appointed after each election by the<br />
President, with the approval <strong>of</strong> the Board <strong>of</strong> Directors, to serve until their successors are appointed.<br />
B. Duties.<br />
1. Receive and review all proposed amendments to the <strong>FNA</strong> bylaws and edit for conformity;<br />
2. Submit proposed amendments to <strong>FNA</strong> bylaws as appropriate;<br />
3. Present the proposed amendments to the <strong>FNA</strong> Board <strong>of</strong> Directors; and<br />
4. Submit the proposed amendments to the membership at the <strong>FNA</strong> Membership Assembly in<br />
accordance with the provisions for amendments to these bylaws.<br />
Section 6. Finance Committee<br />
A. Composition.<br />
The Finance Committee shall consist <strong>of</strong> at least five (5) members, including the <strong>FNA</strong> Treasurer, who<br />
shall serve as Chair. Four members shall be appointed after each election by the President, with<br />
approval by the Board <strong>of</strong> Directors, to serve until their successors are appointed. One <strong>of</strong> the appointed<br />
members shall be a member <strong>of</strong> the Labor and Employment Relations Council.<br />
B. Duties. The committee shall:<br />
1. Supervise the preparation <strong>of</strong> an annual budget for the fiscal year defined as the calendar year<br />
January 1 to December 31;<br />
2. Present the budget for approval to the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
3. Advise the <strong>FNA</strong> Board <strong>of</strong> Directors and other <strong>FNA</strong> structural units regarding financial matters and<br />
feasibility <strong>of</strong> funding for expenditures;<br />
4. Advise and report on the expenditure <strong>of</strong> funds to the <strong>FNA</strong> Board <strong>of</strong> Directors; and<br />
5. Report to the Membership Assembly the financial status <strong>of</strong> <strong>FNA</strong>.<br />
ARTICLE XI. Regions<br />
Section 1. General<br />
A. There shall be Regions which meet the following requirements:<br />
1. Regions must be in conformity with the bylaws <strong>of</strong> <strong>FNA</strong><br />
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ARTICLE XII. Labor and Employment Relations Council (LERC)<br />
Section 1. General<br />
The Labor and Employment Relations Council shall exist for the purpose <strong>of</strong> overseeing the conduct <strong>of</strong> <strong>FNA</strong>’s<br />
labor/employment relations and collective bargaining program, which shall include the formation <strong>of</strong> appropriate<br />
policies and procedures.<br />
Section 2. Term <strong>of</strong> Office<br />
Each member shall serve a term on the Council which shall be concurrent with the term as President <strong>of</strong> the<br />
Local Bargaining Unit.<br />
Section 3. Responsibilities<br />
The Labor and Employment Relations Council shall:<br />
A. Oversee the conduct <strong>of</strong> the <strong>FNA</strong>’s labor/employment relations and collective bargaining program, which<br />
shall include the formulation <strong>of</strong> appropriate policies and procedures;<br />
B. Formulate programs <strong>of</strong> assistance and training for local bargaining units;<br />
C. Consider and adjudge requests for legal assistance involving employment issues and contract<br />
grievances from members <strong>of</strong> local bargaining units;<br />
D. Make preliminary annual budget projections and recommendations to the <strong>FNA</strong> Finance Committee prior<br />
to adoption <strong>of</strong> the budget by the <strong>FNA</strong> Board <strong>of</strong> Directors;<br />
E. Establish, when needed, subordinate councils to conduct studies and make recommendations in<br />
specific substantive areas <strong>of</strong> labor and employment relations;<br />
F. Assist <strong>FNA</strong> staff in the development <strong>of</strong> local unit organizing activities;<br />
G. Communicate with the Board <strong>of</strong> Directors concerning economic and welfare issues relative to the<br />
nursing pr<strong>of</strong>ession.<br />
H. Receive and review the bylaws <strong>of</strong> any collective bargaining unit making application for <strong>FNA</strong> to be its<br />
bargaining agent; and<br />
I. Receive and review the bylaws <strong>of</strong> each collective bargaining unit on a periodic basis.<br />
Section 4. National Labor Convention (NLC) Delegates<br />
A. All Collective Bargaining Unit (CBU) Members may vote for NLC delegates.<br />
B. NLC delegates will be elected by secret ballot by plurality vote.<br />
C. Each delegate and alternate will be elected for a two-year term.<br />
D. LERC is allotted up to five delegate candidates to the NLC.<br />
ARTICLE XIII. Advisory Council<br />
Section 1. Composition<br />
A. The <strong>FNA</strong> Board <strong>of</strong> Directors and representatives from Regions, Collective Bargaining Units, and/or their<br />
designees, facilitators for each Special Interest Group, the FNPAC Chair, and the FNF President shall<br />
constitute an Advisory Council to consider and promote the interests <strong>of</strong> <strong>FNA</strong>.<br />
B. Two <strong>of</strong>ficers <strong>of</strong> FNSA shall be eligible to attend meetings <strong>of</strong> the Advisory Council.<br />
Section 2. Meetings<br />
A. The Advisory Council shall meet at such other times and places as may be determined:<br />
1. By the <strong>FNA</strong> President; or<br />
2. By the <strong>FNA</strong> Board <strong>of</strong> Directors; or<br />
3. At the request <strong>of</strong> fifty (50%) percent <strong>of</strong> the Regions.<br />
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ARTICLE XIV. Florida Nursing Students’ Association<br />
Section 1. General<br />
It shall be the responsibility <strong>of</strong> <strong>FNA</strong> to set up communications with Florida Nursing Students’ Association that<br />
will foster an organization <strong>of</strong> students <strong>of</strong> pr<strong>of</strong>essional nursing which will assist in preparing them to meet their<br />
pr<strong>of</strong>essional obligations as graduate nurses.<br />
Section 2. Meetings<br />
Meetings <strong>of</strong> the FNSA may be held in conjunction with the <strong>FNA</strong> Membership Assembly.<br />
ARTICLE XV. Relationship <strong>of</strong> <strong>FNA</strong> to ANA<br />
Section 1. Membership<br />
A. The annual dues for a full <strong>FNA</strong> member shall be set forth in dues policy and shall include the present<br />
rate <strong>of</strong> dues paid by the <strong>FNA</strong> to the ANA. In the event that the rate <strong>of</strong> dues payable to the ANA by the<br />
<strong>FNA</strong> increases, any such change shall be automatically added to the annual dues paid by a full <strong>FNA</strong><br />
member.<br />
B. The <strong>FNA</strong> shall continue to pay dues to the ANA pursuant to the ANA bylaws and House <strong>of</strong> Delegates<br />
policy until such time as 2/3 <strong>of</strong> the entire full <strong>FNA</strong> membership votes to disaffiliate from the ANA. The<br />
vote may occur by mail, phone, or electronic ballot, with appropriate notice and procedures to protect<br />
the integrity and validity <strong>of</strong> the vote.<br />
Section 2. ANA Constituent Assembly<br />
<strong>FNA</strong> shall be entitled to representation at the ANA Constituent Assembly by the President <strong>of</strong> <strong>FNA</strong> and the<br />
Executive Director, or their designated alternates.<br />
Section 3. ANA Delegates<br />
A. <strong>FNA</strong> shall be entitled to representation at the ANA Membership Assembly as determined in the ANA<br />
bylaws.<br />
B. <strong>FNA</strong> shall elect representatives as allocated in accordance with policies adopted by the ANA House <strong>of</strong><br />
Delegates.<br />
ARTICLE XVI. Official Publication<br />
Section 1. The Florida Nurse shall be the <strong>of</strong>ficial publication <strong>of</strong> <strong>FNA</strong>.<br />
Section 2. LERC Today shall be the <strong>of</strong>ficial publication <strong>of</strong> the Labor and Employment Relations Council.<br />
ARTICLE XVII. Parliamentary Authority<br />
The rules contained in Robert’s Rules <strong>of</strong> Order Newly Revised shall govern meetings <strong>of</strong> <strong>FNA</strong> in all cases to<br />
which they are applicable and in which they are not inconsistent with these bylaws.<br />
ARTICLE XIII. Amendments<br />
Section 1. Previous Notice<br />
A. These bylaws may be amended at any <strong>FNA</strong> Membership Assembly by a two-third (2/3) vote <strong>of</strong> the<br />
members present and voting.<br />
B. All proposed amendments shall be in the possession <strong>of</strong> the <strong>FNA</strong> Executive Director at least sixty<br />
(60) days before the Membership Assembly, and shall be published at least 30 days prior to the <strong>FNA</strong><br />
Membership Assembly.<br />
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Section 2. Without Previous Notice<br />
These bylaws may be amended, without previous notice, at any Membership Assembly by a ninety-five percent<br />
(95%) vote <strong>of</strong> the members present and voting.<br />
ARTICLE XIX. Dissolution<br />
In the event that this organization should be dissolved for any reason, any remaining assets shall be liquidated and<br />
distributed in accordance with governmental regulations. No funds can inure to the benefit <strong>of</strong> any individual member.<br />
Approved by Membership Assembly<br />
November 2016<br />
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<strong>FNA</strong> Staff<br />
Willa Fuller, BSN, RN – 19 years, Executive Director since 6/11/07 – Manages the day to day operations <strong>of</strong> the<br />
association.<br />
John Berry – 9 months, Director <strong>of</strong> Labor Relations and Government Affairs<br />
Vicki Sumagpang, MSN, RN – 5 ½ years, Director <strong>of</strong> Member Engagement<br />
Tunala Stark – 14 ½ years, <strong>Book</strong>keeper/Program Specialist for Membership<br />
Bibi Lowton – 14 years, Program Specialist for Governmental and Pr<strong>of</strong>essional Practice Advocacy<br />
Kaitlyn Scarbury – 11 months, Executive Assistant/Marketing Specialist<br />
Leslie Homsted, RN – 20 years, Communications Coordinator/Membership Recruitment and Retention Specialist<br />
<strong>2017</strong> <strong>Reports</strong> <strong>of</strong> the <strong>FNA</strong> Staff<br />
Every two years, the Board <strong>of</strong> Directors is charged with implementing the goals and priorities as adopted by<br />
the House <strong>of</strong> Delegates during the Membership Assembly. In turn, the <strong>FNA</strong> staff works in collaboration with the<br />
Board and appointed/elected committees to carry out these actions, as well as conduct the business <strong>of</strong> <strong>FNA</strong>,<br />
which continues to be a vibrant and complex association.<br />
The current board began their terms by viewing the current strategic plan and identifying ways to continue the<br />
work began by previous boards.<br />
<strong>FNA</strong> maintains a prominent position as the pr<strong>of</strong>essional<br />
association for Registered Nurses and strives to continue its role<br />
in advocating for optimal health care for our citizens and the work<br />
environment for all nurses. At the same time, <strong>FNA</strong> and its entities<br />
- such as the Florida Nurses Foundation (FNF) and the Florida Political Action Committee (FNPAC) - represent<br />
a large business entity. As such, <strong>FNA</strong> has to abide by Internal Revenue Services (IRS) guidelines for a notfor-pr<strong>of</strong>it<br />
501(C) 6 (<strong>FNA</strong> and its /units fall under the category <strong>of</strong> “like businesses,” meaning that membership<br />
criteria is limited to registered nurses). In addition, <strong>FNA</strong> is registered in Florida and nationally as a labor<br />
organization and must abide by those rules and regulations. <strong>FNA</strong> operates with Regions that are coordinated<br />
or overseen by 8 elected Region Directors who along with the executive committee comprise the <strong>FNA</strong> Board<br />
<strong>of</strong> Directors. This structure which was a pivotal change made by the 2009 (and final) House <strong>of</strong> Delegates<br />
continues to evolve with growth in activities from both the Regions and the Special Interest Groups.<br />
The Florida Nurses Foundation was established by <strong>FNA</strong> leadership in 1983<br />
and is designated by the IRS as a 501(C)3. This category is under the not-forpr<strong>of</strong>it<br />
code that differs from <strong>FNA</strong> in that it is recognized as a public charitable<br />
organization that can utilize its funds to assist nurses. FNF funds provide grants<br />
for scholarships, research projects and temporary assistance for nurses in need. Contributions to FNF are tax<br />
deductible whereas <strong>FNA</strong> dues are eligible for deduction only IF you itemize your annual tax return. FNPAC, as<br />
the political arm <strong>of</strong> the Association, must comply with Florida election laws, which includes routine reporting<br />
<strong>of</strong> contributions and expenses, in addition to submitting an annual report to the IRS. Of course, <strong>FNA</strong> also has<br />
obligations as a constituent member <strong>of</strong> the American Nurses Association (ANA) and the new structural entities,<br />
as well as our regions and units.<br />
<strong>FNA</strong> continues to believe that nurses should have one organization that speaks in a unified voice for<br />
all <strong>of</strong> nursing. <strong>FNA</strong> recognizes the diversity <strong>of</strong> the nursing workforce, supporting nurses’ differences, but<br />
is keenly aware that a unified voice is essential to be able to effect positive change in the current highly<br />
charged and highly competitive environment. Recently these challenges have increased with heightened<br />
focus on the medical community in scope <strong>of</strong> practice issues. The recent Institute <strong>of</strong> Medicine Report has<br />
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also drawn attention to the need for nurses to be able to practice to the full scope <strong>of</strong> their education. <strong>FNA</strong><br />
has representation on the Florida Action Coalition (FL-AC) which is the entity that is working to implement the<br />
recommendations <strong>of</strong> the report. We also maintain and close relationship with the Florida Center for Nursing<br />
which is one <strong>of</strong> the Co-Leads <strong>of</strong> the FL-AC.<br />
<strong>FNA</strong> has the opportunity to change the nursing in Florida environment for the better.<br />
With the work <strong>of</strong> dedicated, creative and innovative volunteers, <strong>FNA</strong> can change the<br />
workplace for nurses and the health care environment for the patients served. Recent<br />
work with QUIN Council and with the Florida Coalition <strong>of</strong> Advanced Practice Nurses<br />
has increased collaborative networking and work among other organizations. There<br />
has been some conflict from groups with dissenting opinions on some matters and <strong>FNA</strong> along with other<br />
partners are working to create unity among differences. <strong>FNA</strong> continues to meet with QUIN and the Coalition<br />
on a regular basis. Most recently, QUIN has created a website to educate and inform those interested in the<br />
nursing pr<strong>of</strong>ession regarding selecting the best school for their education. QUIN also plans in 2018 to convene<br />
a “Think Tank” dedication to safe staffing and a quality work environment for nurses.<br />
Membership<br />
Since <strong>FNA</strong> is a pr<strong>of</strong>essional association, resources and abilities to advocate for nurses are dependent upon<br />
the success <strong>of</strong> recruitment and retention <strong>of</strong> members. While it is appropriate that the majority <strong>of</strong> our revenue<br />
comes from member dues, associations are experiencing a drop in membership across the board.<br />
<strong>FNA</strong> has been affected by many factors, including but not<br />
limited to, impact <strong>of</strong> state employee reductions, closures and<br />
downsizing, failure <strong>of</strong> new graduates to join the association,<br />
retirement <strong>of</strong> nurses who do not renew, and the current<br />
challenging economy. The Membership Committee, along with<br />
<strong>FNA</strong> staff, works diligently to implement strategies outlined<br />
in their report. In addition, the Board has been supportive<br />
<strong>of</strong> supporting their ideas and approving new sources <strong>of</strong> nondues<br />
revenue. The current Membership Committee has made<br />
several recommendations for membership recruitment in the<br />
upcoming months including. Other strategies include, phone<br />
contact or personal contact from board members to recoup<br />
pending deletions, deleted members, and new grads. A post<br />
card campaign with personalized messaging, and revival <strong>of</strong> the<br />
Star Campaign have also been initiated for the past two years.<br />
<strong>2017</strong> Membership Recruitment and Retention Strategies include:<br />
• Continuation <strong>of</strong> Birthday emails to each <strong>FNA</strong> member;<br />
• A “You’ve Been Spotted” initiative to invite nurses who have won awards or<br />
demonstrated other accomplishments to join the pr<strong>of</strong>essional association<br />
• Three touch points <strong>of</strong> renewal for each <strong>FNA</strong> member (one mailings and two emails);<br />
• Targeted post card campaigns<br />
• Personal notes to members on renewals;<br />
• A revised new membership packet sent electronically to each new member;<br />
• Membership recruitment emails to students lists provided by ANA;<br />
• A special snail mail promotion to all deleted new grad members from the past two years;<br />
• A social networking presence on Facebook, Twitter, Linked In and YouTube;<br />
• Text reminder for renewals ( in transition to new service)<br />
• Our own social networking community “Yammer” for Members Only;<br />
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• Membership recruitment contests and incentives;<br />
• Ongoing recruitment packets sent to potential RN/ARNP members;<br />
• FNSA consultant communication and incentives;<br />
• Promotion <strong>of</strong> State Only Membership to get people to “try us on for size”<br />
• Past FNSA member communication;<br />
• Presence at specialty nurse organization or other nursing events;<br />
• Invitations to previously deleted members to re-join <strong>FNA</strong>;<br />
