2017 Oklahoma Annual Book of Reports


2017 Oklahoma Nurses Association


Convention Program

2017 ONA Convention Schedule at a Glance ........3

Convention Welcome ..........................5

Continuing Education Statement .................7

Embassy Suites by Hilton Floor Plan ..............9

State Challenges and Perspectives ..............11

ONA Issues Forum ...........................13

Nurse Planner Session ........................13

Official Call to the HOD ........................15

Agenda ....................................17

Standing Rules ..............................19

Seating Assignment ..........................21

Resolution: Opioid Epidemic ....................23

Resolution: Substance-use Disorder .............27

Minutes ....................................31

Poster Abstract Presentations ..................36

ONA Strategic Plan .............................48

ANA Strategic Goals ............................48

Bylaws - Complete .............................59

Board of Directors & Region Presidents .............63

2017 Annual Reports

President ...................................66

CEO .......................................68

Vice-President ...............................69

ONA Board of Directors Activity Report ...........70

Legislative Agenda ...........................71

Legislative Session Report .....................73

Oklahoma Nursing Student Association ...........76

Political Activities Committee ...................78

Medical Advisory Committee ...................79

Community Relations Board ....................80

Region Reports ..............................81

The Children’s Health Group ....................84

AWHONN ..................................89

Faith Community Nurses Association .............90

Oklahoma Association of Nurse Anesthetists ......92

Emerging Nurses .............................93

Membership Development Committee ............94

Nursing Education Practice Advisory Committee ...95

Education Director ...........................96

Oklahoma Domestic Violence Fatality Review Board ..97

Nursing Scholarship Advisory Committee ........100

State Council on Aging .......................101

Oklahoma League for Nursing .................102

Organizational Affiliates ........................103

Code of Ethics ................................104


Published by:

Arthur L. Davis

Publishing Agency, Inc.

Printed and Published for the

Oklahoma Nurses Association by:

Arthur L. Davis Publishing Agency, Inc.

517 Washington St., P.O. Box 216,

Cedar Falls, Iowa 50613

(319) 277-2414

Oklahoma Nurses Association 1111 N. Lee, Ste. 243 Oklahoma City, OK 73103

www.OklahomaNurses.org | 405-840-3476 | ona@oklahomanurses.org


2017 Oklahoma Nurses Association

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2017 Oklahoma Nurses Association

2017 ONA Convention Schedule at a glance

Dawn of a New Era in Health Care

Wednesday, October 18

7: 30 a.m. Registration Opens

Poster Session – Available all day

9:00 – 10:45 a.m. State Challenges

and Perspectives – Panel Discussion

Room: University Ballroom

11:00 a.m. – 12:00 p.m. Issues Forum

2 – 30 minute sessions

11:00 a.m. – 1:00 p.m. – Nurse Planner


Room: Oklahoma Ballroom I

12:00-1:00 p.m. Luncheon

1:30 – 4:00 p.m. House of Delegates

View the HOD Packet on page 15

4:30 p.m. Networking Reception

& Meet the Poster Presenter

Room: Oklahoma Ballroom G-H

Join us for a casual gathering with the

ONA Board of Directors. This is a great

opportunity to network with nurses

from across the state and visit with

this year’s Poster Presenters. Light

refreshments provided.

8:00 p.m. – 10:00 p.m. Evening

Gathering Hosted by Region 1

Room: TBA

Thursday, October 19

7: 30 a.m. Registration Opens

Exhibits – Available all day

Poster Session – Available all day - Oklahoma Ballroom G-H

8:00 - 9:30 a.m. Nursing’s Voice in Health Care Reform -

Pam Cipriano, PhD, RN, NEA-BC, FAAN, ANA President

Room: University Ballroom

9:30 – 10:00 a.m. Visit Posters & Exhibitors

10:00 – 11:00 a.m. Breakout I

1. Nurses Improving Care for Health System Elders (NICHE) and Long

Term Care/Skilled, Post Acute Care – Joanne Alderman, MS-N, APRN-


2. Hooking a New Grad is Easy, But How do you Keep them on the

Line? - Stacie Merritt, MSN, RN-BC, RN-BC

3. The Practice of Mindfulness Meditation as a Self-Care Activity by

Nursing Educators and Students Perception of Faculty Caring -

Vanessa Wright, PhD, MSN, RN (Non-CEU)

11:15 a.m. – 12:15 p.m. Awards Luncheon

12:30 – 1:30 p.m. Breakout II

1. Unconscious Bias and Gender Neutral Communication In Healthcare

- Tonie Metheny, MS, RN, CNE

2. Nursing Meets Smart Technology - Dr. Carol A. Mannahan and

Theodore A. Metzler, BA, MS, MA, MA, Ph.D.

1:45 – 2:45 p.m. Breakout III

1. Effectiveness of an Educational Intervention on Healthcare and

Nursing Student Knowledge, Confidence, and Skill in response to

Workplace Violence – Janice Carr, DNP, RN, CNE

2. The Enhanced Nurse Licensure Compact: Unlocking Access to

Nursing Care Across the Nation – Gayle McNish, RN, MS, Ed.D

3:00 – 4:00 p.m. Breakout lV

1. Overcomer! Thriving Through Professional Challenges – Dr. Dean L.

Prentice, Colonel, USAF, NC, DHA, MA, BSN, NE-BC

2. Humor as Medicine – Mindy Thompson, DNP, RN, CNE and Jennifer

O’Connor, MS, RN, CFCN, CN

4:30 – 5:30 PM – Oklahoma League for Nursing Reception

The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care

in all specialties and practice settings by working as a community of professional nurses.


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

Welcome to the Annual Convention of the Oklahoma Nurses Association!

Thank you for joining us for this year’s Convention, Dawn of a New Era in Health Care. You will find detailed

information about the Convention and the House of Delegates packet in the front section of this book, followed

by the 2017 Book of Reports. We hope you take time to review the reports and see what ONA Committees,

Regions and Affiliate Organizations are doing to advance the profession of nursing in Oklahoma.

This year, our focus is on the evolving face of health care and its impact on nurses and the nursing

profession. Wednesday’s opening panel discussion will focus on emerging programs and trends that are in

development at the state level. The Issues Forum will address the ONA reference proposals of the Opioid

Epidemic. In the afternoon, members will gather at the House of Delegates to discuss association business.

We will wrap up the day with a Networking Reception and an opportunity to visit with poster presenters; we

hope you will join us! You are also welcomed to join an evening gathering from 8-10pm, hosted by Region 1

President, Lucas Richardson-Walker.

We are thrilled to have ANA President, Pam Cipriano, PhD, RN as Thursday’s keynote speaker. Cipriano’s

presentation will be followed by four breakout sessions, offering a choice of eight classes. At the Awards

Luncheon, we will honor this year’s Excellence in Nursing Award recipients.

Have you joined thousands of other nurses in the Healthy Nurse Healthy Nation Grand Challenge this year?

Share your journey with us on the #HealthyNurse poster, located by the registration area.

Thank you, ONA Members, for allowing us to serve as your president and vice president. We are looking forward

to 2017 and the exciting agenda of the nursing profession. Your willingness to share your ideas and opinions is

valued. We truly believe people support what they help to create! Thanks for your involvement in ONA!

Joyce Van Nostrand, ONA President, 2016-2018 Elizabeth Diener, ONA Vice-President, 2016-2018

Oklahoma Nurses Association 1111 N. Lee, Ste. 243 Oklahoma City, OK 73103

www.OklahomaNurses.org | 405-840-3476 | ona@oklahomanurses.org


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2017 Oklahoma Nurses Association

Continuing Education Statement

It is the practice of the Oklahoma Nurses Association to ensure balance, independence, objectivity and

scientific rigor in all continuing nursing education activities. This educational session was developed without

interference or involvement from any commercial interest.

2017 Convention: Educational Purpose Statement

The purpose of this educational activity is to augment professional knowledge of Oklahoma Registered

Nurses in diverse practice settings by presenting evidence based research and innovative application

strategies. This knowledge is focused on facilitating nursing care delivery in a new era of health care and

implementing these practices into individualized professional care environments, as evidenced by selfreported

planned practice changes.

Notice of Requirements for Successful Completion:

In your packet you have a Certificate of Successful Completion and a Convention Evaluation. When you

have attended all of the sessions that you are planning to attend; please complete the information on both of

these forms and indicate the sessions that you attended. Turn in the forms at the ONA Registration desk.

Keep the white tear-off copy of the Certificate of Successful Completion for your records. Concurrent

sessions will have evaluations in each room. Please complete the evaluations and turn them in to the ONA


Conflicts of Interest:

The planning committee wishes to note that the integrity of the educational activities will not be


Commercial Support:

This seminar received unrestricted educational grants from our Convention Sponsors. Please see the

sponsor listing elsewhere in this program.

Non-endorsement of Products:

The Oklahoma Nurses Association, the Texas Nurses Association and the ANCC COA do not endorse any

product displayed at this seminar.

Off-Label Use:

There is no off-label product use endorsed in conjunction with this seminar.

Approved Provider: #17-285890 B

Oklahoma Nurses Association is an approved joint provider of continuing nursing education by the Texas

Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on



2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

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2017 Oklahoma Nurses Association

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2017 Oklahoma Nurses Association

State Challenges and Perspectives

Wednesday 9 – 10:45 am

Room: University Ballroom

Hear from Oklahoma policy leaders regarding the challenges facing our state when it comes to funding

health care, Medicaid reimbursement, health insurance and APRN FPA. Panelists will discuss the issues

facing health care in Oklahoma from the perspective of the organizations and/or populations they represent.