• Consistent member communication about <strong>FNA</strong> programs;<br />
• <strong>FNA</strong> presence at student RN programs and graduations;<br />
• Quarterly publication <strong>of</strong> New Grad Gazette to our new grad members<br />
• Close relationship with FNSA, Student Forum in The Florida Nurse to engage students<br />
• First year free membership for all FNSA new graduates and ½ <strong>of</strong>f for all first year renewals (FNSA graduates<br />
receive another special email to remind them <strong>of</strong> their first year renewal price); additionally we have extended<br />
the monthly payment option to this reduced rate;<br />
• FNSA liaison positions on <strong>FNA</strong> board and committees to provide mentorship and exposure to the<br />
pr<strong>of</strong>essional organization.<br />
• ADP option for FNSA new graduates that can be applied over one or two years;<br />
• ADP Option for new non-FNSA new grads <strong>of</strong> reduced membership with the monthly deduction option<br />
• Recruitment and continuing education meetings across the state for bargaining unit members;<br />
• Specialty packets for bargaining units from OPEIU<br />
• Opportunity to form Special Interest Groups<br />
• Nursing Research Conference<br />
• Online <strong>FNA</strong> Career Center and job placement assistance.<br />
• The continued development <strong>of</strong> the Florida Leadership Academy<br />
• Focus on Faculty as Mentors and the gateway to creating young advocates<br />
Public Relations<br />
<strong>FNA</strong> has also become heavily involved in social networking strategy in order to reach larger populations<br />
<strong>of</strong> nurses. <strong>FNA</strong> has presence on Facebook, Twitter, LinkedIn and YouTube. Through these communication<br />
avenues, <strong>FNA</strong> can make announcements about activities and programs and increase engagement by nurses<br />
and students. <strong>FNA</strong> has 6,791 likes (up from 2,384 in 2012) on Facebook, 1,040 (up from 614 in 2013)<br />
“followers” and on Twitter. We are also hoping to build our video library on You Tube and become more active<br />
on LinkedIn. We have subscribed to Vimeo with plans <strong>of</strong> launching web based continuing education programs<br />
online for members.<br />
We also respond to media requests and interviews on topics central to nursing and healthcare and have had<br />
several mentions in various media outlets, from major newspapers to blogs.<br />
We seek an respond to media requests for interview and participate in the community when feasible.<br />
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Communication<br />
<strong>2017</strong> Member Communication strategies include:<br />
• <strong>FNA</strong> Members Only: Online PRN newsletter used to update members on association, nursing and members<br />
news. (This has been on hold due to staffing issues but we are planning to resume this year combining our<br />
other online newsletters).<br />
• Focus on the Foundation: This e-newsletter keeps members up to date about the activities <strong>of</strong> the Florida<br />
Nurses Foundation, <strong>FNA</strong>’s philanthropic arm.<br />
• Region Updates and Email Alerts: Emails to region members are sent at the request <strong>of</strong> <strong>FNA</strong> region directors.<br />
This is primarily to announce meetings or other events in the area or to request volunteers.<br />
• The Florida Nurse: The Florida Nurse goes to every nurse in the state <strong>of</strong> Florida and not only contains news<br />
<strong>of</strong> interest to <strong>FNA</strong> members but keeps the general nursing population informed about nursing and healthcare<br />
in the state.<br />
• The State Unit Newsletter: The State Unit Newsletter (the “SUN”) goes to every state employed member <strong>of</strong><br />
the Pr<strong>of</strong>essional Health Care Unit. The SUN provides pertinent information and updates to state employees.<br />
<strong>FNA</strong> works each year to streamline existing programs and look for new ones that will be beneficial to <strong>FNA</strong><br />
members and other nurses in the community. <strong>FNA</strong> continues to produce Advocacy Days (Formerly Lobby Days)<br />
and for the third year, the Research and Evidence Based Practice Conference. This will conference will be the<br />
sixth annual Membership Assembly. Each Region also coordinates several highly rated conferences throughout<br />
the year. See below for additional information on <strong>FNA</strong> conferences. Highly popular this year has been the<br />
Therapeutic Touch (TT) Seminars by Dr. Jean Kijek, our resident expert who studies with Dr. Delores Krieger<br />
the TT creator and pioneer. Our educational webinars have also experiences excellent attendance and we have<br />
presented most <strong>of</strong> the mandatory education requirements via this modality.<br />
Our webinars have been well attended and highly rated and we delivered several outstanding programs<br />
including several <strong>of</strong> the mandatory CE requirements.<br />
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Advocacy<br />
<strong>FNA</strong>’s core function is advocacy on many levels, including being responsive to the needs<br />
<strong>of</strong> members and outreach to nurses and students in general, advocating for o ptimal work<br />
environment and health care safety and other health care concerns. Please refer to the<br />
section on Public Relations since this includes activities that also demonstrate advocacy.<br />
Our legislative advocacy program is ongoing<br />
through our lobbyists in Tallahassee and the<br />
grassroots lobbying efforts <strong>of</strong> our Legislative<br />
District Coordinators (LDCs) across the<br />
state. Alisa Lapolt <strong>of</strong> GoTopsail Public Affairs<br />
continues with <strong>FNA</strong> as a part <strong>of</strong> our lobbying<br />
team. Robert Levy also continues as a contract lobbyist for <strong>FNA</strong><br />
who provides excellent support for the association. At this year’s<br />
Lobby Days conference, we covered topics ranging from an<br />
update from Joe Baker and Sherri Sutton-Johnson to an update<br />
on issues <strong>of</strong> importance to nursing. We were able to present the Legislator <strong>of</strong> the Year Award to Senator<br />
Denise Grimsley who was instrumental in defeating the Dr. Title Bill which would force nurse practitioners to<br />
state that they were “not medical doctors.” There was excellent student attendance and once again nurses<br />
both veterans and novices alike learned to navigate the Capitol during session. We took suggestions from last<br />
year and developed a teaching plan for faculty who are bringing their students. In addition, we added a role play<br />
session with participants experiencing scenario’s that could happen with their visit. We held a preconference<br />
webinar explaining what is going to happen. For two years in a row, we have held webinars prior to the event<br />
to orient potential attendees to the Lobby Days Experience. We have provided shuttle transportation to the<br />
Capital to make navigating the terrain an easier experience for attendees.<br />
The Health Policy Special Interest group (HP SIG) is comprised <strong>of</strong> members who have a particular interest in<br />
being involved with the political process. Monthly meetings focus <strong>of</strong> issues <strong>of</strong> interest and topics <strong>of</strong> concern to<br />
nurses. This SIG is one <strong>of</strong> the most active member groups within <strong>FNA</strong>.<br />
See the final legislative report on page 80.<br />
L.E.R.C.<br />
The leadership <strong>of</strong> the bargaining units as members <strong>of</strong> the Labor Employment<br />
Relations Commission (LERC) faced many challenges over the past few years,<br />
particularly those in the state unit. With severe budget cuts and privatization,<br />
many members retired early or left for other opportunities. Closures <strong>of</strong> some<br />
facilities continue to affect membership. We experienced many non-members<br />
seeking help from us and used this as an opportunity for member recruitment. <strong>FNA</strong>, along with OPEIU is working<br />
to increase membership in LERC through internal organizing and have done additional mailings and visits to those<br />
facilities for member education and recruitment. <strong>FNA</strong> plans to continue these meetings in <strong>2017</strong>-2018.<br />
Over the past two years we are working to update our workplace publications and create e-versions E-versions<br />
<strong>of</strong> each <strong>of</strong> them. Due to the cost <strong>of</strong> printing, two years ago, we converted the New Graduate Handbook<br />
into an online newsletter called New Grad Gazette. We do print it on demand for special events such as<br />
pinning ceremonies. The revised pamphlet, Understanding the Nursing Pr<strong>of</strong>ession in Florida was conceived in<br />
partnership with several Florida nursing leadership groups several years ago. We have further revised and<br />
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updated the appearance <strong>of</strong> the brochure again. This has been an excellent resource to use in explaining<br />
nursing education levels in the state. There are two versions <strong>of</strong> the brochure, for legislators and the public<br />
and for those seeking a career in nursing. Jan Hess, <strong>FNA</strong> Director has completed a history <strong>of</strong> the Florida<br />
Nurses Association focused on our legislative achievements since 1909. She has updated the timeline in this<br />
publication after each legislative session. This will also be an E-publication.<br />
<strong>FNA</strong> continues to promote ANA’s Principle <strong>of</strong> Nurse Staffing and Principles<br />
for Documentation as resources for staff nurses in dealing with concerns on<br />
staffing and patient safety. ANA recently reviewed their Principles for Safe<br />
Staffing and the revised version will be available soon. At the end <strong>of</strong> the review<br />
(2013) they concluded that the principles were sound and continued to be valid,<br />
however they have also added that in some instances, ratios can be one <strong>of</strong> the solutions to safe staffing.<br />
The most important component <strong>of</strong> the plan is that nurses are involved in setting the staffing plans where they<br />
work. Safe staffing remains a priority agenda item as evidence by our work with QUIN on a Think Tank next<br />
February. We have developed several promotional pieces for deployment on social media and other formats to<br />
create awareness.<br />
Phone consultation to members is available during <strong>of</strong>fice hours and <strong>FNA</strong> continues the policy <strong>of</strong> limiting<br />
non-member assistance from 1 to 2 p.m. (non-members may call 407.896.3261. <strong>FNA</strong> does not provide the<br />
member 800 number to non-members since it is a member benefit. In addition, <strong>FNA</strong> staff speaks with nurses<br />
from out-<strong>of</strong>-state or to nursing students or LPN’s at any time during the day.<br />
Whereas, the Board <strong>of</strong> Nursing, as directed by law, is there to protect the public and advocates on nurses’<br />
behalf, <strong>FNA</strong>’s mission includes serving as the advocate for nurses and collectively for the pr<strong>of</strong>ession. This<br />
advocacy directs everything <strong>FNA</strong> does from legislative and health policy initiatives, as well as <strong>FNA</strong> formal<br />
collective bargaining agreements, educational activities including publications from both ANA and <strong>FNA</strong>, and<br />
consultation on workplace issues.<br />
<strong>FNA</strong> continues to provide a member benefit which allows members to call in and request one legal consultation<br />
with <strong>FNA</strong> practice counsel. There has been minimal use <strong>of</strong> this benefit but it has been helpful to those who<br />
needed it. This benefit is only activated if it is truly a question that cannot be answered by staff. We have also<br />
used this service to generate a FAQ list to be able to answer non-legal questions from nurses. Once this has<br />
been refined and checked for accuracy, it will be published.<br />
<strong>FNA</strong> is also working to become as “green” as possible. <strong>FNA</strong> continues to embrace this philosophy<br />
at Headquarters by purchasing green products and recycling. We no longer purchase bottled water<br />
for meetings, we have two recycle bins in the <strong>of</strong>fice for cans and bottles, and we work diligently to<br />
decrease printing.<br />
In addition to what has been addressed in previous goals, <strong>FNA</strong> continues evaluate and identify issues in<br />
order to determine what additional resources might be developed to assist nurses in the workplace. <strong>FNA</strong> also<br />
distributes, upon request, <strong>of</strong>ficial ANA and <strong>FNA</strong> positions statements. These statements are purposed by<br />
membership and adopted by the delegates at the national and state level, as well as both Boards <strong>of</strong> Directors,<br />
as deemed necessary.<br />
We have signed on to several letters related to topics <strong>of</strong> interest to nurses or to public health interests in the<br />
past two years. We have also declined to write letters <strong>of</strong> support or even written letters <strong>of</strong> opposition when<br />
appropriate.<br />
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Economic and General Welfare <strong>of</strong> Registered Nurses<br />
The Labor and Employment Relations Commission (LERC) continues to work in developing and implementing<br />
activities to effectively address the concerns <strong>of</strong> all staff nurses in Florida. In developing activities and<br />
strategies, LERC looks at both workplace advocacy strategies and collective bargaining strategies.<br />
Workplace Advocacy strategies include activities initiated to address many and varied employment and<br />
workplace challenges faced by nurses on a daily basis and can be employed by nurses whether represented by<br />
collective bargaining or not.<br />
With The Florida Nurse going to all RNs in Florida, the Pr<strong>of</strong>essional Practice Advocacy column has provided an<br />
excellent forum for educating all nurses on what resources are available through the association to assist with<br />
their workplace concerns, as well as provide articles on pertinent issues relevant to practice. The Members<br />
Only e-newsletter and section on the <strong>FNA</strong> websites provides a vehicle to provide <strong>FNA</strong> members with the most<br />
up-to-date information on timely topics and the latest resources. In addition to these communication vehicles,<br />
the members <strong>of</strong> LERC periodically publish their own newsletter LERC Today from <strong>FNA</strong>, which goes to bargaining<br />
unit members in an effort to provide unit specific information and activities. Additionally, the members <strong>of</strong> LERC<br />
publish the State Unit Newsletter (the “SUN”), which provides information and updates to members in the state<br />
Pr<strong>of</strong>essional Health Care Unit.<br />
<strong>FNA</strong> continues with the commitment to assist all nurses in all practice settings, addressing their concerns.<br />
This is accomplished by informing nurses <strong>of</strong> what resources are available through the association, such<br />
as workplace publications, conflict resolution strategies, assisting with issues <strong>of</strong> health and safety in the<br />
workplace and education on the importance <strong>of</strong> being involved on committees, either in their workplace or<br />
communities where policy is developed.<br />
<strong>FNA</strong> collective bargaining units continue to provide strong leadership to the nurses<br />
in their workplaces through multiple activities. The units are able to highlight their<br />
activities in their annual report, which is included in this <strong>Book</strong> <strong>of</strong> <strong>Reports</strong>. During this<br />
past year, several units have negotiated new contracts which secure their salary and<br />
benefits and provide mechanism for nurses to meet and confer with management<br />
representatives to address issues <strong>of</strong> concern such as disciplinary actions, staffing,<br />
overtime, and scheduling. The units have worked very hard to provide leadership<br />
training and education to their members. Membership growth has been achieved in<br />
all units as a result <strong>of</strong> the hard work <strong>of</strong> unit leadership in educating their members to<br />
the importance <strong>of</strong> being involved their bargaining unit and pr<strong>of</strong>essional association.<br />
For four years in a row, LERC has held a Labor Summit for its members dedicated to<br />
education and leadership development. Due to economic concerns we did not hold a<br />
summit this year as <strong>of</strong> yet but have a training scheduled for <strong>FNA</strong> Headquarters before<br />
the end <strong>of</strong> the year.<br />
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Organizational Structure<br />
The transition <strong>of</strong> the <strong>FNA</strong> structure is complete and the Regions are<br />
each evolving in their own way. There have been events in each <strong>of</strong> the<br />
Regions. The Special Interest Groups have evolved and several have<br />
ended while others are flourishing. Frequent conference calls and<br />
webinars have been held under the coordination <strong>of</strong> Director <strong>of</strong> Programs<br />
and Member Engagement, Vicki Sumagpang. A committee <strong>of</strong> the Board<br />
<strong>of</strong> Directors recently developed a guideline for Region Directors to help<br />
new Region Directors transition into their roles. The same idea has<br />
been advanced for the Special Interest Groups (SIGS). The active SIGs<br />
are the Health Policy, Ethics, Health Literacy, and the Nursing Research<br />
SIG. The Clinical Nurse Specialist SIG has become quite active and was<br />
recently accepted into the Florida Coalition <strong>of</strong> Advanced Practice Nurses.<br />
The Board continues to evaluate the viability <strong>of</strong> the SIG’s and review the<br />
activity <strong>of</strong> these groups over time. Nurse entrepreneur, Faith Community<br />
Nurse, Environmental, Faculty, Health Risk, and the Simulation SIG’s<br />
have dissolved due to inactivity, or the group determined there was<br />
other groups that already met that particular need.<br />
Conferences and Continuing Education Programs<br />
<strong>FNA</strong> is committed to providing quality educational opportunities for the nurses <strong>of</strong> Florida. <strong>FNA</strong> programs are<br />
designed for and <strong>of</strong>ten by the members <strong>of</strong> the association to meet the needs <strong>of</strong> a variety <strong>of</strong> practitioners. In<br />
addition, the programs provide an opportunity for networking with colleagues as well as pr<strong>of</strong>essional growth by<br />
attending or participating in the programs as a presenter. These programs are <strong>of</strong>fered to members at a discounted<br />
rate and non-members are encouraged to also attend. Decisions regarding continuation vs. deletion are periodically<br />
made regarding new and existing programs. We <strong>of</strong>fered over 300 contact hours between 2015 to the current time.<br />
<strong>FNA</strong> Advocacy Days alternates between March and January depending on<br />
the legislative session. Coordinated by the <strong>FNA</strong> Lobbyist and <strong>FNA</strong> Staff, this<br />
program provides didactic information on grassroots lobbying and first-hand<br />
experience interacting with state and local <strong>of</strong>ficials. Nurses are encouraged<br />
to communicate with their legislators throughout the year. For the last few<br />
years, <strong>FNA</strong> lobbyists made appointments for members to see legislators<br />
in their <strong>of</strong>fices in Tallahassee. Members were provided <strong>FNA</strong> toolkits to<br />
provide to each legislator with whom they met. In 2016, 125 nurses and<br />
nursing students attended Advocacy Days. Due to the success <strong>of</strong> the shuttle<br />
transportation in prior years, we continued the bus service for providing<br />
transportation to and from the events and <strong>of</strong>f site hotel attendees. <strong>FNA</strong><br />
members once again wore white lab coats and packets were prepared for our grassroots lobbyists to share<br />
with tier legislators. We also made the legislative visits optional, this decreasing no-shows and only engaging<br />
those participants who wanted to directly engage with legislators. The large majority <strong>of</strong> attendees opted to<br />
make the legislative visits. Bob Levy and Jose Diaz <strong>of</strong> Robert Levy and Associates have been an integral part<br />
<strong>of</strong> the planning and execution <strong>of</strong> this outstanding program for our members. They made appointments with<br />
legislators, secured the 22 Floor <strong>of</strong> the Capitol for our Luncheon as well as the historic old Capitol building for<br />
presentation from legislators and other policy makers.. We are already excited about our 2018 plans for this<br />
event. Next year, <strong>FNA</strong> Advocacy Days will be held January 17th and 18th at the Florida State Conference Center<br />
in Tallahassee.<br />
This year we bid goodbye to Alisa Lapolt <strong>of</strong> Gotopsail Public Affairs and Jose Diaz <strong>of</strong> Robert Levy and<br />
Associates. We appreciate all that they have done for nurses over the years.<br />
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Legislative Overview <strong>2017</strong><br />
Alisa Lapolt, Lobbyist<br />
From time to time, the staff and lobbying team <strong>of</strong> the Florida Nurses Association is asked, “What exactly does<br />
<strong>FNA</strong> do for us at the state Capitol?” It’s a question easily answered: We do a lot.<br />
An estimated 70 percent <strong>of</strong> the work done by the lobbying team is defensive – making sure that other special<br />
interests don’t put limits on, or add extra burdens to, the work nurses do.<br />
Case in point: SB 670 by Sen. Don Gaetz (R-Crestview), as initially written, would have protected members <strong>of</strong><br />
the state’s child protection teams from lawsuits arising from the work they do investigating child abuse and<br />
neglect. But the bill was later amended to extend that lawsuit protection only to physicians.<br />
Other legislation would have required nurses and other healthcare providers to get an additional license to<br />
work as a diabetes educator (SB 1286 by Sen. Audrey Gibson, D-Jacksonville and HB 1261 by Rep. John<br />
Cortes, D-Kissimmee).<br />
In these and other instances, our course <strong>of</strong> action is to share concerns with the bill sponsors and staff and<br />
make suggested changes to the bills. If that doesn’t work, our strategies include reaching out to committee<br />
members and asking them to vote against the bill or even asking the committee chairman not to schedule the<br />
bill for a committee hearing.<br />
On the flip side, we play <strong>of</strong>fense in promoting bills that make a positive impact on nurses and patients.<br />
Examples include controlled substance prescribing rights for registered nurses and a multi-state license for<br />
nurses under a Nurse Licensure Compact.<br />
To capture some <strong>of</strong> the work we do for <strong>FNA</strong> members, I provided a weekly update <strong>of</strong> bills affecting nurses and<br />
the patients they serve. This year, it’s a list that spans 10 pages. A final bill report was made available to <strong>FNA</strong><br />
members after the conclusion <strong>of</strong> the legislative session, which was Friday, March 11.<br />
We also launched in January a new email newsletter called “The Pulse.” The idea is to capture “the pulse” <strong>of</strong><br />
what’s going on with nurses at the Capitol.<br />
Our lobbying efforts got a big boost from about 170 nurses and nursing students during <strong>FNA</strong>’s annual Advocacy<br />
Days at the Capitol in January. Participants met with their House and Senate members, thanks to the<br />
appointments set by the staff at Robert M. Levy & Associates. Bob’s interns led eight teams <strong>of</strong> nurses through<br />
the Capitol for their appointment.<br />
We shared information on eight different subjects with lawmakers, ranging from pay raises for state employees<br />
to efforts to reduce violence against nurses in the workplace. We received positive evaluations from event<br />
feedback forms. One wrote, “I found this experience to be very enlightening and it was comforting to leave the<br />
Capitol having some legislators support nursing.”<br />
There will be more opportunities for members to become involved with <strong>FNA</strong>’s advocacy efforts over the next<br />
year as usual.<br />
We have initiated several <strong>FNA</strong> Advocacy Boot camps and launched a summer advocacy program to support our<br />
members in establishing relationships with their local legislators.<br />
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Legislative Summary <strong>2017</strong><br />
All bills passed by the Florida Legislature during the 2016 session have been sent to the governor for his<br />
signature into law. A list <strong>of</strong> nurse-related legislation was provided to the board following the conclusion <strong>of</strong> the<br />
2016 session, which ended March 11. No bills are expected to be filed for the <strong>2017</strong> session until after the<br />
elections, although unopposed candidates elected in the Aug. 30 primary could file legislation early.<br />
Legislative Agenda<br />
The <strong>FNA</strong> typically develops its legislative agenda by August in advance <strong>of</strong> legislative committee weeks. It is<br />
advisable for the board to do so by mid-July in order to give the lobbying team the opportunity to share it with<br />
legislative candidates.<br />
Now that ARNP prescribing has become law, the <strong>FNA</strong> Board <strong>of</strong> Directors has an opportunity to focus its<br />
priorities in new areas. Alisa has been engaged in conversations with lawmakers about issues such as<br />
workforce violence, nursing education, and staffing and will share her findings with the board.<br />
Issues that are expected to return in next year’s session include licensure for diabetes educators, POLST,<br />
state employee retirement, and mental health access (Baker Act).<br />
The board may want to consider new areas to champion, such as public health, workplace violence, student<br />
loan forgiveness funding, clinical nurse specialists, and nursing faculty increases.<br />
ARNP Prescribing<br />
As required under HB 423, the Board <strong>of</strong> Nursing has established members <strong>of</strong> its Controlled Substances<br />
Formulary Committee. They will have until Oct. 31 to meet, collect input, and make recommendations as to<br />
which drugs should be on the formulary. It is unclear at this point whether it will be a formulary or a negative<br />
formulary. The formulary and associated rules will be promulgated as part <strong>of</strong> a rules-making process. It will go<br />
into effect Jan. 1, <strong>2017</strong>, when ARNPs can begin prescribing controlled substances on the formulary, according<br />
to HB 423.<br />
The BON has designated a page on its website to educating ARNPs about the new law, its limitations, and its<br />
effective date. The <strong>FNA</strong> has also highlighted this information in The Pulse and elsewhere.<br />
Alisa Lapolt finished her time with us in July . Please meet our new lobbying firm: Gray-Robinson<br />
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Affiliated “Arms” <strong>of</strong> <strong>FNA</strong><br />
<strong>FNA</strong> provides the administrative support for both the Florida Nurses Political Action Committee (FNPAC)<br />
and the Florida Nurses Foundation (FNF). Although these structural organizations are separate from <strong>FNA</strong> in<br />
that they have separate bylaws, <strong>of</strong>ficers, and operational guidelines, leaders <strong>of</strong> <strong>FNA</strong> were the impetus for the<br />
creation <strong>of</strong> these important groups and continue to hold leadership roles on both boards.<br />
FNPAC is a voluntary non-pr<strong>of</strong>it and non-partisan organization which operates in conformity with the policies<br />
and goals <strong>of</strong> <strong>FNA</strong> and the election laws <strong>of</strong> Florida. It was established in 1981 to encourage nurses to become<br />
aware <strong>of</strong> the importance <strong>of</strong> political issues and impact on patient care, assist nurses in becoming politically<br />
active and solicit voluntary contributions to support the endorsement <strong>of</strong> candidates who have demonstrated<br />
responsiveness to health care issues. Contributions and endorsements are made without regard to party<br />
affiliation. In 2010, an option to donate monthly to FNPAC was provided to members, per the recommendation<br />
<strong>of</strong> the FNPAC board. The monthly donation option is available on <strong>FNA</strong> applications, as well as online. As this<br />
is an election year, the PAC has been very busy interviewing candidates and endorsing those that support our<br />
legislative agenda. We are pleased to have Belita Grassel, and <strong>FNA</strong> member running as a candidate for state<br />
representative this year.<br />
We currently have the option for members to deduct additional money from your checking account or credit<br />
card on a monthly basis. This is a painless way to give and provide strength to the <strong>FNA</strong> legislative program<br />
through additional financial resources.<br />
The Florida Nurses Foundation was established in 1983 as a non-pr<strong>of</strong>it public corporation 501 (c) 3 to<br />
promote the public’s awareness <strong>of</strong> nursing services as an integral part <strong>of</strong> the health care delivery system.<br />
Since 1986, the Foundation has provided scholarships and research grants during the annual luncheon held in<br />
conjunction with the <strong>FNA</strong> Convention, now called the <strong>FNA</strong> Membership Assembly. In addition, FNF continues to<br />
provide temporary financial assistance to nurses from the Nurses in Need Program.<br />
The Foundation is privileged to have the following endowment funds, representing a minimum contribution <strong>of</strong><br />
$10,000 or more:<br />
Nurses in Need:<br />
• Undine Sams, RN, Fund (Recently reached the $15,000 level with a donation from the Charitable Trust)<br />
• Maurine Finney Fund<br />
• Katherine Gutwald/Lillian Smith District 9 Fund<br />
• Paula Massey Fund<br />
Research Grants:<br />
• Frieda Norton Fund (District 5 Charitable Trust) - Open to all candidates.<br />
• Evelyn Frank McKnight Fund - Open to all qualified candidates.<br />
• Blanche Case Research Fund - Preference given to nurse researcher in South Florida.<br />
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• Edna Hicks Research Fund - Preference for south Florida nurse.<br />
• Imogene King Research Fund (from District 4) – Open to graduate students statewide.<br />
• Evelyn Baxter Memorial Fund - For students <strong>of</strong> Manatee, Sarasota, Hardee, and Charlotte counties; 40%<br />
goes to research grants in graduate program.<br />
• Undine Sams and Friends Research Grant Fund – Preference given to nurse researcher in South Florida.<br />
Scholarships<br />
• District 3 Scholarships– Preference given to Marion county residents, BSN generic students ONLY with a<br />
GPA <strong>of</strong> 3.0 or higher.<br />
• Edna Hicks Fund - Graduate VA employed nurse with preference given to resident <strong>of</strong> south Florida.<br />
• Edna Hicks Scholarship Fund – Statewide open to all levels.<br />
• Erma B. Kraft Scholarship Fund – For generic students from Indian River County.<br />
• District 18 Lillian Hulla Friend <strong>of</strong> Nursing Fund and Olive Seymour Fund- Two generic scholarships for<br />
students from Volusia County.<br />
• District 6 Generic Scholarship Fund – Four generic statewide scholarships per year. (District 18 merged with<br />
District 6 during establishment <strong>of</strong> fund.)<br />
• District 8 Charlotte Anzalone Scholarship Fund – For undergraduates and graduates from District 8<br />
boundaries (Orange, Seminole, and Osceola). May award statewide if there are no local applicants.<br />
• District 4 Florida Nurses Scholarship Fund - Undergraduate/graduate students who are residents <strong>of</strong><br />
Hillsborough County. (just recently increased to $15,000 level with a donation from District 4).<br />
• Evelyn Baxter Memorial Fund- For students <strong>of</strong> Manatee, Sarasota, Hardee, and Charlotte counties; 60%<br />
goes to a scholarship for ADN, BSN, MSN, PhD/DNS ARNP students.<br />
• Ruth Jacobs District 46 Scholarship – Must be resident <strong>of</strong> Pinellas County and enrolled in a formal<br />
academic, accredited program. Priority given to RN.<br />
• Mary York Scholarship Fund – No restrictions.<br />
• Marcy Klosterman Memorial Scholarship Fund (District 14) - Restricted to Lake County students with funds<br />
to remain in principle if no qualified applicants.<br />
• Olive Ramsey Memorial Scholarship Fund (District 46) – For student from Pinellas or Pasco counties; Must<br />
have a 2.5 GPA for undergraduates and 3.2 GPA for graduates.<br />
• Undine Sams and Friends Scholarship (District 5 Charitable Trust) - Preference for south Florida student but<br />
can be given out statewide and is open to all levels.<br />
• Nina Brookins Scholarship Fund (District 5 Charitable Trust)- Preference for south Florida Student (living or<br />
attending school).<br />
• Eleanor Bindrim Scholarship Fund (District 5 Charitable Trust - Preference given to perioperative nursing<br />
student from south Florida.<br />
• Kay Fullwood Scholarship established in 2013 for an ARNP interested in Gerontological Nursing.<br />
• Charlotte Liddell Scholarship Fund (District 5 Charitable Trust) - Preference given to a nursing student<br />
focusing on psychiatric nursing from south Florida.<br />
• Ruth Finnamore Scholarship Fund - Statewide open to all levels.<br />
• Connie Dorry Memorial Scholarship Fund - Preference to a nurse practitioner student in Dade County.<br />
• Great 100 Nursing Scholarship Fund – Preference given to student residing in Northeast Florida in an<br />
undergraduate or graduate program.<br />
• Louise Fiske Memorial Scholarship Fund (District 21) – For an undergraduate or graduate nurse from<br />
Broward County.<br />
• Ingeborg Mauksch Scholarship Fund – Preference given to Lee County students.<br />
• Agnes Naughton Scholarship Fund - Agnes Naughton was a member <strong>of</strong> <strong>FNA</strong> until her death and really was devoted<br />
to RN-BSN education. This scholarship goes to an RN returning to school for a baccalaureate degree statewide.<br />
• Iona Pettengill Scholarship Fund – Statewide; Open to any nursing students interested in public health.<br />
• Martha Russell Gerontological Nurses Fund- Preference given to Hillsborough County nursing students<br />
interested in Gerontological Nursing.<br />
• Carol Petrozella Educator Fund –For a student who is interested in nursing education as a career.<br />
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Accrual Funds<br />
FNF accrual funds that have not reached the $10,000 endowment level are:<br />
• The Rhoda Ehrreich Memorial Fund<br />
• The FNF Board <strong>of</strong> Trustees Fund ( Funded by donations from current and past Board <strong>of</strong> Trustee members.)<br />
FNF accrual funds that have not reached the $15,000 endowment level are:<br />
• Charlotte Anzalone Scholarship Fund<br />
• Erma Kraft Scholarship Fund<br />
• District 4 Nurses Scholarship Fund<br />
• Ruth Finamore Scholarship Fund<br />
• Gutwald- Smith Nurses in Need Fund<br />
• Maureen Finney Nurses in Need Fund<br />
• Ruth Jacobs Scholarship Fund<br />
• Blanche Case Research Fund<br />
• Nina Brookins Scholarship Fund<br />
• Eleanor Bindrum Scholarship Fund<br />
• Undine Sams and Friends Scholarship Fund<br />
• Edna Hicks (VA) Scholarship Fund<br />
• Imogene King Scholarship Fund<br />
• Ingeborg Mauksch Scholarship Fund<br />
• Iona Pettengill Scholarship Fund<br />
• Paula Massey Nurses in Need Fund<br />
This year we will be adding a scholarship in partnership with the Business & Pr<strong>of</strong>essional Women’s<br />
Organization that is specific to University <strong>of</strong> North Florida.<br />
In the past, endowed funds were “capped” at $10,000 dollars and scholarships and grants were awarded<br />
on estimated principal for that year. In 2009, FNF Trustees raised the caps and allowed districts to continue<br />
raising funds, encouraging them to target amounts in $5,000 increments. Funds would then be capped at<br />
$15,000 and $20,000, etc.<br />
All donations to the Foundation are tax deductible. In 2010, FNF <strong>of</strong>fered the option to donate to the Foundation<br />