Invited panelists include:

The Honorable Josh Cockroft, Oklahoma House of Representatives,

The Honorable AJ Griffin, Oklahoma State Senate

The Honorable Lewis Moore, Oklahoma House of Representatives, Chair of House Insurance Committee

Becky Pasternik-Ikard, CEO, Oklahoma Health Care Authority

Vickie White Rankin, ONA Lobbyist, Facilitator

Learning Outcomes

1. Identify critical issues facing policy makers that affect the health of Oklahomans.

2. Describe at least 2 challenges facing the development of health policy at the legislature.

3. Discover what role nurses can play in advocating for Oklahomans


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ONA Issues Forum

Wednesday 11:00 a.m. – 12:00 p.m.

2017 Oklahoma Nurses Association

Room: University Ballroom

Our focus at this year’s Issue Forum will be to discuss the reference proposals: Opioid Epidemic: Addressing

the Growing Drug Overdose Problem and Substance Use Disorder: Alternative to disciplinary action. We will

allow 30 minutes for each discussion.

Rachel Mack, PhD, DNP, APRN, C-FNP, CNE will provide insight on the abuse and misuse of opioids in

Oklahoma. She will also discuss the role RNs and APRNs can play in providing alternatives.

Jenny Barnhouse DNP, RN, CNE, Peer Assistance Program Coordinator at the Oklahoma Board of Nursing

will discuss the Peer Assistance Program on Substance Use Disorder.

Julio Rojas, PhD, LADC (Licensed Psychologist)

Learning Outcomes: At the conclusion of this presentation the participant will be able to:

1. Identify issues related to the Opioid Epidemic

2. Discuss the misuse of opioids in Oklahoma and some potential solutions

3. Share trends related Oklahoma’s PEER Assistance Program

4. Understand Substance Use Disorder and its effect on nursing

5. Discuss the resolution on Opioid Epidemic and Substance Use Disorder

Nurse Planner Session

Wednesday 11:00 a.m. – 1:00 p.m.

Room: Oklahoma Ballroom I

ONA’s Lead Nurse Planner, Elizabeth Diener, PhD, RN, PNP, CNE, will lead this workshop. The focus of the

workshop will include changes to documentation requirements along with other changes being implemented

by TNA and ANCC. As an Approved Provider of continuing education of the Texas Nurses Association we

must abide by these changes. We hope you will join us and learn about these upcoming changes as well in

the greater focus being placed on the ‘learner’ and outcomes. *Lunch included.


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Official Call to the Delegates

To Attend a Meeting of the ONA House of Delegates

Embassy Suites, Norman, Oklahoma

Wednesday, October 18, 2017, 1:30 – 4pm.

From— Polly Shoemake, BSN, MBA, RN, ONA Secretary/Treasurer

This notice constitutes the official call to meeting of the Meeting of the ONA House of Delegates. The

House session will be held Wednesday, October 18, 2017. The House of Delegates will convene at 1:30 p.m.

adjourning at 4pm. Credentialing closes at 1:15 pm so that we may start promptly at 1:30 p.m.

The representation of each Regional Nurses Association established for the 2016 House is as follows:

Region #01 ..............................31

Region #02 ..............................24

Region #03 ..............................25

Region #04 ..............................10

Region #05 ..............................16

Region #06 ..............................25

ONA Board of Directors ................... 15

ONA Affiliates ............................11

Past ONA Presidents

The ONA House of Delegates is composed of member nurses duly elected through secret ballot by

constituent regional members. The House of Delegates also provides a courtesy seat to Past ONA

Presidents and one registered nurse participant from each organizational affiliate.

Each delegate must study the issues thoroughly and is encouraged to participate in Region sponsored

meetings prior to the ONA Annual Convention so that they may engage in open-minded debate, practice

active listening and use the extensive resources and collective knowledge made available throughout these

meetings to assist them in making informed decisions. Prior to the House we will have a session focused

state issues, where we will hear from state leaders on policy issues facing our state. During the Issue Forum,

we will discuss issues related to the work of the association. A registration fee will be assessed for this day,

as lunch will also be included.

Members of the ONA House of Delegates are elected through a regional election process and have

a crucial role in providing direction and support for the work of the state organization. They come to

the House to work towards the growth and improvement of ONA and its constituencies. This requires a

professional commitment to the preservation and creative growth of the professional society at all levels of

the organization. Such a commitment will benefit the individual delegate, the Association and the nursing



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2017 Oklahoma Nurses Association

2017 ONA House of Delegates

Tentative Order of Business

1. Call to Order

2. Pledge of Allegiance

3. Report of the Credentials Task Force

4. Establishment of Quorum

5. Adoption of House of Delegates Standing Rules

6. Adoption of Agenda

7. Introductions

8. Appointment of Committee to Approve the 2017 House of Delegates Minutes

9. Appointment of Timekeeper

10. Address of the President 2016 – 2018

11. Treasurer’s Report and FY 2017 Financial Report

12. Chief Executive Officer’s Report

13. Adoption by General Consent of the 2016-17 Annual Reports

14. Healthy Nurse, Healthy Nation

15. ONA Membership Development

16. Update on Nursing Workforce in Oklahoma

17. New Business

A. Consider Resolution on Opioid Epidemic

B. Consider Resolution on Substance Abuse Disorder

18. 2016 Election Report

19. Installation of 2017 – 2018 Board of Directors

20. Nightingale Tribute

21. Seating of the Delegates for the 2018 House of Delegates

22. Announcements

23. Adjournment


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

House of Delegates Meeting

Proposed Standing Rules

1. Name badge and delegate ribbon shall be worn at all times by the credentialed delegate. The registration

badge is not transferable.

2. A delegate may speak only two (2) times to the same question on the same day. Speaking time is limited

to three (3) minutes per delegate however the delegate may be granted permission to speak longer by a

two-thirds vote of the delegation. A delegate may not speak a second time to a question until all other

delegates who wish to speak have done so a first time.

3. Non-delegate ONA members may speak one (1) time to a question for a maximum of two (2) minutes.

Non-delegate members must identify themselves as a non-delegate; provide their names and the regions

they represent.

4. All main motions and amendments from the floor shall be in writing signed by the maker and seconder,

and sent to the chair immediately after being proposed. Only credentialed delegates may propose or

vote on motions.

5. Resolutions and business items listed on the agenda shall be approved by a majority (>50%) of the

delegates present at the time of the vote.

6. All resolutions that are substantive, of a non-emergency nature and which have NOT been forwarded to

the ONA office nor listed on the agenda prior to the House of Delegate meeting must receive a threefourths

(3/4) vote for consideration and a two-thirds (2/3) vote for adoption by the House of Delegates.

7. Any subject that was not known prior to October 1 may be introduced as a main motion when the New

Business section is reached on the Agenda. Such motion shall be subject to the Standing Rules.

8. The total time allowed for debate for each proposed amendment to the Bylaws shall be limited to 15

minutes. Time may be extended with a two-thirds (2/3) vote.

9. The total time allowed for debate on each proposed resolution shall be limited to 20 minutes. Time may

be extended with a two-thirds (2/3) vote.

10. The total time allowed for debate on each proposed amendment to the rule and/or regulation shall be

limited to 20 minutes. Time may be extended with a two-thirds (2/3) vote.

11. House of Delegate business interrupted by a recess of the meeting shall be resumed at the point of



2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

Oklahoma Nurses Association

2017 House of Delegates


SUBJECT: Opioid Epidemic: Addressing the Growing Drug Overdose Problem

INTRODUCED BY: ONA Board of Directors

Summary: Opioid dependence and associated drug-related overdose and deaths are serious public

health problems that are catalyzing lawmakers across the political spectrum to demand action. Deaths

from drug overdose have risen steadily and have become the leading cause of injury death in the

United States. Registered nurses are on the front lines of addressing this problem, helping patients

to understand the risks and benefits of pain treatment options, including ones that do not involve

prescription pain medications. APRNs could significantly increase access to medication-assisted

treatment (MAT) if certain restrictions were lifted. The U.S. Department of Health and Human Services

(HHS) has identified the opioid abuse problem as a high priority and launched an initiative focused on

three broad goals: 1) reducing opioid overdoses and overdose- related mortality; 2) decreasing the

prevalence of opioid use disorder; and, 3) advancing non-opioid pain management alternatives.