monthly. This option is available on the <strong>FNA</strong> application, as well as online. Some members have taken<br />
advantage <strong>of</strong> this option.<br />
For the past four years, the Barbara Lumpkin Institute has funded members to attend Lobby Days (Now Advocacy<br />
Days). It has also funded members to attend the American Nurses Advocacy Institute in Washington, DC in the past.<br />
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Goals: Status Report<br />
Maintain a strong nursing organization in Florida to provide relevant services and value.<br />
The Florida Nurses Association boasts:<br />
o A sustained presence in Tallahassee with strong lobbyists and legislative<br />
engagement program<br />
o A pr<strong>of</strong>essional website and a state <strong>of</strong> the art member management system<br />
o A strong legislative program consisting <strong>of</strong> member education and support<br />
o A strong member benefits program<br />
o A presence in the media through public relations efforts including a mobilization <strong>of</strong><br />
our social media presence and outreach to inform nurses and well as the public<br />
o Informed members through leveraging technology for frequent communication<br />
and information sharing.<br />
o Highly-rated education <strong>of</strong>ferings which provide no-cost, low-cost contact<br />
hours to meet our members requirements.<br />
o A Political Action Committee (PAC) with a continual revenue stream that<br />
results in candidates seeking our valued endorsements.<br />
o A charitable foundation which supports higher education and nursing research<br />
as well as education on health policy.<br />
Enhance public understanding <strong>of</strong> the roles and responsibilities <strong>of</strong> registered<br />
nurses to improve health in local communities and across the state.<br />
o The Florida Nurses Association staff and its members respond to requests<br />
for information on the association and the pr<strong>of</strong>ession.<br />
o We have a Legislative Agenda and talking points on issues <strong>of</strong> importance<br />
that we utilize with the media and with policy makers and stake holders as<br />
well as our fellow nurses.<br />
o We participate in community education projects as experts when feasible<br />
such as in the case <strong>of</strong> the Ebola crisis and the Zika Virus.<br />
o We create educational material to educate the public and stakeholders,<br />
including legislators about the pr<strong>of</strong>ession.<br />
o We educate pertinent organizations about issues that impact nursing such<br />
as school counselors about nursing education and accreditation<br />
o We encourage and support members to write letters to the editor and op-eds<br />
to inform the public about nurses.<br />
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Serve as the essential resource for career development for Florida’s registered nurses.<br />
o <strong>FNA</strong> provides essential information to our members and to the general<br />
nursing population via The Florida Nurse which goes to ever licensed nurse in<br />
Florida on a quarterly basis.<br />
o We are also available by phone for pr<strong>of</strong>essional consultation on a limited<br />
basis to non-members.<br />
o We respond to pr<strong>of</strong>essional inquiries via email and phone.<br />
o We provide continuing education to both members and non-members via<br />
face-to-face meetings and web-based technology. Our education <strong>of</strong>ferings<br />
include programs on career development and educational advancement.<br />
o Our membership is rich with highly educated and expert nurses and<br />
educators who serve as resources on a voluntary basis, adding to the<br />
strength <strong>of</strong> the organization.<br />
Advance a legislative platform that protects and enhances the ability <strong>of</strong> all registered<br />
nurses to practice to the full extent <strong>of</strong> their education and experience.<br />
The <strong>FNA</strong> Legislative Platform is contructed based on current trends in nursing<br />
and healthcare and is crafted by the Board <strong>of</strong> Directors and presented to the<br />
Membership Assembly for revision and approval. During session and throughout<br />
the year issues are addressed as they arise as a part <strong>of</strong> an open process driven<br />
by the members <strong>of</strong> the association. Items on the Agenda or removed when<br />
achieved and the Agenda is revised as needed. Items may stay on the Agenda<br />
for many years or they may be removed based on outcomes <strong>of</strong> each session.<br />
Two years ago, thanks to the work <strong>of</strong> a coalition <strong>of</strong> advanced practice<br />
organizations, legislation that we had been seeking regarding controlled<br />
substance prescribing passed the legislature. However, there continue to be<br />
scope <strong>of</strong> practice issues that remain a concern for both registered nurses and<br />
advanced practice nurses.<br />
We supported the adoption <strong>of</strong> the Nurse Compact in Florida.<br />
We advocated for the role <strong>of</strong> the Diabetes Educator.<br />
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Build organizational relationships to advance nursing and healthcare outcomes.<br />
Nursing Community Partnerships create an environment <strong>of</strong> collaboration and<br />
information sharing. <strong>FNA</strong> participates actively with these groups to collaborate<br />
on issues <strong>of</strong> importance within nursing and healthcare. <strong>FNA</strong> also works with<br />
other groups when feasible.<br />
QUIN Council (20 Organizations)<br />
Florida Coalition <strong>of</strong> Advanced Practice Nurses<br />
Florida Council <strong>of</strong> Nursing Education Administrators<br />
Florida Association <strong>of</strong> Colleges <strong>of</strong> Nursing<br />
Florida Center for Nursing<br />
Florida Action Coalition<br />
Florida Board <strong>of</strong> Nursing<br />
Various Community Organizations (e.g. American Cancer Society)<br />
Maintain a strong organizational structure that advances nursing.<br />
Regional structure allows for activities throughout the state to engage<br />
members and decreased financial risk to the organization. Regional directors<br />
have a connection to local members allowing them to bring their voices and<br />
their input back to leadership for consideration. This creates an inclusive<br />
organizational environment where ideas are valued and <strong>of</strong>ten implemented.<br />
Members have a diversity <strong>of</strong> opportunities for involvement and inclusion as well<br />
as for innovation and creativity.<br />
Multiple structural units provide for leadership opportunities in different<br />
domains fo the association through participation in committees, task forces,<br />
Special Interest Groups or the Political Action Committee or the Foundation<br />
The PAC allows nurses to have a voice in political process.<br />
The Foundation supports and encourages education and nursing research.<br />
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Audit and Financial Information<br />
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Florida Nurses Association<br />
Proposed Goals for <strong>2017</strong> – 2019<br />
1. Maintain a strong nursing organization in Florida to provide relevant services and value.<br />
2. Enhance public understanding <strong>of</strong> the roles and responsibilities <strong>of</strong> registered nurses to<br />
improve health in local communities and across the state.<br />
3. Serve as the essential resource for career development for Florida’s registered nurses.<br />
4. Advance a legislative platform that protects and enhances the ability <strong>of</strong> all registered<br />
nurses to practice to the full extent <strong>of</strong> their education and experience.<br />
5. Build organizational relationships to advance nursing and healthcare outcomes.<br />
6. Maintain a strong organizational structure that advances nursing.<br />
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<strong>Reports</strong> <strong>of</strong> the 2015–<strong>2017</strong> Board <strong>of</strong> Directors<br />
Officers<br />
Leah Kinnaird, EdD, RN, President<br />
Janegale Boyd, RN, President Elect<br />
Barbara Russell, MPH, RN, CIC, Vice President<br />
Jill Tahmooressi, MSN, RN, Secretary<br />
Ann-Lynn Denker, PhD, RN, Treasurer<br />
Directors<br />
Marion Marino-Meyash, PhD, RN<br />
West Central Region Director – Vacant<br />
Debra Hain, PhD, ARNP<br />
Janice Hess, DNP, ARNP FNP-BC<br />
Deborah Hogan, MPH, RN<br />
Marsha Martin, RN<br />
Theresa Morrison, PhD, CNS-BC<br />
Doreen Perez, MS, BSN, RN-BC<br />
New Grad Liaison<br />
Hannah McRoberts, BSN, RN<br />
Ann Guiberson, CAE, RP, CEO, Parliamentarian<br />
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Leah Kinnaird, EdD, RN – President<br />
This is purely a message <strong>of</strong> thanks and appreciation to you, members <strong>of</strong> <strong>FNA</strong>:<br />
• Thank you for the articles you have written for The Florida Nurse;<br />
• Thank you for attending meetings in each <strong>of</strong> the eight regions around the state;<br />
• Thank you for encouraging other nurses to become members <strong>of</strong> <strong>FNA</strong>;<br />
• Thank you for mentoring new nurses in clinical and leadership capacities;<br />
• Thank you for writing in response to issues that are important to you;<br />
• Thank you for participating in special interest groups, webinars, and programs;<br />
• Thank you to so many <strong>of</strong> you who have sought <strong>FNA</strong> elected <strong>of</strong>fice this year;<br />
• Thank you for all you do for patients and for population health around the state;<br />
• Thank you for helping to reduce the impact <strong>of</strong> ZIKA;<br />
• Thank you for working to reduce the unnecessary use <strong>of</strong> antibiotics;<br />
• Thank you for attending Advocacy Days in Tallahassee;<br />
• Thank you to those <strong>of</strong> you who have longstanding years <strong>of</strong> continuous membership;<br />
• Thank you to those <strong>of</strong> you who have served as <strong>of</strong>ficers and chairs <strong>of</strong> <strong>FNA</strong> groups;<br />
• Thank you for being a part <strong>of</strong> the most trusted pr<strong>of</strong>ession, known for honesty and ethical standards;<br />
• Thank you for encouraging diversity in our pr<strong>of</strong>ession;<br />
• Thank you for taking political action locally and throughout the state;<br />
• Thank you for leading where you are and speaking up for the vulnerable.<br />
As we move forward, <strong>FNA</strong> has new opportunities. We are engaged with the Nurses on Boards Coalition to place<br />
10,000 nurses on governing boards by 2020. The decision by the Veterans Administration system to grant full<br />
practice authority to Advanced Practice Registered Nurses (APRNs, with the exception <strong>of</strong> CRNAs) is a significant<br />
change, especially because the VA is the largest employer <strong>of</strong> nurses in the US...a potential bellwether condition. We<br />
are working with the QUIN Council (Quality and Unity in Nursing) to sponsor a statewide summit about staffing in<br />
early 2018. Advocacy Days will occur early in 2018 to coincide with the legislative session that will begin in January.<br />
I’m continually reminded <strong>of</strong> the commitment that <strong>FNA</strong> members demonstrate. You are busy nurses in a<br />
complex world, yet you find a way to encourage each other and strengthen our pr<strong>of</strong>ession. It has been an honor<br />
and a privilege to serve as your president over these two years. Thank you,<br />
Leah Kinnaird, EdD, RN<br />
President<br />
_________________________________________________________________________________________________<br />
Janegale Boyd – President Elect<br />
The past two years have been spent acquainting myself with the role <strong>of</strong> the president <strong>of</strong> this organization. I was<br />
privileged to attend the leadership orientation given by the American Nurses Association for state presidents and<br />
a Leadership Conference in Washington, DC with other leaders from across the country. In addition, I attended the<br />
<strong>2017</strong> ANA Membership Assembly where I served as the <strong>FNA</strong> Representative along with President Leah Kinnaird.<br />
I was happy to support my Region for the past two years by helping North Central Region Director Marsha<br />
Martin to coordinate the Annual Regional Conference. It was my pleasure to serve as both the facilitator and as<br />
a speaker. I also visited the Northwest Region and served as a speaker at one <strong>of</strong> their events.<br />
I served as Bylaws chair and facilitated the presentation <strong>of</strong> needed Bylaw changes in a Special Membership<br />
Assembly in 2016 as well as this year we had a comprehensive review <strong>of</strong> the association bylaws by our<br />
Parliamentarian Ann Guiberson. The recommended clean up changes will be voted upon at the <strong>2017</strong> General<br />
Assembly. Additionally, I attended a QUIN Council Meeting for President Leah Kinnaird when she was unable to<br />
attend. It was enlightening to participate with nursing leaders from organizations across Florida.<br />
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I serve on the Florida Action Coalition have served on the Council since its formation and although I am not<br />
<strong>FNA</strong>’s representative, I was happy to keep the board informed on the activities <strong>of</strong> that group. I currently serve<br />
as a Mentor to the Nurses on Board’s project for the Florida Action Coalition.<br />
Most recently, I served on the advisory committee to select a new lobbying firm for <strong>FNA</strong>. am grateful for the<br />
privilege to serve with wonderful Board members and thank you my colleagues, for the opportunity to serve in<br />
this role. I look forward to working with you and for our pr<strong>of</strong>ession, in the next two years as President.<br />
_________________________________________________________________________________________________<br />
Barbara Russell – Vice-President<br />
I was pleased to serve on the <strong>FNA</strong> Board once again and attended all meetings both in person and electronic.<br />
I have been happy to also use my expertise to serve the board in other capacities such as speaking at the<br />
past and upcoming Membership Assembly on topics <strong>of</strong> importance to nursing.<br />
Please see the report <strong>of</strong> the Membership Committee later in this publication.<br />
Thank you for this opportunity to serve you once again.<br />
_________________________________________________________________________________________________<br />
Jill Tahmooressi – Secretary<br />
Being a full member <strong>of</strong> the Florida Nurses Association, serving actively on the Board <strong>of</strong> Directors, I attended<br />
and took meeting minutes for the November 5th, 2016 Special Membership Meeting. In addition attended<br />
Board <strong>of</strong> Director meetings for minute taking.<br />
_________________________________________________________________________________________________<br />
Ann-Lynn Denker – Treasurer<br />
A special thank you to the <strong>FNA</strong> Finance Committee who took on the daunting task <strong>of</strong> balancing our budget<br />
in challenging times. While our membership numbers are stable, costs and expenses go up and we have<br />
responded by tightening our belt over the past 12 years. We have had to utilize reserves for the past several<br />
years and unlike in the past, the market has not been very helpful in helping us to remain solvent.<br />
We have been vigilant in monitoring association finances and realize as we move forward we will be challenged<br />
to make some tough decisions. We have sought non-dues revenue streams and have tried to adjust pricing on<br />
conferences and other services to help us meet expenses. While we have some possible non-dues revenue<br />
streams pending, these are not opportunities we can rely on.<br />
The board is looking at multiple options for stabilizing finances so that we can cease using reserves and<br />
position ourselves for growth. We are happy to have been able to make some cuts without visible impact on<br />
services to members, however a close look at current programs and services is needed and a more narrow<br />
focus on activities and goals is in order. Please see the audited finance statements on page 92.<br />
It has been my pleasure to serve the association.<br />
_________________________________________________________________________________________________<br />
Southeast Region<br />
Deborah Hogan<br />
The Southeast Region has been very active! During our monthly conference calls, members have had an opportunity<br />
to call in to discuss issues affecting their practice as well as <strong>FNA</strong> and Region activities that were planned. Here in<br />
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the Region, we had programs related to the ANA Healthy Nurse initiative and Nursing Leadership through our Barbara<br />
Lumpkin Institute. We learned about the importance <strong>of</strong> Legislative Advocacy both locally and in Tallahassee during<br />
Advocacy Days. We also learned about “Recognizing Impairment in the Workplace” through a program presented<br />
by the Impaired Nurse Program. I want to thank all our members and community partners who helped make these<br />
programs possible. We hope you will join us at Membership Assembly to help plan activities for the future!<br />
_________________________________________________________________________________________________<br />
Northeast Region Director<br />
Doreen Perez, DNP, RN-BC<br />
The <strong>FNA</strong> membership <strong>of</strong> Northeast Florida has remained at a steady level. Many <strong>of</strong> the new graduates that<br />
receive a free membership for a year post graduation, do not renew membership. It has been suggested that<br />
<strong>FNA</strong> conduct another survey to solicit comments and recommendations from the membership to understand<br />
the needs <strong>of</strong> the nurses. A few nurses that the Director was able to contact explained that the membership<br />
dues were too expensive as was the Membership conference fee. In the past two years, the Northeast region in<br />
partnership with another region and local nursing groups conducted educational presentations that assisted the<br />
local nurses in receiving mandatory CEUs.<br />
_________________________________________________________________________________________________<br />
North Central Region<br />
Marsha Martin<br />
Much has been accomplished in the North Central Region this year. First I would like to thank President Elect<br />
Janegale Boyd for the wonderful job she did on the Annual Spring Conference we had. It was a great success.<br />
The largest part <strong>of</strong> the membership <strong>of</strong> this region comes from the Bargaining Unit at UF Health Shands. This<br />
past year they have shored up their numbers and strengthened the membership <strong>of</strong> the unit which in turn has<br />
really sustained the size and strength <strong>of</strong> this Region.<br />
The Suwanee Valley group is a key part <strong>of</strong> the success <strong>of</strong> this Region. I would like to thank you all for your<br />
continued support and loyalty to <strong>FNA</strong>.<br />
I would like to end my term as the Region Director by thanking the membership <strong>of</strong> the Region. It has been<br />
a privilege to work with so many talented, committed nurses! At a time where we are all pulled in so many<br />
different directions and the demands on our time are many, it is refreshing to see so many willing to give <strong>of</strong><br />
their time to further the future <strong>of</strong> Nursing.<br />
_________________________________________________________________________________________________<br />
West Central Region<br />
Vacant<br />
The West Central Region started a Facebook page and held several meetings to plan a large event in 2016.<br />
Unfortunately, Lisa Fussell, Region Director was forced to resign due to personal reasons. Members <strong>of</strong><br />
the Region remained engaged and participated in several <strong>FNA</strong> activities and were active volunteers on <strong>FNA</strong><br />
committees and task forces. They also represented <strong>FNA</strong> in several groups in the nursing community. We are<br />
thrilled to have three willing candidates for this position on the <strong>2017</strong> ballot. We look forward to an active 2018<br />
and beyond.<br />
_________________________________________________________________________________________________<br />
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East Central Region<br />
Jan B. Hess<br />
Individual Director Activities:<br />
2015-<strong>2017</strong>: Janice Hess attended and participates in all <strong>FNA</strong> board meetings in person or via phone<br />
The Director developed a Survey Monkey tool to elicit regional member input into planning for regional<br />
activities. Survey was published twice in 2016 without good return (10 members responded). Those responding<br />
and members attending last Membership Assembly voiced a desire that regional quarterly meetings be<br />
available via Zoom for those who could not attend in person. This suggestion was put into place Feb. <strong>2017</strong><br />
meeting.<br />
The Director attended all regional quarterly meetings and presided over the business meetings following the<br />
scheduled speaker by providing participants with updates on <strong>FNA</strong> political advocacy efforts and upcoming<br />
regional activities.<br />
For Nurse Week, Director worked with Vicki Sumagpang to organize Nurse Appreciation Night at the Lions<br />
Soccer Games in 2016 and <strong>2017</strong>. During Nurse Appreciation Week 2016 and <strong>2017</strong>, Janice prepared Nurse<br />
Appreciation bags for members attending the regional May meeting. Marti Hanuschik was recognized during<br />
the May 12, 2016 regional meeting for her continued efforts in coordinating quarterly regional programs.<br />
Janice wrote quarterly reports for both the <strong>FNA</strong> Board as well as The Florida Nurse on the regional activities.<br />
Additionally, she wrote two articles for The Florida Nurse in 2016.<br />
Janice attended Political Action Days in 2016 to represent the region and support <strong>FNA</strong> advocacy efforts but<br />
was unable to attend in <strong>2017</strong> due to illness.<br />
In 2016, Janice joined Doreen Perez, Northeast Regional Director, in organizing a successful nursing<br />
symposium <strong>of</strong>fered July 23, 2016 in Daytona Beach, Fl. In <strong>2017</strong>, the two regions joined efforts in supporting<br />
a program sponsored by The Quality and Safety Education for Nursing Quality Council in Jacksonville. The<br />
program was free to all participants including <strong>FNA</strong> regional members.<br />
In 2016, Janice organized two celebrations <strong>of</strong> the passage <strong>of</strong> the Barbara Lumpkin Prescribing Act/HB423.<br />
One celebration was held in Orlando sponsored by the Central Florida Advance Nurse Practitioner Council<br />
(CFANPC) and in Daytona sponsored by the Volusia Flagler Advance Nurse Council. At both celebrations,<br />
Janice Hess presented a PowerPoint that highlighted <strong>FNA</strong>’s political activism stressing that <strong>FNA</strong> was the only<br />
organization involved in political advocacy for this legislation for previous 22 years. There were 67 nurses<br />
attending Orlando celebration and 40 nurses in Daytona. Several ARNPs attending commented they had no<br />
idea the importance <strong>of</strong> <strong>FNA</strong>’s political activism.<br />
Janice Hess is the <strong>FNA</strong> Board’s representative Trustee on the Florida Nurse’s Foundation. She was also<br />
appointed as <strong>FNA</strong>’s voting member for the Florida Coalition <strong>of</strong> Advanced Practice Nurses when Ed Briggs<br />
was elected as Co-Chair <strong>of</strong> the Coalition in 2016. In <strong>2017</strong>, Janice volunteered to work with the <strong>FNA</strong> by laws<br />
committee. Recently she completed her term as Trustee <strong>of</strong> the Florida Nurse Political Action Committee having<br />
served the maximum Trustee term. Janice is co-regional advocacy lead for East Central region representing the<br />
<strong>FNA</strong> on the Florida Action Coalition.<br />
In January <strong>2017</strong>, Dr. Hess hosted a New Nurse Meet and Greet in Deland Fl. at the Elusive Grape. July 20,<br />
<strong>2017</strong> another networking opportunity was <strong>of</strong>fered at the Orlando <strong>FNA</strong> headquarters. The programs were<br />
implemented to solicit information as to how <strong>FNA</strong> can meet new nurse’s personal and pr<strong>of</strong>essional needs in<br />
their transition from academia to the bedside. It is hoped that this framework can be implemented statewide<br />
to gain new <strong>FNA</strong> members by <strong>of</strong>fering new nurses a network <strong>of</strong> experienced nurse members.<br />
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Membership <strong>of</strong> Your Leadership Council:<br />
Marti Hanuschik, Regional Quarterly Meeting Coordinator<br />
Shirley Hill, Past East Central Regional Director<br />
Angie Bush, Past President <strong>of</strong> Volusia/Flagler <strong>FNA</strong> District<br />
List/Summary <strong>of</strong> Region Events:<br />
Oct. 12, 2015: Outreach regional program held in Volusia County at Halifax Hospital. Angel Epstein,<br />
Substance Abuse and FL Intervention for Nurses Program (IPN)<br />
Nov. 19, 2015:<br />
Dec. 6, 2016:<br />
Feb. 18, 2016:<br />
May 6, 2016:<br />
May 12, 2016:<br />
May 12, 2016:<br />
May 23, 2016:<br />
July 23, 2016:<br />
Aug. 18, 1016:<br />
Nov. 24, 2016:<br />
Dec. 4, 2016:<br />
Jan. 27, <strong>2017</strong>:<br />
Feb. 23, <strong>2017</strong>:<br />
May 13, <strong>2017</strong>:<br />
May 18, <strong>2017</strong>:<br />
July 20, <strong>2017</strong>:<br />
Quarterly regional meeting <strong>FNA</strong> Headquarters Orlando: Roe Colm-Spinal cord/traumatic<br />
brain injury<br />
East Central Region Annual Member Christmas Brunch at Tap Room, Dubsdred<br />
Quarterly regional meeting-Angel Epstein FL IPN<br />
<strong>FNA</strong> Nurse Appreciation Night at Orlando Lions Soccer Game<br />
Quarterly regional meeting- Nurse Week Celebration<br />
Celebration <strong>of</strong> Barbara Lumpkin Prescribing Act/HB423 at Orlando Regional Health in<br />
coordination with Central FL Advance Nurse Practitioner Council and CFANPC President<br />
Celebration <strong>of</strong> Barbara Lumpkin Prescribing Act/HB423 at StoneWood in Daytona in<br />
coordination with Angie Bushy, <strong>FNA</strong> member and President <strong>of</strong> Volusia Flagler Advanced<br />
Nurse Council<br />
<strong>FNA</strong> Northeast and East Central Fl. Nursing Symposium Daytona Beach, Fl.<br />
Quarterly regional meeting at <strong>FNA</strong> Office, Orlando. Tracey Robilotto: Simulation and<br />
evaluation nurse clinical competencies<br />
Quarterly regional meeting at <strong>FNA</strong> Office, Orlando. Paula Loats: Palliative Care<br />
East Central Region Annual Member Christmas Brunch at Tap Room, Dubsdred<br />
New Nurse Meet and Greet, Elusive Grape, Deland<br />
Quarterly regional meeting at <strong>FNA</strong> Office, Orlando, FL. Dr. Janice Hess: <strong>FNA</strong> Political<br />
Advocacy (first Zoom meeting)<br />
<strong>FNA</strong> Nurse Appreciation Night at Orlando Lions Soccer Game<br />
Quarterly regional meeting and belated Nurse Appreciation Meeting at <strong>FNA</strong> Office, Orlando.<br />
Paula Loats/Criteria for referral to Hospice (Zoom available)<br />
New Graduate Nurse Meet and Greet/Networking event at <strong>FNA</strong> Office, Orlando. Facilitated<br />
by Jan Hess and Willa Fuller<br />
August 17, <strong>2017</strong>: Quarterly regional meeting at <strong>FNA</strong> <strong>of</strong>fice, Orlando. Dr. Jean Kijek: Therapeutic Touch (Zoom<br />
available)<br />
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_________________________________________________________________________________________________<br />
Southwest Region<br />
Theresa Morrison<br />
Thank you for the opportunity to serve as the Southwest Region Director for the past two years and for your<br />
help hosting the <strong>2017</strong> Membership Assembly. A special thank you to the SON faculty members who support<br />
the FNSA. It is always a pleasure to see students attend our events.<br />
Southwest Region <strong>FNA</strong> members have been busy in 2016-<strong>2017</strong> hosting four events and being part <strong>of</strong> the two<br />
research and EBP conferences. In April, Miromar Outlets hosted a dinner and celebration with door prizes and<br />
give away gifts! The $5.00 cover charge was donated to the Florida Nurses Foundation (FNF). In January Harbor<br />
Chase hosted a dinner with guest speaker, Mary Lou Brunell, RN, Executive Director <strong>of</strong> the Florida Center for<br />
Nursing and the Florida Action Coalition. On October 26th, American House Senior Living Community hosted<br />
a dinner with guest speaker Leah Kinnaird, EdD, RN, <strong>FNA</strong> President. Dr. Kinnaird asked the RNs, ARNPs,<br />
and students, “what can you do for the nursing community?” In September, SW Region <strong>of</strong> <strong>FNA</strong> awarded<br />
the research plaque at the LeeHeatlh Francine Gomberg Research & EBP Conference.August 24th dinner<br />
sponsored by AVOW Hospice brought us up-to-date on the Interdisciplinary Teams and Healthcare Integration<br />
on the new CMS guidelines for palliative care and hospice. In July, seven SW Region nurse presented posters<br />
at the <strong>FNA</strong> Research & EBP Conference.<br />
Region leadership carries on the work <strong>of</strong> the 185 SW Region <strong>FNA</strong> members at the local level.<br />
_________________________________________________________________________________________________<br />
Northwest Region<br />
Marion Marino Meyash<br />
We planned two events in the Northwest Region. We reached out to University <strong>of</strong> West Florida, College <strong>of</strong><br />
Nursing, in Pensacola, FL. to hold another BLI Symposium in April. We also planned a gathering as a regional<br />
group at the Blue Wahoo’s game for the same evening in celebration <strong>of</strong> Nurses’ Week. All are welcome to<br />
attend both events once confirmed.<br />
Another Barbara Lumpkin Symposium was planned and scheduled for Saturday, November 4, <strong>2017</strong> in Niceville,<br />
FL. We want to thank Northwest Florida State College <strong>of</strong> Nursing for being willing to host this event.<br />
Florida Nurses Association would love to meet the nurses and nursing students in the Northwest Region. We will<br />
continue to encourage nurses and nursing students in this area to learn about the Florida Legislation involving<br />
healthcare and practice issues. Our vast area is a challenge but we are working to find interested nurses.<br />
_________________________________________________________________________________________________<br />
South Region<br />
Submitted by Jill Tahmooressi<br />
<strong>FNA</strong> South Region successfully held their 7th Annual Symposium and Awards Ceremony at Gulfstream in<br />
Hallandale under the leadership <strong>of</strong> Debra Hain PhD, ARNP, ANP-BC, GNP-BC, FAANP, FNKF South Region<br />
Director Florida Nurses Association in April <strong>2017</strong>. The South Region Voluntary Leadership Council/ Program<br />
Planning Committee was grateful for attendance by the keynote speaker Kate Judge, Executive Director<br />
American Nurses Foundation whose thought provoking presentation pertaining to nurses serving on boards<br />
received high praises from all the attendees. The Nurses Charitable Trust, a Silver Level Sponsor <strong>of</strong> the<br />
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keynote address participated actively among the 280+ attendees that consisted <strong>of</strong> nursing faculty, practicing<br />
nurses, and nursing students exceeding the regions attendance expectations as it was well above the previous<br />
attendance levels. The Region hosted at the symposium 50 accomplished posters with awards for posters as<br />
well as annual nursing awards were issued. The recipient <strong>of</strong> the South Region Outstanding Nurse <strong>of</strong> the Year<br />
was Dr. Steadley Foster.<br />
The South Region was supported by the Nurses Charitable Trust, the Royce Foundation and Dr. Sara Fishman’s<br />
family for sponsoring nursing student scholarships awarded at the symposium and award ceremony. Supporting<br />
the event as well was vendors and exhibitors with the Gold Level Sponsor being American DataBank and the<br />
Silver was the Nurses Charitable Trust.<br />
The South Region’s annual symposium and award ceremony, now in its seventh consecutive year is legendary<br />
within the community as a note-worthy event celebrating nursing. This event could not be made possible<br />
without the tireless efforts and commitment by the South Region Voluntary Leadership Council:<br />
Alina Diaz-Cruz, MSN, MA, RN member awards committee, Peggy Davis, DHSc, MSN, MEd, RN, South Region<br />
<strong>FNA</strong> Chair <strong>of</strong> Program CE, Marie O. Etienne, DNP, ARNP, PLNC Chair <strong>of</strong> Nursing Ethnic Diversity, Sheree Mundy,<br />
DNP, BSc, ARNP Chair <strong>of</strong> Posters, Lolita McCarthy, PhD, MBA-HCM, RN Treasurer, Patricia R. Messmer, PhD,<br />
RN-BC, FAAN, Chair The Nurses Charitable Trust & Chair Florida Nurses Foundation, Elizabeth Olafson, MSN,<br />
MSEd, RN-BC Chair <strong>of</strong> Scholarships and membership, Barbara Russell, BSHSA, MPH, RN, CIC Vice-President<br />
<strong>FNA</strong> member scholars committee and research grant, Karen Sinclair, MSN, MBA, RN members <strong>of</strong> poster<br />
and award selection, Jill Tahmooressi, MBA, BSN, RN-BC, NCSN, South Region Activity Manager, Maxine<br />
Jacobowitz, BSN, RN, CPN, South Region Chair <strong>of</strong> Gifts, Stephanie Yzer RN, BSN member <strong>of</strong> gifts committee,<br />
finance, & award selection committee, Ferrona Beason PhD, RN, member <strong>of</strong> poster and award selection<br />
committee.<br />
The Region has already started plans and looks forward to seeing everyone next year at the 8th Annual<br />
Symposium and Awards Ceremony at Gulfstream in Hallandale, scheduled for Saturday April 14th, 2018 from<br />
8am- 2:30pm.<br />
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<strong>FNA</strong> Membership Comparison<br />
1978-<strong>2017</strong><br />
Year<br />
Membership Count<br />
1980 4045<br />
1981 4536<br />
1982 4700<br />
1983 4800<br />
1984 5026<br />
1985 5517<br />
1986 5763<br />
1987 6019<br />
1988 6333<br />
1989 7370<br />
1990 7880<br />
1991 8018<br />
1992 7244<br />
1993 6913<br />
1994 7114<br />
1995 7026<br />
1996 7281<br />
1997 7120<br />
1998 7120<br />
1999 6443<br />
2000 7237<br />
2001 7126<br />
2002 6745<br />
2003 6836<br />
2004 6145<br />
2005 6335<br />
2006 6245<br />
2007 6579<br />
2009 6256<br />
2010 5285 (Loss <strong>of</strong> VA units)<br />
2011 4810<br />
2012 4582<br />
2013 4663<br />
2014 4792<br />
2015 4573<br />
2016 4070<br />
Current<br />
4428(June)<br />
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<strong>2017</strong> Florida Nurses Association<br />
<strong>FNA</strong> Structural Units<br />
Florida Nurses Foundation (FNF)<br />
Florida Nurses Political Action Committee(FNPAC)<br />
Labor Employment Relations Commission (LERC)<br />
Florida Nurses Leadership Academy (FNLA)<br />
Bylaws Committee<br />
Membership Committee<br />
Reference Report<br />
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<strong>2017</strong> Florida Nurses Association<br />
Board <strong>of</strong> Trustees<br />
Patricia Messmer, President<br />
Hollywood, FL<br />
Germinia Rio, DNSC, ARNP, CPH - Treasurer<br />
Jacksonville, FL<br />
Regina Mirabella, RN, MSN, Secretary<br />
Hudson, FL<br />
TRUSTEES<br />
Darlene Fritsma, MSN, ARNP<br />
Orlando, FL<br />
Fran Downs, ARNP, PhD.<br />
Miami, FL<br />
Janice Hess, ARNP, DNP<br />
Lake Helen, FL<br />
George Byron Peraza-Smith, DNP, GNP-BC, CNE<br />
Tampa, FL<br />
Daleen Penoyer, PhD, RN, CCRP, FCCM<br />
Orlando, FL<br />
Gratitude to Jaibun Earp and Debi Wagner to their years <strong>of</strong> service to the Foundation. Welcome to Darlene<br />
Fritsma as a new Trustee. In support <strong>of</strong> the mission <strong>of</strong> the Florida Nurses Association (<strong>FNA</strong>), the Florida Nurses<br />
Foundation (FNF) promotes optimal health care for Florida citizens through prudent stewardship <strong>of</strong> entrusted<br />
funds and through creative philanthropy focused on outcomes that support and advance the pr<strong>of</strong>ession <strong>of</strong><br />
nursing. The FNF exists to promote nursing and delivery <strong>of</strong> healthcare through the advancement <strong>of</strong> research<br />