WHEREAS, Deaths from drug overdose have risen steadily over the past two decades and drug overdose

has become the leading cause of injury death in the United States, and

WHEREAS, According to the U.S. Centers for Disease Control and Prevention opioids, including prescription

painkillers, were factors in more than 33,000 deaths across the U.S. in 2015, and opioid overdoses have

more than quadrupled since 2000, and

WHEREAS, Since 2009 more Oklahoma residents have died from opioid-related deaths than in vehicle

crashes according to the Oklahoma Attorney General Mike Hunter, and

WHEREAS, Oklahoma is one of the leading states in prescription painkiller sales per capita, with 128

painkiller prescriptions dispensed per 100 people in 2012 according to an Oklahoma State Report entitled,

2016 Reducing Prescription Drug Abuse In Oklahoma, and

WHEREAS, Naloxone (Narcan) is a life-saving medication that rapidly blocks the effects of opioids when

signs and symptoms of a prescription opioid or heroin overdose first appear, which is currently available

without a prescription in the state of Oklahoma, and

WHEREAS, the Oklahoma Nurses Association (ONA) has supported the Governor’s efforts to reduce

prescription drug abuse in Oklahoma, and

WHEREAS, the ONA has also worked with regulatory entities and licensing boards to encourage prescribers

to enroll in the Oklahoma Prescription Monitoring Program, and

WHEREAS, Oklahoma Attorney General Mike Hunter sued more than a dozen manufacturers of opioid pain

medication, alleging that deceptive marketing campaigns by the drugmakers have fueled the state’s opioid

epidemic, and


2017 Oklahoma Nurses Association

WHEREAS, the Oklahoma Commission on Opioid Abuse has been created by the Legislature to develop

a comprehensive plan that will deal with prevention, interdiction and access to treatment. This commission

is to be chaired by AG Mike Hunter and includes nine other members including a registered nurse to be

appointed by the Senate, and

WHEREAS, Registered nurses (RNs), who often are the care providers best equipped to assess a patient’s

pain and need for pharmacologic pain relief, are on the front lines of addressing this problem, and

WHEREAS, APRNs, whose advanced education (including advanced pharmacology) prepares them to

assume responsibility and accountability for assessment, diagnosis, and management of patients’ problems

(including the use and prescription of pharmacologic interventions), play a critical role.

THEREFORE BE IT RESOLVED that the Oklahoma Nurses Association continue to work and advocate in

the following areas:

• Opioid prescribing practices to reduce opioid use disorders and overdose;

• Expansion in the use of Medication Assisted Treatment to reduce opioid use disorders and overdose,


• State funding for behavioral health services

Background – See the following:

• ANA Issue Brief on The Opioid epidemic: Addressing the growing Drug Overdose Problem

Oklahoma State Report, 2016 Reducing Prescription Drug Abuse In Oklahoma

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2017 Oklahoma Nurses Association

Oklahoma Nurses Association

2017 House of Delegates


SUBJECT: Substance-use disorder: Alternative to disciplinary action.

INTRODUCED BY: ONA Board of Directors

Summary: In 2015, more than 20 million individuals were diagnosed with a substance-use disorder

(SUD) which is defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as

“recurrent use of alcohol or other drugs that causes clinically and functionally significant impairment,

such as health problems, disability, and failure to meet major responsibilities at work, school, or home”

(Surgeon General, 2015), ranging from abuse to dependency. The American Society of Addiction

Medicine has defined addiction as “a primary, chronic disease of brain reward, motivation, memory,

and related circuitry…[that] leads to characteristic biological psychological, social, and spiritual

manifestations.” SUD is a progressive and chronic disease that left untreated can be fatal. It does not

discriminate according to economic class, age, ethnic background, or gender. Evidence suggests the

prevalence of substance-use disorder among nurses is similar to that of the general population. It is

estimated that the yearly economic impact of substance misuse is $249 billion for alcohol misuse and

$193 billion for illicit drug use. The National Council of State Boards of Nursing released a manual

to provide practical guidelines for clinicians, educators, policymakers and public health professionals

to implement an approach that focuses on an alternative-to-discipline (ATD) programs. The ATD

approach has shown to be effective in treatment of health professions with substance-use disorders,

and are considered a standard for recovery, with high rates of completion and return to practice. In

addition, ATD programs have shown to identify and enroll more nurses with SUDs, with potentially

greater impact on protecting the public than disciplinary programs.

WHEREAS, Deaths from drug overdoses have risen steadily over the past two decades and drug overdose

has become the leading cause of injury death in the United States, and

WHEREAS, According to the U.S. Centers for Disease Control and Prevention opioids, including prescription

painkillers, were factors in more than 33,000 deaths across the U.S. in 2015, and opioid overdoses have

more than quadrupled since 2000, and

WHEREAS, Evidence suggests the prevalence of substance use disorder among nurses is similar to that of

the general population potentially placing patients, the public and nurses themselves at risk for serious injury

or death, and

WHEREAS, New research on alcohol and drug use, and addiction, has led to an increase of knowledge and

to one clear conclusion: Addiction to alcohol or drugs is a chronic but treatable brain disease that requires

medical intervention, not moral judgment, and

WHEREAS, Addiction is not personal weakness, a lack of character or willpower, and

WHEREAS, Drug diversion, in the context of personal use, should be viewed primarily as a symptom of a

serious and treatable disease and not exclusively as a crime, and


2017 Oklahoma Nurses Association

WHEREAS, Research has shown that disciplinary processes are not an effective strategy in mitigating

substance-related risks. Disciplinary processes may lead to suspension or revoking of nursing license,

termination of employment resulting in loss of health insurance, in addition legal charges may be filed with

possible prosecution and/or incarceration thus resulting in a criminal record possibly prohibiting future

employment as a nurse, and

WHEREAS, Alternative-to-discipline (ATD) approach, nurses are able to remain active in nursing while being

monitored and can continue to work which enhances their financial status, further supporting recovery, and

WHEREAS, Oklahoma already has an Alternative-to-Discipline program known as PEER Assistance

managed by the Oklahoma Board of Nursing. The PEER Assistance program is designed for evaluation

and treatment, monitor the nurse’s compliance with treatment and recovery recommendations, monitor

abstinence from drug or alcohol use, and monitor their practice upon return to work.

THEREFORE BE IT RESOLVED that the Oklahoma Nurses Association continue to work and advocate in

the following areas:

• Ensure that nurses in Oklahoma continue to have access to the PEER Assistance program a proven

and effective Alternative-to-Discipline program.

• Encourage health care facilities to provide education to nurses and other employees regarding

alcohol and other drug use, and to establish policies, procedures, and practices promoting safe,

supportive, drug-free workplaces.

• Advocate that health care facilities adopt alternative-to-discipline (ATD) practices that provide for

retention, rehabilitation, and re-entry into safe, professional practice for the nurse.

• Ensure that nurses are aware of the risks associated with substance use, impaired practice, and drug

diversion, and have the responsibility and means to report suspected or actual concerns with out fear

of retribution by facility administration.

Background – See the following:

• http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environment/Opioid-



2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

Networking Opportunities

Networking Reception & Meet the Poster Presenters

Wednesday 4:30 p.m. (After the House of Delegates)

Room: Oklahoma Ballroom G-H

Join us for a Networking Reception with the ONA Board of Directors. This is a great opportunity to network

with nurses from across the state and visit with this year’s Poster Presenters. Light refreshments provided.

Evening Gathering Hosted by Region 1

Wednesday 8-10pm

Room: TBA

Not quite ready to call it a night? Join convention attendees for a casual evening gathering for drinks, light

refreshments and great conversation!

Let Your Voice Be Heard!

Mark your calendar:

Legislative Day: Nurses Day at the Capitol – February 27, 2018

Legislative Day for Nurses at the Capitol provides you with the opportunity

to get involved and make a difference in issues facing nursing and healthcare in Oklahoma.

ONA encourages all Nurses and Nursing Students to get involved in the legislative

process and to attend the Nurses Day at the Capitol.

Nurse of the Day 2018

Legislative Session: February – May

*Online registration beginning in December 2017.


2017 Oklahoma Nurses Association

2017 Poster Abstract Presentations

Wednesday & Thursday 8 a.m. to 4:00 p.m.

Room: Oklahoma Ballroom G-H

Thursday – Meet the Presenter/Poster Discussion 9:30 – 10:00 a..m.

*Listed in alphabetical order by presenting author

Non-Fatal Strangulation

Kathy Bell MS, RN

Strangulation during sexual assault predicts increased PTSD symptoms six weeks after assault

Kathy Bell MS, RN

Improving Oklahoma’s Health Status: Examining a Comprehensive “Smoke-free” Policy for


Cherlynn Bowlan, MSN, BSN, RN

Nurse Bullying Training In Acute Care Hospital Settings: An Exploratory Study

Dr. Phyllis Browning, DHA, BSN, RN

Improving Sleep Quality in the ICU with Earplugs

Sheryl Buckner, PhD, RN, ANEF; Remi Blackburn, Kathleen Grybowski, Bora Lee, Bethany Munding, OU

Senior ABSN Students

Discharge for Success

Cindy Carreno RN, MS, CRRN; Teri Reed RN, BSN, CRRN

Managing Sepsis on the Inpatient Rehab Unit

Cindy Carreno RN, MS, CRRN; Teri Reed RN, BSN, CRRN

Improving Oklahoma’s Health Status: Addressing Uninsured Women in Oklahoma

Whitney Cole, RN

The Effect of the Crew Intervention on Faculty-to-Faculty Incivility in Nursing Education: A Quality

Improvement Project

Leslie Collins, DNP, MS, RN

Cultural Skills: Survival Spanish in the Context of Cross-Cultural Care

Anna Duran MS, RN

How Men in Nursing Navigate Touch-Driven Care

Christine Fisher, MSN, RN; Jane Lowrey, MSN, RN

Antimicrobial Stewardship Project in Oklahoma

Susan Fryrear, BSN, RN; Lena Maxwell, BSN, RN, CNOR


2017 Oklahoma Nurses Association

Health Career Discovery Day: A partnership between healthcare organizations and high school

students pursuing health-rated careers

Meredith Hines, MSN, RNC-MNN, CNL, Director, Clinical Excellence, OU Medical System

Improving Oklahoma’s Health Status: Reducing Risks of Obesity in Oklahoma with Promotion of

Breastfeeding Practices

Janice D. James, BSN, RN

Service-Learning in Nicaragua: Post Service-Learning Reflection

Linda Lyons Coyle, MS, RN, CNE

Evidenced Based Nursing Practice- Cleaning the Grey Zones of Hospitals to Prevent HAI’s

Brandy Moore, RN Infection Preventionist

Improving Oklahoma’s Health Status: Policy Changes to Promote Reduction in Excessive Alcohol

Consumption by Increasing Alcohol Taxes in Oklahoma

Warongrong Nilphet, MSN,BSN, RN; Dorcas Otieno, MSN, RN

Changing the Stigma of Mental Health. It Starts With Us.

Amy M. Richards, PhD(C), MSN, BSN, RN

Weighted Blankets and Health Outcomes for Older Adults: A Literature Review

Carol Rogers, PhD, RN; Amanda Dennis, Jennifer Haney, Valeria Morris, Erick Pilloca, all Student Nurse;

Stephanie Marfurt, PhD, RN, Shari Clifton, MLIS, AHIP

Angle Tolerance Testing and Positioning

Lacy Smith, CCRN-NIC, CPST

Needs Assessment and Mentor Program Development for a Midwestern University

Mindy Thompson DNP, RN, CNE

The Experience of Nursing Faculty Teaching from the Heart

Nancy J. Vitali, MS, DCS, RN, Caritas Coach

Improving Oklahoma’s Health Status: Oklahoma Food Safety Policy Improvements

Phatchanun Vivarakanun, BSN, RN


2017 Oklahoma Nurses Association


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2017 Oklahoma Nurses Association

Nursing’s Voice in Healthcare Reform

Pam Cipriano, PhD, RN, NEA-BC, FAAN

Thursday 8:00 – 9:30 a.m.

Room: University Ballroom

Dr. Pamela Cipriano is the 35th president of the American Nurses Association (ANA), the

nation’s largest nurses organization representing the interests of the nation’s 3.6 million

registered nurses.

A distinguished nursing leader, Dr. Cipriano has extensive experience as an executive in

academic medical centers. In 2017, she was named one of the “Top 100 Most Influential

People in Healthcare” by Modern Healthcare magazine for the third year in a row. In

2015, the publication also named her as one of the “Top 25 Women in Healthcare.”

Prior to becoming ANA president, Dr. Cipriano was senior director for health care

management at Galloway Consulting. She has served in faculty and leadership positions at the University of

Virginia (UVA) since 2000, and currently holds a faculty appointment as research associate professor at the

UVA School of Nursing.

Dr. Cipriano is known nationally as a strong advocate for health care quality and has served on a number

of boards and committees for high-profile organizations, including the National Quality Forum and the Joint

Commission. Dr. Cipriano was the 2010-11 Distinguished Nurse Scholar-in-Residence at the Institute of


Dr. Cipriano has been a longtime active member in ANA at the national and state levels. She was the

recipient of the association’s 2008 Distinguished Membership Award for her outstanding contributions

to ANA and was the inaugural editor-in-chief of American Nurse Today, the official journal of the American

Nurses Association, from 2006-14.

Dr. Cipriano is certified in advanced nursing executive administration. She holds a PhD in executive nursing

administration from the University of Utah College of Nursing, a master of nursing degree in physiological

nursing from the University of Washington, and a bachelor of science in nursing degree from American

University. She was inducted into the American Academy of Nursing as a fellow in 1991.

About the presentation: President Cipriano will discuss challenges facing nursing in our changing political

environment. During her presentation she will discuss contemporary nursing issues and trends. She will

also discuss ANA’s position on national issues including the recent Affordable Healthcare Act debate and the

alignment of ANA’s principles for health care reform. President Cipriano’s presentation provides insight on

ways you can advocate for nursing and the profession.

Learning Outcomes:

1. Identify contemporary nursing issues and trends,

2. Discuss ANA’s principles for health care reform; access, cost, quality and workforce.

3. Understand the importance of being engaged with policy makers


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session I

Thursday 10:00 – 11:00 a.m.

Nurses Improving Care for Health System Elders (NICHE)

and Long Term Care/Skilled, Post Acute Care

Presented by: Joanne Alderman, MS-N, APRN-CNS(c), RN-BC, FNGNA; Cathy Tabor, LPN, GRN

Room: University Ballroom

The Eldercare Workforce Alliance (2015) communicates that the direct care staff in our nursing homes, the

certified nurse aide, lack confidence and the inclusion of comprehensive geriatric education and training

continues to be inadequate.Nurse Aides provide 70-80% of “hands-on” care in Long Term Care. Geriatric

principles and competencies are not sufficiently represented in schools of nursing curricula. The Nurses

Improving Care for Health System Elders (NICHE) Program was introduced to the first two Nursing Homes

in the country (not affiliated with hospitals) to provide a Geriatric Education Program. The purpose was to

provide a Geriatric Program, improve care of the older adult, provide principles, competencies, and tools.

The instructors encouraged the staff to embrace Evidence Based Practice (EBP) and ultimately, achieve

patient/family centered care for older adults. As we wrote the Grant, we embraced the Institute of Medicine

(IOM) reports of 2001 and 2008. It is imperative that we prepare the healthcare workforce with skills and

new models to improve quality of care and this includes our nation’s nursing homes, assisted living, and

home health agencies. Teaching geriatric education across the continuum addresses prevalent problems

experienced by the older adult by having the student understand Geriatric Syndromes. Additionally, having

the ability to anticipate/recognize avoidable problems, implement preventive/therapeutic interventions and

having an in-depth knowledge of subtle geriatric presentations. Data and Quality Goals were compiled

at the end of 2015 and 2016. We followed Falls-with and without serious injury, Urinary tract Infections,

Unnecessary Hospitalizations and Pressure Ulcers.”The nurse armed with information on the unique ways

in which older adults present with subtle signs and symptoms may actually avert complications. Additionally,

the nurse equipped with knowledge about and implementation of proactive assessment and interventions

may actually prevent these complications in the first place.” Boltz, Capezuti, Fuler & Zwicker, (2012)

Learning Outcomes:

1. Recognize the necessity of Geriatric Education in LTC

2. Define the importance of identifying subtle geriatric syndromes


2017 Oklahoma Nurses Association


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2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session I

Thursday 10:00 – 11:00 a.m.

Hooking a New Grad is Easy, but How do you Keep them on the Line?

Presented by: Stacie Merritt, MSN, RN-BC, RN-BC

Room: Oklahoma Ballroom I

Offering a nurse residency program often works as bait on a hook to bring the new graduate through the

door, yet turnover rates within the first year of employment can be as high as twenty-five percent (Spector et

al, 2015) with the majority of nurses resigning due to an enable to assimilate clinically and socially within their

new role (Kramer et al, 2014). What are we as a profession doing wrong?

Boychuk-Duchscher’s Stages of Transition Theory suggests the new graduate nurse requires as much

as twelve months of ongoing support (Duchscher, 2008). The National Council State Board of Nursing

recommends a standardized six to twelve-month integration program (Spector et al, 2015). Hospitals are

often well equipped with Nursing Professional Development Specialists. These individuals touch the lives

of the new graduate nurse in a specific and meaningful way, yet for good or bad, every single person a new

nurse meets will play a role in their development.

Nursing peers at bedside who understand the transition to practice period and possess a basic skill set of

adult learning principles will be better equipped to aid the graduate nurse as they assimilate clinically and

socially into their new professional role.

Learning Outcomes:

1. Discuss barriers to clinical and social assimilation into the nursing profession for new graduate


2. Verbalize the key components of transition during the first 12 months of employment using the

Boychuk-Duscher Transitional Stages Model

3. Apply basic adult learning principles that can be used to promotion professional growth and

development for the new graduate nurse.


2017 Oklahoma Nurses Association

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2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session I

Thursday 10:00 – 11:00 a.m.

The Practice of Mindfulness Meditation as a Self-Care Activity by Nursing

Educators and Students Perception of Faculty Caring

Presented by: Vanessa F. Wright, PhD, RN

Room: Oklahoma Ballroom J

Caring for self and other is recognized as interdependent and central to the nursing profession. Despite

caring being central to the nursing profession, many nurses neglect self-care causing an increased risk

for experiencing burnout, exhibiting uncivil behaviors, and leaving the profession of nursing. Mindfulness

Meditation (MM) is a holistic form of intentional self-regulation, which allows the individual practicing to

be present in the moment, focusing on intentional/conscious breathing. Jean Watsons Theory of Caring

CD consists of guided meditation (healing psalms) lasting between 3-7 minutes that can be incorporated

into nurses’ daily self-care regimen. MM implemented through the lens of Watson’s Caring Science may

transform self (the nurse), resulting in a transformation of professional practice.


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session II

Thursday 12:30 – 1:30 p.m.

Unconscious Bias and Gender Neutral Communication in Healthcare

Presented by: Tonie Metheny, MS, RN, CNE

Room: University Ballroom

Nurses across all areas of the healthcare spectrum are responsible for providing competent care to patients

who identify as lesbian, gay, transgender, or bisexual (LGTB). The percentage of the national population

that identifies as LGTB is on the rise, having grown from 3.5% of the population in 2012 to 4.1% in 2016

(Gates, 2017). The increased number of persons within this population places a pertinent demand that

nurses become fluent in caring for and communicating with this population. However, many nurses have

not received adequate training on proficient measures for providing competent nursing care. Additionally,

nurses who are thrust into caring for LGTB patients without preparation may not have the ability to socially

or psychologically understand the culture and background of the patient, or the biases of the nurse and

healthcare system (Bonvicini, 2017). Many nurses would likely find that they hold unconscious biases against

LGTB patients, if assessed using the Implicit Association Test. Unrealized biases drastically increase the risk

that the nurse will not provide equitable care across patient populations.