education and practice. Each year funds are provided to registered nurses and students for scholarships and<br />
research grants. The FNF was established by <strong>FNA</strong> members in 1983. The first grants were given in 1986 at<br />
the <strong>FNA</strong> Convention. The FNF focus has evolved over time to include contributions to support nursing education<br />
and research and to provide assistance to nurses in need.<br />
Today the FNF initiatives are to:<br />
1) Develop financial support for scholarships and research;<br />
2) Advance knowledge <strong>of</strong> the nursing pr<strong>of</strong>ession;<br />
3) Encourage nursing research and career development;<br />
4) Assist nurses in need;<br />
5) Educate nurses regarding advocacy and public policy through the Barbara Lumpkin Institute.<br />
FNF <strong>of</strong>fers several ways for and friends <strong>of</strong> nursing to build for the future: Named Fund: $10,000 Individuals or<br />
groups can contribute toward the establishment <strong>of</strong> a named fund:<br />
Leadership Circle: $1,000 and above<br />
Gold Circle: $500 and above<br />
Silver Circle: $250 and above<br />
Bronze Circle: $100 and above<br />
Patron: $50 - $100<br />
Donor: Less than $50<br />
Any member receives a Distinctive Foundation pin for all donations over $25.00<br />
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<strong>2017</strong> Florida Nurses Association<br />
FNF Endowed Scholarships<br />
District 4 Florida Nurses Scholarship/Research Award<br />
District 8 Charlotte Anzalone Scholarship<br />
Ruth Jacobs District 46 Scholarship (formerly Districts 13 & 33)<br />
District 14 Marcy Klosterman Memorial Scholarship Fund<br />
District 6 (formerly District 18) Generic Scholarship Fund<br />
District 20 The Evelyn Baxter Memorial Fund<br />
District 21 Louise Fiske Memorial Scholarship Fund<br />
District 24 Erma B. Kraft Scholarship Fund<br />
District 46 Olive Ramsey Memorial Scholarship Fund<br />
Edna Hicks Fund Scholarship<br />
Mary York Scholarship Fund<br />
Nina Brookins Scholarship Fund<br />
Eleanor Bindrum Scholarship Fund<br />
Charlotte Liddell Scholarship Fund<br />
Undine Sams and Friends Scholarship Fund.<br />
Ruth Finamore Scholarship Fund<br />
Connie Dorry ARNP Memorial Fund District V<br />
Great 100 Nursing Scholarship Nursing- Northeast Florida<br />
Agnes Naughton RN-BSN Fund<br />
District 3 Scholarship (Increased to $20,000 endowment)<br />
Ingeborg Mauksch Scholarship<br />
Research Grants<br />
Evelyn Frank McKnight Grant<br />
Frieda Norton District 5 Charitable Trust Grant<br />
Undine Sams and Friends Research Grant<br />
Blanche Case Research Grant<br />
Edna Hicks Research Grant<br />
District 20 The Evelyn Baxter Memorial Grant<br />
Imogene King Research Grant<br />
Nurses in Need Fund<br />
The Nurses in Need Fund was established by the nurses <strong>of</strong> <strong>FNA</strong> to be able to give small grants to help nurses<br />
in immediate need <strong>of</strong> help. An initial fundraiser was held at a past convention with a donation from the<br />
District 5 Nurses Charitable trust along with a challenge at the House <strong>of</strong> Delegates that year. Since then the<br />
Foundation has helped numerous nurses with issues such as rent, or even license renewals. Nurses must be<br />
able to document the need and funds available depending on completion <strong>of</strong> the application. The Foundation<br />
encourages <strong>FNA</strong> members to donate to help colleagues in crisis.<br />
Undine Sams Fund for Nurses in Need<br />
Maureen Finney Nurses in Need Fund<br />
Katherine Gutwald/Lillian Smith District 9 Fund<br />
Paula Massey Nurses in Need Fund (reached $10,000- Trustees voted to raise $5000 more to increase<br />
amount given.)<br />
Debi Wagner coordinated the Nurses in Need program for the past several years and has worked to make sure<br />
the funds were distributed appropriately. This year there were 2 research grant applicants and over 37 valid<br />
scholarship applicants. Scholarships and grants will be awarded at this Membership Assembly.<br />
_________________________________________________________________________________________________<br />
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<strong>2017</strong> Florida Nurses Association<br />
Florida Nurses Political Action Committee<br />
Bonnie Sklaren, ARNP-BC<br />
2016 saw Statewide midterm elections for the Florida House <strong>of</strong> Representatives and select Florida Senate<br />
seats. A candidate questionnaire was developed and disseminated to all candidates asking their opinions on<br />
issues pertinent to health care delivery and <strong>of</strong> importance to Florida nurses.<br />
Nurses were encouraged to meet with candidates, review the questions with them and provide feedback to the<br />
Trustees.<br />
The PAC trustees, along with our lobbyists Bob Levy and Alisa LaPolt, held a series <strong>of</strong> candidate interviews.<br />
The trustees met at <strong>FNA</strong> headquarters, first interviewing candidates via telephone, who had primary races<br />
and later those in the general election not previously interviewed. The questions asked were based on their<br />
responses to the questionnaire. If a questionnaire was not completed that fact was taken into account.<br />
Following the interview, a decision was voted on as to the amount <strong>of</strong> money that would be given the candidate<br />
in conjunction with the endorsement. Endorsements were noticed in a press release. Checks and letters <strong>of</strong><br />
endorsement were either mailed to the candidate or given in person by a nurse from the candidates’ district.<br />
We also did a fund-raising plea, via The Florida Nurse, and SIGs to raise funds. A never-ending need.<br />
This report would not be complete without noting the passing <strong>of</strong> our long term lobbyist and friend Robert (Bob)<br />
Levy. Bob worked tirelessly to promote and move our legislative agenda for about 30 years. He was well known<br />
and respected in Tallahassee and helped open many doors for us. He <strong>of</strong>fered cogent and thoughtful advice<br />
and helped us navigate the torturous halls <strong>of</strong> Tallahassee. He is and will be sorely missed. Rest in peace Bob.<br />
_________________________________________________________________________________________________<br />
<strong>FNA</strong>/OPEIU<br />
Labor and Employment Relations Council<br />
Local 713<br />
Shands Hospital at the University <strong>of</strong> Florida (Gainesville)<br />
Wuesth<strong>of</strong>f Memorial Hospital (Rockledge)<br />
Pr<strong>of</strong>essional Health Care Unit (State Unit)<br />
Florida State University – University Health Services (Tallahassee)<br />
Florida International University (Coral Gables)<br />
Labor and Employment Relations Commission<br />
Deborah Hogan – Chair <strong>of</strong> LERC<br />
John Berry, Director <strong>of</strong> Labor Relations and Governmental Affairs<br />
The <strong>FNA</strong> Labor and Employment Relations Council (LERC) brings all <strong>of</strong> the <strong>FNA</strong> unions together to make<br />
decisions that will strengthen our membership. This past year, for LERC, has been one <strong>of</strong> rebuilding and<br />
solidifying the base. The different bargaining units have all been through change and challenges and are<br />
ready for the future! We are looking forward to the fifth annual Labor Leadership Institute that will be held on<br />
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<strong>2017</strong> Florida Nurses Association<br />
September 30 through October 1, 2015, in Orlando. We have national speakers lined up to speak on numerous<br />
issues, including but not limited to, internal organizing, negotiations, grievances, and employment law. We<br />
encourage our members to attend as the conference provides a venue to share workplace concerns, meet<br />
fellow members, and learn about collective bargaining and becoming involved in your organization.<br />
LERC has been working with the Office and Pr<strong>of</strong>essional Employees International Union (with whom LERC<br />
affiliated in July 2013) to increase membership in each bargaining unit. We are working on a new organizing<br />
campaign, and membership drives are being scheduled for each unit across the state <strong>of</strong> Florida.<br />
This past year saw a lot <strong>of</strong> activity on the labor front. The Pr<strong>of</strong>essional Health Care Unit (state unit) took center<br />
stage as it has been functioning in a tense environment at the state level. The state government has made<br />
and continues to make every effort to downsize the workforce and minimize the workplace benefits <strong>of</strong> our state<br />
unit members. Debbie Hogan, the President <strong>of</strong> the state unit, and Jeanie Demshar, the <strong>FNA</strong> Director <strong>of</strong> Labor<br />
Relations, have worked hard on behalf <strong>of</strong> our collective bargaining members and the Association in this arena.<br />
The <strong>FNA</strong> and the State <strong>of</strong> Florida recently reached a tentative agreement for a two-year contract with a<br />
reopener in 2016 for wages and five other articles. While we did not achieve the economic gains we sought,<br />
we were able to keep the job security provisions which are so critically important in these troubling times for<br />
public employees. The unit’s goal is to increase membership before negotiating with the state in 2016 for the<br />
reopener. The state unit will hold elections for new <strong>of</strong>ficers in 2015.<br />
The Shands Unit is doing well. There has been an increase in membership, and the existing contract is<br />
effective through April <strong>2017</strong> with reopeners each year. The parties recently met for the 2015 reopener, and<br />
the changes to the contract were ratified by the membership. The unit has its own website and Facebook page<br />
which has been very effective in communicating with members.<br />
The Wuesth<strong>of</strong>f unit is also doing well, and we have seen an increase in membership in that unit. The existing<br />
contract is effective through February <strong>2017</strong> and does not contain a reopener. The Wuesth<strong>of</strong>f unit will hold<br />
elections for new <strong>of</strong>ficers in 2015.<br />
The <strong>FNA</strong>’s contract with the University Health Services at the Florida State University is effective through June<br />
<strong>2017</strong>. The parties recently met for the 2015 reopener, and the changes to the contract were ratified by the<br />
membership. Elections for new <strong>of</strong>ficers will be held in 2015.<br />
LERC’s most recent unit includes the nurses at Florida International University in Coral Gables. The three year<br />
contract with the University is effective through <strong>2017</strong>.<br />
_________________________________________________________________________________________________<br />
Florida Nurses Leadership Academy<br />
The Florida Nurses Leadership Academy (FNLA) is a partnership program <strong>of</strong> the Florida Nurses Association<br />
(<strong>FNA</strong>) and the Florida Nurses Foundation (FNF) with the purpose <strong>of</strong> developing future nursing leaders. The<br />
goal is to provide tools, education, and opportunities to registered nurses to assist them in becoming active<br />
members and skillful leaders in the Florida Nurses Association. Four (4) candidates were accepted into the<br />
<strong>2017</strong> FNLA.<br />
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<strong>2017</strong> Florida Nurses Association<br />
The recipients <strong>of</strong> the <strong>2017</strong> FNLA are:<br />
Beverly Craig, MSN, RN-BC is currently an instructor at West Coast University in Doral, FL. She received<br />
her ADN in 1992 from Tennessee State University in Nashville, TN. She later returned to school where she<br />
received her BSN and MSN from Jacksonville University in Jacksonville, FL. She is currently working on her<br />
DNP at Samford University located in Birmingham, AL. In addition to teaching, Bev is a lover <strong>of</strong> animals and<br />
an enthusiastic Tennessee Volunteers fan. She currently resides with her husband, Doug, and their dog,<br />
Preslee, in Margate, FL. Jill Tahmooressi, <strong>FNA</strong> Secretary, will be Beverly’s FNLA mentor.<br />
Malissa Moss, MSN, RN, CCM, currently works at eQHealth as the Senior Vice President, Commercial<br />
Operations. She graduated with a Diploma in Nursing from St. Francis Hospital School <strong>of</strong> Nursing in 1996<br />
after a long and successful career in advertising and marketing. She continued her educational track<br />
by attending the RN-BSN program at GVSU in Michigan. Due to heavy travel requirements, she chose<br />
to complete her BSN degree at WGU, an on-line fully accredited nursing program. In June, 2014, she<br />
completed her Master’s Degree in Nursing with a Leadership and Management focus. On a personal note,<br />
Malissa enjoys watching football and writing in her spare time. She lives in Tampa and is active in her<br />
church where she volunteers regularly. She is married and has two animal children, Mercedes and Benz.<br />
Sue Hartranft, past <strong>FNA</strong> West Central Region Director, will be Malissa’s FNLA mentor.<br />
Karen Perez, DNP, MSN Ed, RN-BC received her Bachelor <strong>of</strong> Science in nursing degree from Florida<br />
International University in 2008, her Masters <strong>of</strong> Science in Nursing Education in 2013, and Doctor <strong>of</strong><br />
Nursing Practice in 2015 from the University <strong>of</strong> Miami. She is a board certified Gerontological Nurse with<br />
experience working with the geriatrics population (in Nursing Homes, Assisted Living Facilities, Home<br />
Health Care and with the State <strong>of</strong> Florida as an Ombudsman). She resides in Miami and holds the Senior<br />
Nurse Educator position at University <strong>of</strong> Miami Sylvester Comprehensive Cancer Center. She published<br />
“Critical Thinking: A Concept Analysis” in 2015, in Horiz Enferm Journal and has done several posters and<br />
oral presentations at conferences. She has written multiple Continuing Educations on issues related to<br />
geriatric population and nursing education. Leah Kinnaird, Current <strong>FNA</strong> President, will be Karen’s FNLA<br />
mentor.<br />
Sandy Weiss, MBA, RN, LHRM, CPHQ, CPPS is a registered nurse with a Master <strong>of</strong> Business Administration<br />
focusing in Healthcare Management. Her nursing experience includes business development, marketing, and<br />
quality/risk/safety. Ms. Weiss is a Certified Pr<strong>of</strong>essional in Healthcare Quality (CPHQ), Licensed Healthcare<br />
Risk Manager (LHRM), and is a Certified Pr<strong>of</strong>essional in Patient Safety (CPPS). She is working on her Doctor<br />
<strong>of</strong> Business Administration at Saint Leo University, where her studies focus on ethical leadership, and the<br />
relationship between nursing burnout and intent to leave employer. Additionally, Ms. Weiss is an Ironman<br />
distance triathlete and an ultra-marathon runner, who enjoys spending time with her husband and four dogs.<br />
Edward Briggs, past <strong>FNA</strong> President, will be Sandy’s FNLA mentor.<br />
The Florida Nurses Association and the Florida Nurses Foundation would like to thank the Leadership<br />
Development Committee Members consisting <strong>of</strong> Palma Iacovitti, Denise McNulty, and Rose Rivers, for<br />
volunteering their time to review the candidates’ applications and to make the selection for the <strong>2017</strong> Florida<br />
Nurses Leadership Academy. We would also like to thank the following mentors, Edward Briggs, Sue Hartranft,<br />
Leah Kinnaird, and Jill Tahmooressi, for working with these exceptional future nurse leaders.<br />
_________________________________________________________________________________________________<br />
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<strong>2017</strong> Florida Nurses Association<br />
Bylaws Committee <strong>2017</strong><br />
Janegale Boyd, Chair<br />
Earthy “Willie” Spaulding<br />
Clare Good<br />
Janice Hess<br />
Barbara Russell<br />
In 2016, it was necessary to revise the bylaws to include a necessary dues increase for the <strong>FNA</strong> Bargaining<br />
Units. A Special Membership Assembly was called and the bylaws committee reviewed the proposed by-laws<br />
changes and made further changes. A pass-through for dues from affiliated organizations was also included.<br />
The intent to increase dues was properly noticed as was the Special Called Membership Assembly. The bylaws<br />
revisions were approved.<br />
In <strong>2017</strong>, a review <strong>of</strong> the Bylaws was requested by the chair <strong>of</strong> the bylaws committee and approved by the<br />
Board <strong>of</strong> Directors. Ann Guiberson, <strong>FNA</strong> Parliamentarian reviewed the bylaws and made several suggestions for<br />
revision. Some were grammatical or structural changes, but several require approval by the <strong>FNA</strong> Membership<br />
Assembly. The Bylaws Committee considered these changes which can be found in this <strong>Book</strong> <strong>of</strong> <strong>Reports</strong> on<br />
page 130.<br />
_________________________________________________________________________________________________<br />
Membership Committee<br />
The staff continues to work on strategies developed by the Membership Committee over the past four years,<br />
including engaging new graduates, recognizing recruitment, rewarding long term members, multiple contacts for<br />
renewal, engaging volunteers for short term commitments ( micro-volunteering) and personal contact. For the<br />
past two years, regional directors have been contacting members via email, handwritten notes and phone calls<br />
to promote membership and renewals. A post card campaign and text reminders with new graduates have<br />
yielded some results but we would like to see more membership conversion and more engagement from our<br />
new graduates. We are promoting the monthly deduction as it prevents members from being deleted because<br />
they didn’t open their renewals. We continually hear from members who didn’t know they were deleted until<br />
they call Headquarters with a question or respond to an article in The Florida Nurse.<br />
We will continue to recognize recruiters in our Star Campaign and this year we will be recognizing our most<br />
prolific recruiters in our Membership Assembly.<br />
Our membership remains steady but we would love to see significant increases are look forward to hearing any<br />
innovative ideas toward that goal.<br />
_________________________________________________________________________________________________<br />
Reference <strong>Reports</strong><br />
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<strong>2017</strong> Florida Nurses Association<br />
Special Interest Groups (SIGs)<br />
HEALTH POLICY SPECIAL INTEREST GROUP<br />
(HP-SIG)<br />
<strong>2017</strong> ANNUAL REPORT<br />
HP-SIG MISSION STATEMENT:<br />
The Health Policy Special Interest Group (HP-SIG) is <strong>FNA</strong>’s leader <strong>of</strong> grassroots initiatives for public policy<br />
change that enhances the heath and welt being <strong>of</strong> all Floridians. It encourages and supports all nurses to<br />
become engaged in the policy and legislative process to improve the health status <strong>of</strong> our communities and the<br />
practice and working environments <strong>of</strong> nurses.<br />
HP-SIG GOALS AND OBJECTIVES:<br />
1. Developing and maintaining a network for communication through <strong>FNA</strong> Regions to educate and inform <strong>FNA</strong><br />
members in public policy issues.<br />
2. Developing and maintaining education and information resources regarding health policy and legislation<br />
among all stake holders.<br />
3. Promoting and supporting health policy agendas that benefit all Florida RN’s, APRN’S regarding their<br />
scopes <strong>of</strong> practice, patient advocacy and quality outcomes and work environment safety.<br />
It has been an active and productive year for the HP-SIG. We currently have 494 members. In addition to the<br />
group meeting during the 2014 Membership Assembly, we have had 10 conference call meetings over the<br />
year. We reviewed the goals and objectives <strong>of</strong> the SIG and reaffirmed our agreement to them. We filled all<br />
Regional Liaison positions. Members attended and provided input regarding our Legislative priorities during<br />
numerous Legislative Delegation meetings around the State, utilizing information packets provided by <strong>FNA</strong>.<br />
There was a special election in Jacksonville in which members actively participated in, in an effort to elect<br />
a Representative sensitive to our issues who was endorsed by our Political Action Committee. They were<br />
successful. Many members participated in Advocacy Days (formerly Lobby Days) in March 2014 again in an<br />
effort to communicate our issues to the elected <strong>of</strong>ficials.<br />
Members expressed a desire for more educational opportunities. To that we sponsored several Webinars<br />
covering varied topics: Media training, Navigating the <strong>FNA</strong>4 ACTION PACKET, Preparation for Advocacy Days.<br />
We had regular Legislative Updates from our lobbyist Alisa LaPolt while the Legislature was in session.<br />
It was a good year and we all look forward to continued success and participation. Thank you to all who have<br />
helped make this SIG successful and productive.<br />
_________________________________________________________________________________________________<br />
<strong>FNA</strong> Clinical Nurse Specialist Special Interest Group<br />
Theresa Morrison<br />
The CNS-SIG met by tele-conference nine times this year, excluding the two time we didn’t quite get the invite<br />
and connection working we had productive dialogue. We revised the 2014 Reference Proposal and Membership<br />
Assembly presentation. We wrote a section <strong>of</strong> the Nurses4Action and published about the CNS role in Florida<br />
in the Florida Nurse. Our attendance varied from three to seven, varying nurses at each meeting.<br />
_________________________________________________________________________________________________<br />
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<strong>2017</strong> Florida Nurses Association<br />
Ethics Special Interest Group<br />
Jean Davis, EdD, DNP, HCRM, PHCNS-BC, FNP-BC<br />
SIG Chairperson<br />
The ethics <strong>of</strong> social justice in nursing practice was the ethics theme for 2016. Lively discussions were held<br />
throughout the year regarding correctional nursing challenges related to social justice. ANA’s Center for Ethics<br />
solicited comments on the updated ANA position statement Capital Punishment and Nurses’ Participation<br />
in Capital Punishment (2016). Dr. Jill Winland-Brown, an <strong>FNA</strong> member who was on the Advisory Board <strong>of</strong> the<br />
Center for Ethics at the time, brought this to the Ethics Group’s attention. After lively discussion <strong>of</strong> this topic<br />
Ethics Group members were encouraged to provide feedback to the ANA on the proposed revision <strong>of</strong> the policy<br />
statement which was adopted in December 2016. Additionally, in 2016, the ethics <strong>of</strong> gift and ghost authorship<br />
in nursing publications was discussed—a timely and important issue.<br />
Moral distress was chosen as the theme for the Ethics Group’s discussions and activities in <strong>2017</strong>. Moral<br />
distress has been discussed and literature shared from many areas <strong>of</strong> practice. In July the Ethics Group<br />
webinar Moral Distress in Military Nursing was held with Navy Nurse Corps Captain Julio C. Albornoz as our<br />
guest speaker. A family nurse practitioner, Captain Albornoz provided thought provoking insights into the moral<br />
distress that can be inherent in military nursing practice.<br />
A panel discussion on moral distress will be hosted by the Ethics Group at Membership Assembly in<br />
September. Speakers representing a variety <strong>of</strong> practice areas will briefly present and open discussion will<br />
ensue. Part <strong>of</strong> the presentation will focus on flourishing and resilience in the face <strong>of</strong> moral distress in nursing<br />
practice.<br />
Although there are only 10 members <strong>of</strong> the Advisory Board <strong>of</strong> ANA’s Center for Ethics, another Florida member<br />
was appointed as Dr. Jill Winland-Brown’s term expired. We are honored to now be represented by <strong>FNA</strong> member<br />
Dr. Michele Upvall who brings her extensive global nursing perspective to the Board. Congratulations to Michele<br />
on her appointment.<br />
Thanks to the many nurses and nursing students devoted to ethical nursing practice who bring energetic<br />
enthusiasm to each monthly conference call. The richness <strong>of</strong> unique practice and academic experiences<br />
shared on each call provides insight for all participants. New Ethics Group members are always welcome as<br />
each new perspective enhances our discussions and activities. Please consider joining one <strong>of</strong> our calls!<br />
_________________________________________________________________________________________________<br />
<strong>FNA</strong> Health Literacy Special Interest Group<br />
Submitted by Vicki Sumagpang, MSN/ed, RN<br />
The <strong>FNA</strong> Health Literacy Special Interest Group was proud to partner with the Florida Literacy Coalition to<br />
provide a speaker at the <strong>2017</strong> Florida Health Literacy Summit, which was held on January 20, <strong>2017</strong> at<br />
Nemours Children’s Hospital in Orlando, FL. Dr. C. Victoria Framil, on behalf <strong>of</strong> Florida International University<br />
and a member <strong>of</strong> the <strong>FNA</strong> Health Literacy SIG, presented “Nursing and Health Literacy: Meeting the<br />
Challenges <strong>of</strong> Incorporating Health Literacy Skills into Patient Care.” The session highlighted the successes<br />
and challenges associated with addressing the health literacy needs <strong>of</strong> students and families seeking care at a<br />
school-based community health clinic in a medically under-served neighborhood in Miami. Participants learned<br />
strategies to address the challenges associated with educating families about how to navigate the health care<br />
system, to access preventative and primary care resources and to advocate for a healthier community.<br />
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<strong>2017</strong> Florida Nurses Association<br />
Other Nursing Groups and Organizations<br />
Florida Center for Nursing<br />
QUIN Council<br />
Florida Nursing Students Association (FNSA)<br />
Florida Coalition <strong>of</strong> Advanced Practice Nurses (FL-CAPN)<br />
Florida Cancer Control & Research Advisory Council (CCRAB)<br />
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<strong>2017</strong> Florida Nurses Association<br />
Florida Center for Nursing<br />
The Florida Center for Nursing Report will be found in your convention materials.<br />
_________________________________________________________________________________________________<br />
Florida Nursing Students Association<br />
Chris Demezier, President<br />
Florida Nursing Students Association (FNSA) remains dedication to advocating for students<br />
and providing an environment <strong>of</strong> enrichment for the student experience <strong>of</strong> our future nurses.<br />
We look forward to leading the next generation to become the change that we want to see<br />
in the nursing community. Finally, we aim to empower students to mature into pr<strong>of</strong>essional<br />
nurses in the next level <strong>of</strong> their careers in nursing associations like <strong>FNA</strong> and ANA.<br />
In 2016, FNSA had over 1,300 nursing students and nurses from all over the state come<br />
and represent their schools with pride. This convention continues to be one <strong>of</strong> the largest in the country every<br />
year and is a point <strong>of</strong> excitement for the students. The <strong>2017</strong> <strong>FNA</strong> Lobby Days in Tallahassee featured a number<br />
<strong>of</strong> nursing students from as far south as Miami proper to as far west as Pensacola. The student learned to<br />
work cooperatively with nurses and lobbyists to advocate for issues that directly impact nurses’ and their<br />
respective care <strong>of</strong> patients. The <strong>2017</strong> NSNA Annual Convention in Dallas, Texas was a great experience for<br />
students as we had the second highest number <strong>of</strong> delegates in attendance. Students were able to showcase<br />
their intellectual abilities; Florida had all 6 <strong>of</strong> their resolutions passed in front <strong>of</strong> the House <strong>of</strong> Delegates. There<br />
was one member appointed to the NSNA Resolutions Committee as well.<br />
FNSA celebrated its Leadership Retreat and Preconvention in Orlando at the University <strong>of</strong> Central Florida. We<br />
had over 50 student leaders attend and learn about ways to promote leadership within themselves as well as<br />
their constituents. We also gave a sneak peek into what to expect for the <strong>2017</strong> FNSA Annual Convention.<br />
As we wrap up this cycle, we want to say thank you to our wonderful executive director, Willa Fuller, RN,<br />
BSN, who is a continuing inspiration to our executive board members. We also want to highlight the help<br />
<strong>of</strong> consultants, Randy Jackson, RN, MSN, and Susan Rivers, RN, MSN, without whom we may have had<br />
some sleepless nights. Finally, I want to thank you to every member <strong>of</strong> the FNSA executive board for staying<br />
committed to the future <strong>of</strong> nursing, your futures are going to very bright.<br />
Please consider attending the <strong>2017</strong> FNSA convention in Palm Harbor. Our 2nd Vice President, Kristin Glavan,<br />
has created a program that has phenomenal speakers and intriguing breakout sessions. Our theme this<br />
year is Building the Future <strong>of</strong> Nursing: Finding Your Fit as a testament to the diversity <strong>of</strong> nursing. Our growing<br />
partnership is one <strong>of</strong> the best in the country and we hope to continue that relationship and foster its growth.<br />
_________________________________________________________________________________________________<br />
QUIN Council<br />
Quality and Unity in Nursing<br />
QUIN Council panel presentation will serve as their report.<br />
_________________________________________________________________________________________________<br />
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<strong>2017</strong> Florida Nurses Association<br />
Florida Coalition <strong>of</strong> Advanced Practice Nurses<br />
Ed Briggs – Co-Chair and Jan Hess, <strong>FNA</strong> Rep<br />
(The Florida Coalition <strong>of</strong> Advanced Practice Nurses (FCAPN) is a coalition <strong>of</strong> Florida Nursing Organizations that<br />
represent nurses in advanced practice roles. The coalition works to remove unnecessary barriers to practice and<br />
to improve health outcomes in Florida.)<br />
The Florida Coalition <strong>of</strong> Advanced Practice Nurses (FCAPN) met on Saturday July 22, <strong>2017</strong> at the <strong>FNA</strong><br />
Headquarters. The Coalition came together to talk with representatives <strong>of</strong> the National Council <strong>of</strong> States<br />
Boards <strong>of</strong> Nursing to discuss the scope and implementation <strong>of</strong> the Consensus Model for Advanced Practice<br />
Nursing across the nation. Joe Baker, Executive Director for the Florida Board <strong>of</strong> Nursing was gracious enough<br />
to also join the coalition for this important meeting.<br />
The NCSBN representatives educated coalition members regarding the scope and parameters <strong>of</strong> the<br />
Consensus Model for Advanced Practice Nursing. The primary focus <strong>of</strong> their presentation was discussing how<br />
states coalitions and State Boards <strong>of</strong> Nursing can work with the NCSBN to advance implementation <strong>of</strong> the<br />
Consensus Model across the nation. The NCSBN shared their belief that Florida is a state that they feel has<br />
strong potential for the implementation <strong>of</strong> the Consensus Model.<br />
The NCSBN representatives shared with the coalition that they have begun initial work towards a media<br />
relations campaign to educate communities and legislators about the benefits <strong>of</strong> the Consensus Model in<br />
improving health outcomes.<br />
FCAPN discussed the plans <strong>of</strong> the NCSBN and looks forward to working with them to advance legislation in<br />
Florida to allow advanced practice nurses to practice to the full scope <strong>of</strong> their education and training.<br />
For more information about the Consensus model visit:<br />
The FCAPN members also discussed the importance <strong>of</strong> advanced practice nurses in improve health outcomes<br />
in diverse communities in our state. In response to identified health care needs for Florida FCAPN decided<br />
to form a Practice Committee within the coalition with dedication to developing educational opportunities and<br />
resources to aide coalition organizational members to better meet these health needs.<br />
In coming months FCAPN anticipates the development and implementation <strong>of</strong> targeted programs to support<br />
advancement <strong>of</strong> the Consensus Model. The coalition also anticipates working with community members to<br />
develop educational resources to advance improved healthcare access and outcomes for at risk populations<br />
within our state.<br />
_________________________________________________________________________________________________<br />
Florida Cancer Control & Research Advisory Council<br />
Theresa Morrison PhD CNS<br />
CCRAB meets twice a year in Tampa, Florida, and welcomes the nursing pr<strong>of</strong>ession’s input and collabora-tion.<br />
Of significance, nurses in their communities should consider participating in colorectal screening campaigns<br />
and HPV awareness campaigns. In collaboration with the American Cancer Society, Debbie Hogan, <strong>FNA</strong><br />
member and Florida Health Department HPV specialist, will present at the Membership Assembly, helping to<br />
fulfill the goal <strong>of</strong> heling Floridians practice healthy behavior.<br />
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Parliamentary Information<br />
Robert’s Rules <strong>of</strong> Order Newly Revised, is the parliamentary authority that shall govern the Membership<br />
Assembly. The Chair, as the presiding <strong>of</strong>ficer, rules on all matters relative to parliamentary law and procedures.<br />
The parliamentarian serves only in an advisory capacity to the presiding <strong>of</strong>ficer and members <strong>of</strong> the<br />
Membership Assembly.<br />
Participation in the business session is governed by the standing rules <strong>of</strong> the Membership Assembly.<br />
The motions that follow are defined in terms <strong>of</strong> action a member may desire to propose. Rules governing these<br />
motions are listed in Table 3 which follows:<br />
A main motion introduces a subject to the Membership Assembly for consideration and is stated: “I move that...”<br />
An amendment (primary) is a motion to modify the wording <strong>of</strong> a motion. The motion to amend may be made in<br />
one <strong>of</strong> the following forms, determined by the action desired: “I move to amend by...<br />
...striking (word(s), phrase, paragraph).”<br />
...inserting (word (s), phrase, paragraph).”<br />
...striking and inserting (word(s), phrase, paragraph).”<br />
...adding (word (s), phrase, or paragraph at the end <strong>of</strong> the motion).”<br />
...substituting (paragraph or entire text <strong>of</strong> a resolution or main motion and inserting another that is germane).”<br />
An amendment to an amendment is a motion to modify the wording <strong>of</strong> the proposed amendment and is made<br />
as follows: “I move to amend the amendment by...”The same forms for making an amendment are applicable<br />
for making a secondary amendment.<br />
The motion to commit or refer is generally used to send a pending motion (also called “the question”) to a<br />
small group <strong>of</strong> selected persons -a committee, board or commission, for example --so that the question may to<br />
consider. The motion is stated: “I move to commit the question to . . . for further study.”<br />
The motion to limit or extend debate is a motion that allows the Assembly to exercise special control over<br />
debate on a pending question and is stated: “I move to limit further debate to (minutes, certain number <strong>of</strong><br />
speakers, certain number <strong>of</strong> speakers pro and con).”<br />
The motion to close debate (previous question), if seconded and approved by a two-thirds vote, stops<br />
discussion on the pending question and is stated: “I move the previous question.”<br />