The lack of training and resources available increase a nurse’s likelihood of alienating a patient by

misunderstanding the culture of this population and ultimately providing insensitive nursing care (Bonvicini,

2017). Populations who feel alienated in the healthcare system tend to avoid receiving preventive care

measures or routine health checks. This causes vulnerability and health disparities through increased rates of

chronic diseases, poorer health status, and long-term disabilities.

Our presentation will equip nurses to provide more competent nursing care for LGTBQ patients by guiding

them in identifying unconscious biases towards this population and introduce them to the topic of gender

neutral communication.

Learning Outcomes:

1. Discuss the relationship between unconscious bias and health disparities among the LGTBQ


2. Identify the benefits of adopting gender-neutral communication into practice.

3. Understand how to appropriately use gender-neutral pronouns in conversation.


2017 Oklahoma Nurses Association

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2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session II

Thursday 12:30 – 1:30 p.m.

Nursing Meets Smart Technology

Presented by: Carol A. Mannahan, EdD, RN, CNE, NEA-BC; Theodore A. Metzler, BA, MS, MA, MA, Ph.D.

Room: Oklahoma Ballroom I

Technology using Artificial Intelligence (AI) and robotics, often called “smart” technology, currently is

becoming dramatically more capable of performing the same work now performed by professional human

beings (including nurses). The culture of the business world is disposed to replace human workers wherever

it finds that smart automation is cost-effective. However, there is credible evidence that such replacement

of human employees with smart technology can fail to be an optimal strategy in terms of performance

and productivity; in fact, a general case can be made for the proposition that humans working with AI/

robotics demonstrably can outperform either humans or machines working alone. Moreover, it is unwise

(and can be dangerous) for people passively to allow themselves to become dependent upon AI systems

that replace human cognitive functions – and to allow themselves also to lose (or not even bother to gain)

their understanding of those functions (a process known as “deskilling”). Some occasional exceptions

notwithstanding, it is naïve for one simply to assume that other people who are designing, building, and

deploying smart technologies for healthcare always will adequately cover the possible ways in which superior

synergistic relationships between humans and smart machines may be realized.

Learning Outcomes:

1. Review and assess smart technology (i.e., technology incorporating Artificial Intelligence (AI) and/

or robotics), emphasizing its present and likely future interactions with professional clinical and

educational nursing practice.

2. Identify positive potentials as well as negative possibilities presented by this novel and growing type

of healthcare technology.

3. Recommend actions by which nurses proactively may help shape smart healthcare


2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session III

Thursday 1:45 – 2:45 p.m.

Effectiveness of an Educational Intervention on Healthcare and Nursing

Student Knowledge, Confidence, and Skill in response to Workplace Violence

Presented by: Janice Carr, DNP, RN, CNE

Room: University Ballroom

Nursing professionals frequently encounter workplace violence in the healthcare setting. As a result of these

situations, nurses and nursing students need to learn how to respond appropriately. An evidence-based

practice educational intervention was developed to address the issue. Knowledge and confidence in coping

with aggressive patient behaviors as well as skills in de-escalation were assessed using a pretest-posttest

design. Nursing and other healthcare students attended a five-hour training course on workplace violence

prevention. Students completed Thackrey’s Confidence in Coping with Patient Aggression Scale, a selfdeveloped

knowledge assessment of workplace violence strategies, and the De-escalation of Aggressive

Patient Behaviors Scale prior to and immediately after completion of the educational training that included

simulation. The mean score change in student confidence increased from 5.4 in the pre-training to 7.3

post-training with a paired t-test finding indicating statistical significance (p < .001). Additionally, student’s

knowledge scores increased from a 32% to a 76% average test score after the training with a demonstrated

statistical significance (paired t-test, p < .001). Finally, mean scores for de-escalation of aggressive patient

behavior increased from 3.1 to 3.9 after the training intervention. A paired t-test indicated a statistically

significant change (p = .005). This five-hour training course demonstrated that student’s knowledge,

confidence in coping with aggressive patient behavior, and de-escalation skills increased after the

educational intervention. Recommendations include adding this EBP training module to nursing and other

healthcare curricula in the academic setting and providing WPV training for all healthcare employees.

Learning Outcomes:

1. Identify extent and potential for workplace violence (WPV) in healthcare settings.

2. Discuss personal experiences with WPV and impact on healthcare providers, visitors, and patients.

3. Review evidence of best practices for the prevention of WPV in healthcare settings.

4. Discuss processes needed to implement Evidence Based Practice (EBP) Projects in academic and

clinical settings.

5. Identify Barriers and Challenges in EBP implementation, including methods to overcome barriers and

challenges of healthcare technology.

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2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session III

Thursday 1:45 – 2:45 p.m.

The Enhanced Nurse Licensure Compact: Unlocking Access to Nursing Care

Across the Nation

Presented by: Gayle McNish, RN, MS, Ed.D

Room: Oklahoma Ballroom I

In 1999, the first state passed Nurse Licensure Compact legislation. By 2015, 25 states had passed this

legislation, but many of the remaining states were unable to join the Nurse Licensure Compact for various

reasons. To address these issues, the National Council of State Boards of Nursing convened meetings

among Nursing Board Executive Directors to consider the best possible licensure model. The result of

these meetings was the development of a new Compact – the Enhanced Nurse Licensure Compact (eNLC).

Oklahoma has passed legislation to become a part of the eNLC as soon as 26 states have enacted the eNLC

legislation or on December 31, 2018 (whichever comes first). In this presentation, you will learn more about

the history of mutual recognition and licensure compacts, and the development of the eNLC. In addition, you

will hear about key components of the eNLC, how it differs from the current Nurse Licensure Compact, and

the process for implementation. We will discuss the eNLC uniform licensure requirements that must be met

for a nurse to be eligible for a multi-state license, and the process for application. Finally, you will have an

opportunity to consider the impact of the eNLC on Oklahoma health care and nursing.

Learning Outcomes:

1. Describe key components of the Enhanced Nurse Licensure Compact (eNLC).

2. Differentiate the current Nurse Licensure Compact used in some states from the newly developed


3. Discuss the process for implementation of the eNLC throughout the United States and in

Mark your calendars now for the ONA

110th Annual Convention

October 24th & 25th, 2018

Hyatt Regency Hotel ~ Tulsa, OK


2017 Oklahoma Nurses Association

Concurrent Sessions

Breakout Session IV

Thursday 3:00 –4:00 p.m.

Overcomer! Thriving Through Professional Challenges

Presented by: Dean L. Prentice, DHA, Col, USAF, NC BSN, MA, NE-BC

Room: University Ballroom

As nurse leaders, our lives have prepared us for caring for our patients and providing the best nursing

care possible. The world of leadership is a new journey we take and at times, we seem to fail more than

we succeed. When those failures seem to compound, how do you motivate yourself to get back into the

fight and continue to work? When it seems all are against you, when do you quit? Your professional life

is an extension of you and you need to know practical ways you can maneuver over obstacles, combat

disappoints do they don’t define you, determine when you are part of the challenge to your success, and

how do you change your leadership and behaviors to ensure you are an overcomer!

Learning Outcomes:

1. Describe the status of Health Care Providers’ health.

2. Discuss the effects of humor on the health and well-being.

3. Distinguish between appropriate and inappropriate humor.

4. Develop an action plan to incorporate humor into personal and professional domains

Humor as Medicine

Presented by: Mindy Thompson, DNP, RN, CNE; Jennifer O’Connor, MS, RN, CFCN, CNE

Room: Oklahoma Ballroom I

Healthcare workers are in a crisis of health: our own. Healthcare costs are higher than most workers are

and are more likely to be diagnosed with asthma, obesity and depression. Workplace stressors can have

detrimental effects on healthcare providers’ physical, psychological and professional health. Both chronic

and traumatic stressors can lead to job dissatisfaction, burnout and compassion fatigue. Symptoms

of burnout and compassion fatigue include, exhaustion, sleep disturbances, headaches, anxiety, and

depression. Professionally, healthcare providers may feel detached from their patients, leading to decreased

patient satisfaction and poor patient care. Humor can act as a buffer for stressors in the workplace. People

with coping humor react to stressors in a more positive manner. A sense of humor has been correlated

with decreases in anxiety and other PTSD symptoms, as well as overall mortality rates. This presentation

showcases ways healthcare providers and healthcare systems can increase coping humor. Using humor in

the workplace may increase job satisfaction and patient care as well as mediate job stressors.