A division <strong>of</strong> the assembly may be called by any one member if the chair’s decision on a voice vote is in<br />
question. The member proceeds to the microphone and states: “I call for a division <strong>of</strong> the House.” The chair<br />
then takes a standing vote.<br />
A division <strong>of</strong> the question may be called when a pending motion relates to a single subject but contains<br />
several parts, each capable <strong>of</strong> standing as a complete proposition. The parts can be separated and each<br />
considered and voted on as a distinct question.<br />
The motion to reconsider enables a majority <strong>of</strong> the assembly to bring back for further consideration a motion<br />
that has already been voted. The purpose <strong>of</strong> reconsidering a vote is to permit correction <strong>of</strong> hasty, ill-advised,<br />
or erroneous action, or to take into account added information situation that has changed since the vote was<br />
taken. (note exception on Table 3, Rules Governing Motions).<br />
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Parliamentary inquiry is a question directed to the presiding <strong>of</strong>ficer to obtain information on parliamentary law<br />
or the roles <strong>of</strong> the organization as relevant to the business at hand. A member addresses the chair and states:<br />
“I rise to point <strong>of</strong> parliamentary inquiry.”<br />
Point <strong>of</strong> information is a request, directed to the chair or through the chair to another <strong>of</strong>ficer or member,<br />
for information relevant to the business at hand. The request is not related to parliamentary procedure. The<br />
member addresses the chair and states: “I rise to a point <strong>of</strong> information.”<br />
The motion to appeal the decision <strong>of</strong> the chair is made at the time the chair makes a ruling. If it is made by<br />
a member and seconded by another member, the question is taken from the chair and vested the House for a<br />
final decision. The motion is stated: “I move to appeal the decision <strong>of</strong> the chair.”<br />
Before a member can make a motion or address the assembly on any question, it is necessary that he or she<br />
obtain the floor through recognition by the presiding <strong>of</strong>ficer.<br />
The delegates must:<br />
• rise and proceed to the microphone.<br />
• address the chair by saying, “Madam Chairperson”<br />
• await recognition<br />
• give name and the Region he or she is from<br />
• state immediately the reason he or she has risen.<br />
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Index <strong>of</strong> <strong>FNA</strong> Position Statements<br />
1983-2015<br />
1. Practice<br />
• Continuous Observation in Acute Care Settings 2015<br />
• Defining the Clinical Nurse Specialist Scope <strong>of</strong> Practice in Florida 2015<br />
• Changing DNR (Do Not Resuscitate) to AND (Allow Natural Death) 2011<br />
• Nurse Residency Program 2011<br />
• Removal <strong>of</strong> Barriers to Nurse Practitioner Practice 2011<br />
• Medication Administration by Unlicensed Assistive Personnel 2007<br />
• Retention <strong>of</strong> the Mature/Experienced Nurse 2003<br />
• Nursing Workforce Safety: No Lift Environments and Safe Patient Handling and Movement Initiatives 2003<br />
• Advancing Registered Nurse’s Satisfaction 2001<br />
• Public Health Nursing – Keep Florida Healthy 1998<br />
• Nursing Quality Indicators for Health Care 1995<br />
• Promoting Volunteerism within the Nursing Pr<strong>of</strong>ession 1993<br />
• Cultural Diversity in Nursing 1993<br />
• Cigarette Smoking 1993<br />
• Pursue Funding for Adequate Immunization to Florida’s Children 1992<br />
• Women’s Need for Universal Access to Care 1992<br />
• Utilization <strong>of</strong> ARNP’s in Nursing Homes 1992<br />
• Prescriptive Privileges for Nurse Practitioners in Florida 1991<br />
• Prescribing Controlled Substances - ARNP’s 1991<br />
• Case Management 1990<br />
• Public Health Nursing Leadership in Home Visiting Programs in Florida 1990<br />
• Recognizing and Supporting Aerospace Nursing 1989<br />
• Teenage Sexual Responsibility 1988<br />
• Opposition to AMA’s RCT Concept 1988<br />
• 70/90 Coalition 1988<br />
• Long Term Care 1988<br />
• Reaffirmation <strong>of</strong> 1985 Resolution to Promote Nursing Participation in Multidisciplinary<br />
Ethics Committees 1998<br />
• Guidelines for Cancer Chemotherapy and Nursing Practice 1986<br />
• Role <strong>of</strong> the Pr<strong>of</strong>essional Nurse in the Planning, Organization and Delivery <strong>of</strong> Disaster Services 1985<br />
• Responsibility for Clients Requiring Nursing Services in the Home Health Setting 1985<br />
• Reduction in Medicare Home Health Care Visits Potentates Health Hazard 1985<br />
• Position on Gerontological Nursing 1983<br />
• Public Health Nurses Authority to Dispense Medication 1983<br />
• Patient Teaching 1983<br />
• Organ Donor Program 1983<br />
2. Health Care Policy/Legislation<br />
• Addressing the Public Health Infrastructure in Florida 2014<br />
• Statement on Unity Among Nurses 2011<br />
• Support <strong>of</strong> Health System Reform 2010<br />
• Commission on Excellence in Health Care’s Legislative Actions: Implications for Nursing 2001<br />
• Proposal to Support the Florida Commission on Mental Health and Substance Abuse 2001<br />
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• Medication Waste In Long Term Care Facilities 1999<br />
• Medicaid Fee Increase in Home Health Settings 1999<br />
• Education on End <strong>of</strong> Life Decisions 1998<br />
• Reaffirmation <strong>of</strong> Need for Child Safety Restraints 1998<br />
• Improper Use <strong>of</strong> the Term “Nurse” 1998<br />
• Medical and Nursing Services for Ventilator Dependent Adults Over the Age <strong>of</strong> 21 Years 1998<br />
• Adequate Nursing Staffing Based on Acuity in Skilled Nursing Facilities 1998<br />
• Background Checks for All Staff Across All Health Care Settings 1998<br />
• Adequate Staffing in Home Health Settings 1998<br />
• ARNP Scope <strong>of</strong> Practice and the Life Prolonging Procedure Act <strong>of</strong> Florida 1996<br />
• Registered Nurses Administering Over-the-Counter Medications As An Independent Nursing Function 1996<br />
• Reinforcing Public Health Nursing in a Restructured System 1994<br />
• Universal Access to Care 1990<br />
• Equal Access to Health Care 1989<br />
• Individual Responsibility for Legislation 1985<br />
3. Regulatory<br />
• Removing Florida’s 5-Year Waiting Period for Lawfully Residing Immigrant Children to Receive Health Care<br />
Coverage 2015<br />
• Our Public Health Infrastructure 2015<br />
• Support <strong>of</strong> Medicaid Expansion for Florida 2014<br />
• Nurse’s Right to Privacy 2001<br />
• Nurse Aide Competency Evaluation Testing 1996<br />
• Licensure and Regulation <strong>of</strong> Registered Nurses 1995<br />
• Advanced Practice Licensure in Florida 1994<br />
• RN and EMT Licensure and Practice 1985<br />
• Florida Board <strong>of</strong> Nursing Sunset Law 1985<br />
• Impaired Nurse Program 1985<br />
4. Education<br />
• Oversight Of Nursing Educational Programs 2010<br />
• Cigarette Smoking and Tobacco Use Prevention 2005<br />
• Innovations in Joint-Faculty Positions 2001<br />
• Telehealth/Telenursing 1999<br />
• Universal Nursing Languages 1998<br />
• Expansion <strong>of</strong> RN Mobility Programs in Florida<br />
1996<br />
• The Prevention and Elimination <strong>of</strong> Lead Poisoning in Children 1996<br />
• To Faculty and Administrators <strong>of</strong> Nursing Education Programs for Content on Ethics to be Enhanced in<br />
Curricula 1985<br />
• Reaffirmation <strong>of</strong> <strong>FNA</strong> Educational Position 1985<br />
• The Pr<strong>of</strong>essional Nursing Association Represents Technical and Pr<strong>of</strong>essional Nurses 1984<br />
• Role <strong>of</strong> the Pr<strong>of</strong>essional Nurse in the Educational Process 1984<br />
• Titling and Licensure <strong>of</strong> Registered Nurse in Florida 1984<br />
• Strategies for Implementation <strong>of</strong> Two Levels <strong>of</strong> Nursing Practice 1984<br />
• Continuing Education 1984<br />
5. Workplace/E&GW <strong>of</strong> Nurses<br />
• Increasing the Number <strong>of</strong> Male Registered Nurses &<br />
Advanced Registered Nurse Practitioners in the State <strong>of</strong> Florida 2014<br />
• Workforce Advocacy for Safe Patient Handling: Beyond Legislation 2007<br />
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• Effects <strong>of</strong> Physical and Emotional Fatigue on Nurses in the Workplace 2007<br />
• Eradication <strong>of</strong> Horizontal Violence and Bullying in Nursing 2007<br />
• Safe and Secure Work Environment 2005<br />
• Safe Staffing 2005<br />
• ANA’s Principles for Nurse Staffing Applied to Florida Hospitals 2001<br />
• Models <strong>of</strong> Voluntary Overtime 2000<br />
• Blameless Medication Error Reporting Systems 2000<br />
• Controls To Promote Needle Safety 1999<br />
• Latex Allergy 1999<br />
• Shared Accountability in Today’s Work Environment 1998<br />
• Identification <strong>of</strong> Registered Nurses as Distinct Health Care Providers 1995<br />
• Health Care Ergonomics for Nurses 1995<br />
• Registered Nurse Staffing Patterns 1995<br />
• Supervision <strong>of</strong> New Graduates 1993<br />
• Positioning Nursing in Restructuring the Workplace 1993<br />
• Implementation <strong>of</strong> the OSHA Standards on Occupational<br />
Exposure to Bloodborne Pathogens for State Employees 1992<br />
• Guidelines for Practice for the Nurse with a Blood borne Disease (HIV, AIDS, HBV) 1992<br />
• Blood borne Pathogens/Tuberculosis and Nursing Students 1992<br />
• Third Party Reimbursement 1991<br />
• Nurses’ Responsibility for Safe Practice 1989<br />
• Third Party Reimbursement 1989<br />
• Nursing Shortage 1987<br />
• Insurance Claims Information and Data Collection 1987<br />
• Affordable Pr<strong>of</strong>essional Liability Coverage 1987<br />
• Malpractice Crisis 1987<br />
• Pr<strong>of</strong>essional Liability Insurance 1985<br />
• AORN Statement 1984<br />
• First Surgical Assistant 1984<br />
• Adequate RN Staffing in Long-term Care Facilities 1984<br />
• Medication Administration in Long-Term Care 1984<br />
• Statement on the Role <strong>of</strong> the Community Health Nurse 1984<br />
• Administration <strong>of</strong> Medications by Unlicensed Personnel 1984<br />
• Employment <strong>of</strong> Graduate Nurses 1984<br />
• Identifying Nursing Costs 1983<br />
• Nurses Participation in Health Care Cost Containment 1983<br />
• Worker’s Compensation 1983<br />
• Employee’s Right to Know Hazards in the Workplace 1983<br />
• Liability Insurance 1983<br />
• Establishing a Safe Work Environment by Prevention <strong>of</strong> Workplace<br />
Violence and by Establishing Response and Recovery Strategies 2013<br />
6. Consumer Advocacy/Ethics<br />
• Nurses’ Responsibility and Ethical Duty in Prison Healthcare 2015<br />
• <strong>FNA</strong>’s Health Literacy Statement 2010<br />
• Preparation for Disaster Response 2007<br />
• Increasing Nurses’ Awareness <strong>of</strong> Public Cord Blood Donation 2007<br />
• Obesity in Children <strong>of</strong> Florida 2005<br />
• Opposition <strong>of</strong> Geriatric Specialist Assistant in Long Term Care 2003<br />
• Patient Privacy in an Electronic Age 2000<br />
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• Proposal to Support the Runaway Act <strong>of</strong> 2000 2000<br />
• Support Tort Reform In Long Term Care (LTC) Regarding Caps on Attorney Fees 1999<br />
• Domestic Violence 1995<br />
• Human Rights <strong>of</strong> Citizens in Need <strong>of</strong> Mental Health Care 1995<br />
• Human Rights <strong>of</strong> Older People and the Florida Mental Health Act 1995<br />
• Curbing the Public Health Epidemic <strong>of</strong> Handgun Violence in Florida 1994<br />
• Prohibition <strong>of</strong> Corporal Punishment in Schools 1992<br />
• Domestic and Workplace Violence 1992<br />
• Client’s Rights Regarding Administration <strong>of</strong> Artificial Sustenance 1987<br />
• To Promote Nursing Participation in Multidisciplinary Ethics Committees 1985<br />
• Nurse Intervention in Child Abuse Investigation and Treatment 1985<br />
• Elderly Abuse 1984<br />
• Client’s Rights Regarding Treatment and Care 1983<br />
• Child Passenger Safety 1983<br />
7. Communicable Diseases<br />
• Influenza Immunizations 2007<br />
• Prevention and Control <strong>of</strong> Emerging Infectious Diseases 2003<br />
• Prevention Strategies to Reduce Pregnancy and Sexually Transmitted Diseases Among Teenagers 1998<br />
• Women and AIDS 1993<br />
• Tuberculosis 1992<br />
• Nursing and Human Immunodeficiency 1992<br />
• Reporting <strong>of</strong> HIV Exposure Data to HRS 1990<br />
• Promotion <strong>of</strong> Increased Nursing Research on AIDS and HIV Disease 1990<br />
• U.S. Travel Restrictions on HIV-Infected Visitors 1990<br />
• Nursing Case Management for People with HIV/AIDS 1989<br />
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<strong>FNA</strong> Diamond Awards –<br />
50 Years <strong>of</strong> Continuous Membership<br />
<strong>2017</strong><br />
Linda Sabin<br />
Patricia Tyra<br />
2015<br />
Barbara Lumpkin<br />
Betty Wajdowicz<br />
2012<br />
Ida Mizel-Gilula<br />
Ann Marie McCrystal<br />
2011<br />
Clare Good<br />
Claydell Horne<br />
Pat Messmer<br />
2010<br />
Barbara T. Curtis<br />
2007<br />
Selina Frost<br />
Genevieve Larsen<br />
Jeane Stockheim<br />
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History <strong>of</strong> <strong>FNA</strong> Lamplighters<br />
25 Years <strong>of</strong> Continuous Membership<br />
1988-<strong>2017</strong><br />
<strong>2017</strong><br />
Marie Cowart Cheryl Bergman Janice Wheeler-Gay<br />
Sherry Sutton-Johnson Pricilla (Paddy) Faucher Canella Jeffries- Mutcherson<br />
Tina Gerardi Mary Ann Hanley Mary Katherine Johnson<br />
Vicki Stone-Gale<br />
2015<br />
S. Boyington Mary Goodwin Carolyn Rackmill<br />
Valerie Browne Nancy Hayes Susan Ricci<br />
Gloria Castenholz Myrtle Henry Cynthia Schneider<br />
Helen Cook Janice Hess Diane Scott<br />
Marie Cowart Bonnie Hesselberg Suzanne Sendelbach<br />
Kathy Donovan Rhea Hurwitz Diana Swihart<br />
Darlene Edic-Drawford Susan Irvin Bonnie Taggart<br />
Catherine Evans Barbara Johnson Joyce Thompson<br />
Goldie Fralick D. Littell Denise Townsend<br />
Nancy Frizzell Stephanie Moore Darlene Tucker<br />
Eileen Froehlich Lucille Pica Margaret Varnadore<br />
2014<br />
William Ahrens Helen DeFrancesco Linda Howe<br />
Karen Coordsen Kathy Ebener Christina McClean<br />
Patricia Cordell Shirley Hill Connie Upshaw<br />
2013<br />
Carol Blakeman Doris Edwards Maria Seidel<br />
2012<br />
Frances Aronovitz Alice Evans Susan V. White<br />
Barbara Chasco-Papale Jeanne Sandy Oestreich Mary Alice Yoham<br />
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2011<br />
Pat Arcidiacono Miriam Hirschberg Sharon Parrish<br />
Nora Howard Beauchamp Marilyn Howard Madine Rawe<br />
Barbara Brownfield Barbara Judkins Mary Beth Reardon<br />
Mary Lou Brunell Teresa Knight Ellen Sanders<br />
Phyllis Bullard Valerie Kolbert Winnie Schmeling<br />
Marlene Cataylo-Chance Lizzie Lenon George Byron Smith<br />
Sally Chester Katherine Mason Susan Stone<br />
Victoria Chin Sang Maura Miller Carolyn Vallone<br />
Myrna Crawford Diana Openbriar Emma Wood<br />
Frankie Geiger Yvonne Parchment Jacqueline Weniger Woods<br />
2010<br />
Janice H<strong>of</strong>f<br />
2009<br />
Judith Erickson<br />
Jeanne Siegel<br />
2007<br />
Banke Ayileka Inez Fielding Merrily LeVee<br />
Judith Davies Susan Hartranft Ellicene Phillips<br />
Johnna Dettis Carol Hayes-Christiansen Janet Townsend<br />
Paddy Faucher Leslie Homsted Willa Fuller<br />
Jeanne Hopple<br />
2005<br />
Doug Banks Dorothy Hummell Linda Brown<br />
Lee Barks Jean Irwin Darlene Fritsma<br />
Gail Borovsky Frances Jennings Sharon Koch-Parish<br />
Jill Winland-Brown Sophie Karas Susan Leonard<br />
Marianna Cowle Church Imogene King Michael Nilsson<br />
Ann-Lynn Denker Diana Koch Jean Penny<br />
Eileen Dondero Sue Ann Korsberg Audrey Ryal<br />
Jo Emmons Sue Leger-Krall Frances Smith<br />
Kay Fullwood Dierdre Krausse Jackie Spivey<br />
Donna Giannuzzi Ann Marie McCrystal Mary Tittle<br />
Billie Hammill Wynyard McDonald Jill Winland-Brown<br />
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2003<br />
Sunny Conn Margery Shake Gail B. Cass-Culver<br />
Charlene Long Sue F. Lee Jean Wortock<br />
Doris Mattera Janice L. Gay Betty A. Wajdowicz<br />
Lucille Rhim Diane C. Hersh-Dickey Mary Kay Habgood<br />
Mary Salka<br />
Nancy Breen<br />
2001<br />
Isobel Bierbower Ella Jackson Katherine McLamb<br />
Joan Burritt Barbara Janosko Edna Nastasy<br />
Maurine Butler Sande Gracia Jones Barbara Reinhold<br />
Janet Hatt Deborah Greenfield Alma Stitzel<br />
2000<br />
Barbara Barden Ann Jackson Barbara Redding<br />
Carol Christiansen Gwen McDonald Vivian Ross<br />
Marianna Church Susan Pennacchia Gerri Twine<br />
Joyce Cimmento Patricia Quigley Martha Sue Wolfe<br />
Judith Dvorak<br />
Mary Zinion<br />
1999<br />
Margaret Ayres Edna Hicks Carol Riley<br />
Frances Kate Dowling Juanita Payne Lucille Robertson<br />
Arlene Heilig Gladys Pratt Florence Roper<br />
Levanne Hendrix<br />
Betty Taylor<br />
1998<br />
Charlotte Dison Arlena Falcon Donna Pfeifer<br />
Grace Donovan Diana Jordan Barbara Russell<br />
Shirley Edwards<br />
Shirley Edwards<br />
1997<br />
Claydell Horne<br />
1995<br />
Rudy Schantz Gladys Gilliam Ann Marie Clyatt<br />
Helen Surer Shering Eileen K. Austin Maryrose Owens<br />
Rachael Steinmuller Kathleen Jones Charlotte Kelly<br />
May E. Stafford<br />
Susan Leonard<br />
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1993<br />
Patricia Duffy Harold MacKinnon Melanie Stewart<br />
Hazel Gilley Etta McCulloch Muriel Watkins<br />
Marie Grey Elizabeth Ren Betty (Thelma) Watts<br />
1991<br />
Margaret Ayres Deborah Hogan Betty Taylor<br />
Arlene Heilig Barbara Lumpkin Carol L. Riley<br />
Levanne Hendrix<br />
Lucille Robertson<br />
1990<br />
Gertrude Lee Martha Kaufman Frances Haase<br />
1989<br />
Emily Birnbaum Ruth Gay Erma (Trudy) Maurer<br />
Mary Bolton Phyllis Kurtz Sarah McClure<br />
June Borden Beryl Long Rose Schniedman<br />
Grace Fox<br />
Norma Sims<br />
1988<br />
Isle Benedetti Joan Lawlis Florence Roper<br />
Eleanor Call Adele Miller Lillabelle Rundell<br />
Louise Fiske Reine Nichols Donna Schwier<br />
Jean Ready<br />
Emeritus Members<br />
50 years <strong>of</strong> Membership/80 years <strong>of</strong> age<br />
Clare Good<br />
Carolyn Vallone<br />
Sima Gebel<br />
Jeane Stockheim<br />
Annemarie Clyatt<br />
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