Learning Outcomes:

1. Describe the status of Health Care Providers’ health.

2. Discuss the effects of humor on the health and well-being.

3. Distinguish between appropriate and inappropriate humor.

4. Develop an action plan to incorporate humor into personal and professional domains.


2017 Oklahoma Nurses Association

2018 Exhibitors


Grand Canyon University

Great 100 Nurses Organization

Healing Touch in Oklahoma


Northeastern State University

Northwestern Oklahoma State University

Nursing Times

Oklahoma League for Nursing

Oklahoma Medical Reserve Corps

Oklahoma State University College of Education, Health and Aviation

Select Specialty Hospital

St. Gregory’s University

The Gideons International


Your Patient Boards


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association


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2017 Oklahoma Nurses Association


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2017 Oklahoma Nurses Association

2017 Board of Directors

& Region Presidents

Elected Officers

President – 2016 - 2018

Joyce Van Nostrand, PhD, RN

VICE PRESIDENT – 2015 - 2017

Elizabeth Diener, PhD, BSN, MSN

PRESIDENT-ELECT – 2016 - 2018

Karen Ann Taylor, DNP, APRN-CNP, PMHNP-BC


Polly Shoemake, RN

Membership Development Director

Shelly Wells, PhD, MBA, MS, APRN-CNS


Amy Hutchens, MS, RN, CNE


Jennifer Booms, RN

Region Reps/Presidents

REGION 1 President/Rep

Lucas Richardson-Walker, BSN, RN

REGION 2 President

Brandi Payton, BSN, RN

REGION 3 President

Angela Martindale, PhD(c), MS, RN

REGION 6 President/Rep

Viki Saidleman, RN



ONA Consultant to ONSA

Dean Prentice, DHA, Col, USAF, NC BSN, MA, NE-BC


Martha Hernandez, DNP, APRN, PMHCNS/NP-BC


ShyRhonda Roy, MS, RN


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

ONA Committees

Elizabeth Diener, Chair

Shawna Boland

Convention Committee

Joe Catalano

Eileen Grubbs

Dean Prentice

Amy Richards

Joyce Van Nostrand

Jerod Waters, Chair 2017

Jessica Johnson, Chair 2018

Nominating Committee

Teressa Hunter

Polly Shoemake

Linda Merkey - 2018

Theresa Gray - 2018

Martha Hernandez, Chair

Aletha C. Bigham

Lana J. Bolhouse

Melissa Ann Craft

Patricia Darnel

Christine Diltz

Susan Dresser

Deborah Ellen

Melissa Franco

Kim Glazier

Teressa Hunter

Melissa Kelly

Government Activities Committee

Trip Kuper

Katie Lamar

Victor Long

Leah Melton

Dianne Miller-Boyle

Gina Newby

Erin Ogee

Toni Pratt Reid

Amy Richards

Marla Smith

Rosemary Spring

Karen Taylor

Mindy Thompson

Joyce Van Nostrand

Jackye Ward

Shannon Ware

Francene Weatherby

Lindsey West

Mary Tate Westman

Larcile White

Vickie White Rankin

Kim Williams

Deborah Wipf

ShyRhonda Roy, Chair

Kay Lee Barnes

Cindy L. Barnhill

Karen D. Cotter

Clare E. Delaney

Linda T. Fanning

Rebecca G. Frender

RuthAnn Fritz

Ragina L. Holiman-James

Practice Committee

Angie Kamermayer

LaTonya Mason-Wilson

Leah Melton

Kim M. Lynch

Lori Ormsby

Kim Pointer

Lisa Rother

Teri R. Round

Lynn Sandoval

Margaret Selby

Gina Stafford

Jackye L. Ward

Shannon D. Ware

Mary Tate Westman

Larcile White

Jamesha R. Williams

Kimberly A. Williams


2017 Oklahoma Nurses Association

President’s Report

In some respects, this past year has zipped by! ONA has been active at the national,

state, and local/regional levels. Challenges were addressed, work progressed on

identified needs, and new ventures and directions were explored. Here are some

significant highlights.

At the annual November retreat, the board members assessed the findings of a

Personality Colors exercise, and confirmed that complementary strengths were

evident, which in turn indicated the actual and potential board strengths. The board

reviewed the ONA mission, vision, brand promise, and values. A new strategic plan was

collaboratively developed that focused on engaging members, promoting a culture of

wellness, and empowering nurses to advance the profession. Progress and attainment of outcomes were

reflected in an updated Dashboard Report at each board meeting.

Engagement of members was evident in the social media and local areas. Facebook numbers and Twitter

followers have increased. ONA staff and board members responded to requested presentations and

interviews. Active regions offered meetings, speakers, and activities. With the end of the pilot with ANA, the

ONA only membership option was reinstated. Member engagement was also seen in the wellness, political,

and board/committee appointments areas.

A Culture of Wellness primarily reflected the Healthy Nurse, Healthy Nation (HNHN) effort. Each board

member modeled their support and adoption by setting a personal and professional goal, and identifying

outcome measures. These were shared in the last issue of The Oklahoma Nurse. At the Membership

Assembly, ONA joined HNHN as an organizational supporter. Monthly topics, resources, and webinars were

shared at board and regional meetings. Healthy work environments were promoted, and updated information

about work concerns was gathered from ONA voters submitting a candidate ballot.

Empowering nurses to advance the profession was a huge area of ONA work. Within the political arena,

numerous nurses engaged legislators, particularly new ones, at the local and state levels. An APRN toolkit

was developed specifically to assist advanced practice and all nurses in general to use in advocating for

full practice authority (FPA). More nurses than ever before committed to being Nurse of the Day at the State

Capitol. Nurses Day at the Capitol was again a success regarding learning vital communication tips and

strategies from our ONA lobbyist, Vickie White-Rankin, and then practicing them by visiting legislators at the

Capitol. An ONA President’s opinion article was run by a large Tulsa newspaper and shared by other state

groups with their readers. Nurses’ engagement and empowerment resulted in passage of FPA by the House

and a significant revised insurance bill that originally threatened all previously approved health entitlements.

Several other empowerment efforts deserve mention. The Membership Development Committee was

operationalized. Guidelines and example by-laws were developed for creating chapters within regions.

Recruitment and sharing information with potential chapter nurses are the next steps. ONA suggested

candidates for appointments to various boards and committees.

ONA was also active at the ANA level. Significant by-law changes were voted on in the Membership

Assembly. Practice issues were discussed and subsequent recommendations and activities were identified

for ANA work during the next year. Additionally, an Oklahoma team visited our Oklahoma legislators at the

federal level.


2017 Oklahoma Nurses Association

As evidenced by these highlights, ONA was quite active. Guided by the strategic plan and this New Era in

Healthcare, individual and collaborative ONA efforts will continue this next year, particularly as related to

FPA, chapter building, and wellness. Spread the word about ONA and assist colleagues to join in and benefit

from our ONA efforts!

Lastly, many thanks go to the ONA staff, Candice and Jane, the Board of Directors, and all of you ONA

members who supported ONA this past year. Each one of you was essential in what was accomplished,

whether that was being directly involved or indirectly through dues support. Together we can engage

members, promote a culture of wellness, and empower nurses to advance the profession!

Joyce A. Van Nostrand, PhD, RN, CNE

President, Oklahoma Nurses Association


2017 Oklahoma Nurses Association

CEO Report

This has been a fantastic year for ONA! Last year, during our convention, we discussed

advocacy and ways that nurses could be involved in advocacy issues at the local, state

and national level. It is quite exciting to me that you took this message and put it into

action. As a result, we increased the number of nurses participating in our Nurse of

the Day program by 47%, providing us with nurses at the Capitol almost every day

last session.

We also experienced other successes, such as the passage of HB 1013, the APRN FPA

legislation, in the House of Representatives by a wide margin. Legislators heard nurses’

voices and responded. However, in the Senate, the Committee Chair failed to hear HB

1013, laying it over into the 2018 Legislative Session. Our legislative authors are making plans to move it

forward in the coming legislative session. Insurance was another area of success.

ONA partnered with other health care providers to form the Health Care Coverage Coalition. This group is

comprised of organizations such as Leading Age, the Hospital Association, Academy of Family Physicians,

Alzheimer’s Association, Women’s Coalition and the Osteopathic Association. Our common theme solely

rested on ensuring Oklahoman’s had access to health care insurance coverage that provided coverage

for all the services currently existing in Oklahoma Statute. Many of these services are ones that ONA has

advocated for over the years, including immunizations, mammograms, well-baby, well-women, well-men

check ups and many more. Legislators heard the coalition and its members concerning these issues, forcing

the bill authors to listen. As a result, Rep. Lewis Moore worked with us to change SB 478 to a piece of

legislation we could support and, quite frankly, he was proud to co-author. The Senate author, Bill Brown,

was also supportive. Without nurse’s voices plus the voices of our coalition members, we would not have

been able to affect this kind of change! This work on Insurance reminded Legislators that ONA has a broader

focus than just scope of practice; that ONA is concerned about the health of Oklahomans.

We also need to remember that working with Legislators is a relationship business! All that we have is our

reputation and if we damage that, we damage our message. Just because a legislator doesn’t support us on

one issue, doesn’t mean that they are bad. Chances are we will need them on other issues, some of which

they become the champion. Our experience on SB 478 illustrates this very well and the importance of open

and non-adversarial communication. It is imperative that we have positive relationships with all legislators.

Many times, they don’t fully understand the issue and if you can calmly and kindly explain the issue, you may

have the opportunity to change their position. We can’t afford to vilify legislators when we don’t agree on

specific issues. As you consider what lies before ONA in the 2018 session, let’s remember that we need to

be able to work with all Legislators.

It will take all of us working together with one voice to obtain full practice authority. We must keep the

pressure up at the State Capitol, legislators need to continue to hear your voices and see your presence at

the Capitol. It is imperative that Oklahoma Nurses engage in advocacy issues this coming session. We need

to have every Nurse of the Day slot filled in 2018, as well as a great turn out for Nurses Day at the Capitol!


2017 Oklahoma Nurses Association

Vice President’s Report

Liz Diener, PhD, RN, PNP, CNE

Aren’t Oklahoma nurses amazing? You should be proud to count yourself among the more than 40,000

Registered Nurses in Oklahoma. Even after almost five decades in nursing, I marvel at the breadth of our

profession and the dedication of Registered Nurses to be the guardians of ethical, compassionate care. To be

sure, we have challenges; healthcare is not stagnant. Our profession is a dynamic and vital piece of the political

process that determines how we care for the individuals of our Nation and our State.

In acknowledging your dedication to the health and well-being of Oklahomans, the Convention Planning

Committee chose this year’s focus: The Dawn of a New Era in Health Care. We wanted to bring you topics

and speakers that reflected your requests from last year’s evaluation, to focus attention on the challenges

that we face in providing health care in Oklahoma, and to emphasize your importance in advocating for

responsible health care decision making at State and national levels. Our keynote speaker this year is ANA

President Pam Cipriano, PhD, RN, NEA-BC, FAAN. What better leader could we have asked for in this time of

speculation about how healthcare will be delivered in the 2020’s and beyond? Dr. Cipriano is nationally and

internationally known for her knowledge and advocacy of health care quality. She was appointed this year to

the International Council of Nurses Executive Board and for the third year in a row Dr. Cipriano has made the

list of the 100 Most Influential People in Healthcare. We are so fortunate to have Dr. Cipriano here to share

with us where she envisions a new era of healthcare will take nurses.

Last year I shared with you my first-time experience of serving as Nurse of the Day at the State Capitol and

I encouraged you all to consider signing up for the opportunity (please read “Queen or King of the Day). We

are treated with such respect during this day of service and all of you deserve to bask in that honor. It is a

rare occurrence and a wonderful reminder of how well respected we are in the community. (Nurses do have

a tendency to not expect overt appreciation!) This year we had a great increase in the number of nurses who

participated in Nurse of the Day. My goal is to have a nurse in attendance at the Capitol every day they are in

session. We are witnesses to the importance of our state’s healthcare by our simple presence.

To all of you, my fellow nurses, you make me proud! Thank you for allowing me to be your vice-president

these past two years. I hope each and every one of you will find a gift in this year’s Convention proceedings

as my thank you.


2017 Oklahoma Nurses Association

ONA Board of directors activity report

The ONA Board of Directors Meetings:

• Board Retreat, November 2016

• Bi-monthly board meetings: January 21, March 25, May 20, and September 23, either face to face or via

conference call.

ONA Accomplishments:

Conducted strategic organizational planning. Outcomes included:

o Review and update of ONA Strategic Plan, which included an update of goals and strategies to

accomplish the goals.

o Incorporated Healthy Nurse, Healthy Nation into the ONA Strategic Plan and ONA programming

o Joined the ANA’s Health Nurse, Healthy Nation Grand Challenge as a Partner

o Renewed the agreement with ANA for back office support in the areas of finance, operations, and technology.

o Reviewed ONA convention evaluations, schedule and provided feedback and recommendations for 2017

convention changes.

o Membership Development Director and Membership Development Fund Committee have begun work to

support development of chapters. In addition, they are working to identify leaders in inactive Regions.

o Continued as the co-lead for The Future of Nursing: Oklahoma Network Action Coalition.

o Continued to develop financial targets for all projects to ensure revenue generating initiatives; the ultimate goal is

to increase membership, non-dues revenue and sponsors.

o Increased ONA/ANA membership by 6 % since January 2016.

o Continued as an Approved Provider of the Texas Nurses Association. ONA re applied to continue as an

Approved Provider in July 2017. Transitioned Primary Nurse Planner from Patti Muller-Smith to Liz Diener. ONA

has worked with several entities to Joint-Provide continuing education activities for Registered Nurses. To Joint-

Provide an educational offering, an ONA Nurse Planner must be involved with the planning of the event.

o “Dashboard” updates reviewed at each board meeting tracking ONA BOD Strategic Plan progress on initiatives.

o ONA involved in recommending nurse appointments to Oklahoma Board of Nursing (1 RN and 1 RN). In

addition, made recommendations to the Attorney General for the Domestic Fatality Review Board.

o Organizational Partner of the Oklahoma Women’s Coalition.

o Following legislative issues and regulatory rule changes pertinent to nursing practice, patient advocacy and

health of Oklahomans.

o Continued having each region treasurer complete a financial inventory as required by ONA Policies and

Procedures. This provides the ONA BOD information on each region’s financial status, financial institution used

and records necessary for IRS purposes.

ONA Board topics in discussion process:

o Encouraging ONA members to serve in region, state, and national positions.

o Membership Engagement and Connectivity

o Approved development of a study committee to begin self-study and business plan for becoming an

Accredited Approver with the American Nurses Credentialing Center

Implementation of House of Delegates Directives:

o Continued development of resources for Regions and Chapters

o Approved position statement for APRN FPA

o Development of APRN Toolkit to use with other nursing groups, patients and legislators as we work

towards passage of full practice authority by the Legislature.

Submitted by

Polly Shoemake, BSN, MBA, RN

ONA Secretary-Treasurer 2016-2018


2017 Oklahoma Nurses Association

Legislative agenda

Oklahoma Nurses Association is the professional association representing the state’s registered nurse

population. ONA is involved in the shaping of public policy relating to health care, which is consonant with

the goals of nurses, nursing and public health. ONA is committed to ensuring that the registered nurse is

an essential provider in all practice settings and advocates for access to quality health care services for all


The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care

in all specialties and practice settings by working as a community of professional nurses.

Therefore, Oklahoma Nurses Association will support legislation and health care policy which:

• Facilitates the development of a system of health care delivery that emphasizes prevention, health

promotion and appropriate monitoring of quality and user satisfaction

• Supports a basic core of essential health care services that are accessible to all citizens of Oklahoma

• Incorporates nurses at all levels of policy-making and decision making regarding the health care system

• Assures funding to meet health care needs including recognition and remuneration for services

rendered by nurses

• Assures the delivery of health care by duly qualified providers as a means to protect the consumer

• Recognizes the Oklahoma Board of Nursing as the sole regulatory authority for professional nursing

practice, including adequate resources for the agency

• Promotes funding for professional nursing education and research at both the basic and advanced levels

2017 Legislative Priorities


Ensure adequate funding for vital health care related services, including direct care, disease prevention

and health promotion. Shortfalls in health and behavioral health services will increase costs in other

areas of the state’s budget, and will lead to dire negative consequences for individuals, families, and

communities, placing all at risk. When funding falls below critical levels, every other health priority for

nurses is negatively impacted. Nursing is one of the few professions in Oklahoma providing care to our

citizens from cradle to grave.

Smoking Cessation Fee – adds $1.50 on to the cost of a pack of cigarettes. Was originally proposed

as a cigarette tax and is estimated that this will generate $215M. These funds will be divided

between a cigarette cessation fund, the Health Care Authority, State Department of Health and State

Department of Mental Health and Substance Abuse. Signed by the Governor

Governance – Preserving the Board of Nursing’s oversight and regulation of nursing practice

Nursing is the largest group of healthcare providers; LPN, RN and APRN, each one with its own unique

scope of practice, is already a consolidated Board. Ensuring professional nursing oversight of this board

provides for the critical health and safety of the public. This self-sustaining, non-appropriated Board

contributes revenue to the state general fund while providing for efficient, focused regulation of the

nursing profession.

HB 1552 (Faught/Holt) Changed the Administrative Procedures Act by requiring rule changes in Title

59 dealing with Scope of Practice changes to be approved by the legislature. ONA was opposed to

this legislation and wrote a letter to the Governor requesting a veto. Vetoed by the Governor

HB 1841 (Ownbey/Simpson) Clarifies APRN titles, certification bodies, and provides Board Officers with

the ability to temporarily suspend license for nurse threatening public safety. Signed by the Governor


2017 Oklahoma Nurses Association

Nursing Practice

Access to efficient, competent health care is supported when licensed Nursing professionals practice

to the full extent of their scope of practice. Competent nursing practice ensures the health and safety of

every Oklahoman.

HB1013 (Cockroft/AJ Griffin) APRN Full Practice Authority for NP, CNM and CNS - eliminates the

legal requirement for supervision of prescriptive authority. Would also add writing Schedule II drugs.

Passed the House but not heard in the Senate.

HB 1246/1448 Eliminated supervision for CRNAs. HB 1246 was never heard and HB 1448 was

amended by committee substitute with language amending the Chiropractic Practice Act.

HB 1805 (Fourkiller) Requires certain requirements to be met to practice as a Surg Tech and

required facilities to hire Surg Techs. Never Heard by Committee

SB 747 (Yen) Prohibits CNM from delivering VBACs outside of a hospital. Failed in committee (Dead

for 2-years)

Public Health – Improving Oklahoma’ Health Status

Improving Oklahoma’s health status will improve the physical, emotional, and economic well being of the

individual, the family, and the community.

HB 1551 (Faught/Bergstrom) Would have eliminated the requirement for a 4-year degree for longterm

care administrators. Leading Age and ONA along with other groups were opposed. House never

heard Senate amendments

SB 144 (Smalley/Martin) Added Nurse Practice to the list of those eligible for PMTC Loans however,

bill was amended in the House committee eliminating NPs, conference committee

SB 478 (Brown/Moore) Created the Health Care Choice Act allowing out of state insurance carriers

to offer health and accident insurance to Oklahomans. These insurance companies must meet certain

requirements and offer Oklahoma’s required patient protection benefits. ONA originally opposed

this legislation; Representative Moore worked with ONA and the Health Care Coverage Coalition to

change the bill. Signed by the Governor


Support only those educational proposals that do not put the emotional and physical well being of school

children at risk.

Nursing education is an important and critical component in the development of Oklahoma’s nursing

workforce, but also in ensuring lifelong learning and continued competency for all nurses in Oklahoma.


2017 Oklahoma Nurses Association

2017 legislative session report

Vickie White Rankin

The 56th Session of the Oklahoma Legislature opened to a dire budget forecast and a flurry of legislation,

facing two houses full of fresh untried faces following the 2016 elections. As work began on 2,400 pre-filed

bills and resolutions in the 56th Session, Legislators faced a combined budget shortfall and revenue failure

totaling $878 million in lost revenue.

For the fourth consecutive year, the dire revenue forecast overshadowed the legislative session, consuming

legislators’ time and attention. Most agreed that state programs and services could not be cut further, but

disagreements over the manner in which to fund ongoing needs strained fragile relationships, impacting the

final budget agreement and some substantive legislation.


The legislature began examining the budget before session ever began, meeting in public appropriations and

budget committees with state agencies, to determine critical priorities for fiscal year 2018.

Conversations became more heated as the end of session neared, leading to repeated breakdowns in

ongoing negotiations. Legislators, representing diverse constituencies throughout the state, found it nearly

impossible to reach the constitutionally required three-fourths majority to pass most revenue raising

measures. (In March, 1992, voters of Oklahoma passed the citizen-initiated ballot measure requiring that

all revenue raising measures be passed by a vote of the people, unless the legislature could pass them by

a new supermajority of three-fourths vote, rather than the simple majority required throughout our state’s

previous history).

As the end of session approached, the Republican majority, navigating difficult waters, led the legislature to

pass a multi-million dollar budget containing a variety of revenue-raising measures to fill large budget gaps.

Components of the resulting revenue package included a cessation fee on the purchase of cigarettes and

professional sporting event tickets and reducing part of the sales tax exemption on new and used cars. In

addition, the revenue package included other notable measures that accomplished the following: reduced

or terminated many incentives for oil, gas and wind companies, increased tax compliance for all taxes, and

renewed the voluntary disclosure initiative to encourage delinquent taxpayers to come forward.

In the days following the close of the Legislative Session, legal challenges were filed to several of the key

components of the revenue package. The Oklahoma Supreme Court will hear oral arguments in these cases

on August 8, 2017.

If the court overturns any or all of the measures, there will be a profound impact to the state budget for

FY18. This will have deleterious consequences for healthcare in Oklahoma. Any additional cuts could force

the closure of hospitals and nursing facilities, could reduce Medicaid rates for all providers and limit access

to care.

Some believe the Legislature could be called back into special session to address the related revenue and

budget crisis. However, a special session does not guarantee a revenue and budget agreement.


2017 Oklahoma Nurses Association

Potential passage of the U.S. Senate “Better Care Reconciliation Act (BCRA) will likely compound

Oklahoma’s state revenue problem. Healthcare providers and consumers face the possible loss of health

care reimbursement and healthcare infrastructure as a consequence of this version of “repeal and replace”

plan for “Obamacare”.

According to the Robert Wood Johnson Foundation, BCRA will result in an additional loss of $1.3 million

in federal Medicaid funds to Oklahoma - half a million more than this year’s entire state budget shortfall!

Oklahoma will have an even larger budget crater to fill to provide for health care needs next year, if

BCRA passes in its current form (7/17). Such a loss will decimate Oklahoma’s already fragile health care

infrastructure. CBO reports that the measure will reduce the number of citizens who are insured, rather than

increasing the number. This causes alarm for many health experts in Oklahoma, already concerned that

we are rated 49th in the nation in health outcomes, and second highest in the nation for mental illness and

substance abuse.


The Oklahoma Nurses Association has supported the cigarette tax as proposed each of the last two years.

ONA understands that any tax or fee levied upon cigarettes will help to reduce consumption, diminishing

diseases related to smoking and second hand smoke exposure. SB845 goes a step further in addressing the

smoking epidemic, by creating a means with which to prevent and curb cigarette use.

SB845 Smoking Cessation Fee – Critical to the funding of health care and prevention in Oklahoma,

this measure will provide more than $215 million in revenue. It adds a fee of $1.50 per pack of cigarettes

to be divided between the cigarette cessation fund, the Health Care Authority, the State Department of

Health and the State Department of Mental Health and Substance Abuse. Signed by the Governor and

challenged in the Supreme Court. Oral Arguments Aug 8.


The preservation of the Board of Nursing’s oversight and regulation of nursing practice is important to

Oklahoma nurses. This year nurses were successful in preserving the Board’s role through the defeat of one

measure and the passage of another, as described below.

HB 1552 Changed the Administrative Procedures Act by making rule changes in Title 59 that required

Scope of Practice changes to be approved by the legislature. ONA, and many other organizations were

opposed to this legislation. Vetoed by the Governor

HB 1841 Clarifies APRN titles, certification bodies, and provides Board Officers with the ability to

temporarily suspend the license of a nurse threatening public safety. Signed by the Governor


Recognizing that improving Oklahoma’s health status will improve the physical, emotional, and economic

well-being of the individual, the family, and the community, the Oklahoma Nurses Association works to

improve Oklahoma’s health status. Defeat of HB1551 (below) helped protect the health status of vulnerable

seniors and the disabled. Passage of SB478, with patient protections and appropriate oversight included, will

enhance health care options for those seeking health insurance in the state of Oklahoma.

HB 1551 Would have eliminated the requirement for a 4-year degree for long-term care administrators.

House never heard Senate amendments


2017 Oklahoma Nurses Association

SB 478 Created the Health Care Choice Act allowing out of state insurance carriers to offer health and

accident insurance to Oklahomans. These insurance companies must meet certain requirements and

offer Oklahoma’s required patient protection benefits. ONA had concerns with the introduced version

of this legislation. However, Representative Moore and others worked with ONA and the Health Care

Coverage Coalition to address our concerns, and write a better version of the bill. Signed by the Governor

HB 2406 establishes the Oklahoma Individual Health Insurance Market Stabilization Act (OIHIMS ACT).

The measure is intended to lower health insurance premiums by instituting a stabilization program,

providing payments to health insurance plans, establishing a high-risk pool, and utilizing reinsurance

or other programs if needed. The program is authorized to submit a waiver under Section 1332 of the

Affordable Care Act. Upon approval of the waiver and receipt of federal funds, the OIHMS Program

may implement the program with staff support provided by the Oklahoma Insurance Department. Any

permanent resident of Oklahoma who currently qualifies for, and is enrolled in coverage through the

marketplace, is eligible for coverage under the stabilization program. Individuals entitled to health care

benefits under any other federal or state program, or inmates in state prisons, are excluded.

HB1712 sought to remove critical patient protections and essential coverage from certain health

insurance plans offered in Oklahoma, with particularly deleterious consequences for our patient

population. Like the problems we read about in the federally proposed AHCA and BCRA, HB1712

would have effectively decreased needed coverage while increasing the overall cost of care for many

Oklahomans. Ultimately the effect of this measure and others like it would be to displace many privately

insured patients, increasing not only the state’s burden, but hospitals’ burden for care, as well. Bill

passed the committee in the House, but was not heard on the floor. Dormant.


The Oklahoma Nurses Association works to protect and support the practice of nursing to ensure patient

access to quality care across the state of Oklahoma. This session, the AONP (Association of Oklahoma

Nurse Practitioners) introduced a widely publicized bill relating to practice oversight.

HB1013 sought to establish Advanced Practice Registered Nurse Full Practice Authority for NPs, CNMs

and CNSs. The bill simply would have eliminated the statutory requirement for supervision of prescriptive

authority only. After substantial amendments in the House the bill passed the House. Not heard in the

Senate, but remains viable for consideration in 2018.

SB 747 Prohibits CNM from delivering VBACs outside of a hospital. Failed in committee hearing. (Cannot

be heard for 2-years).


Now more than ever, the participation of nurses in health care policy is needed. As the US Senate and

Congress debate health care reform, and our own state struggles with funding of health care services, your

expertise as nurses who care for patients from cradle to grave, will be critical. We are at risk of losing our critical

health care infrastructure, including hospitals, nursing facilities, programs, services and licensed health care

professionals. Working with others in effective coalitions has proven successful in achieving difficult goals.


2017 Oklahoma Nurses Association

Oklahoma Nursing Student

Association (ONSA)

It has been my honor to work the past several years as the ONA Consultant to the Oklahoma Nursing

Student Association (ONSA). These young nursing leaders are getting practical experience of a professional

nursing organization and what it takes to be a professional in the nursing force in Oklahoma. With a constant

change each year of our executive board, the 4 consultants to the ONSA provide guidance and mentorship

to this fully student-led organization.

The continued mission of the ONSA is to reach more and more nursing programs across our state and to

unite them and provide leadership to their local SNA chapters. Each year we add one or two more programs

to our ever growing list of regular schools. There is a natural drop off in some of our smaller schools and we

work to continue to motivate their involvement. Again this year we have a leadership board as diverse as the

nursing workforce. Several traditional students, non-traditional students, BSN and ADN students which richly

lead the ONSA and their home chapters.

The ONSA continues to push 2 big events a year. The Springtime Leadership Summit pulls together many

of our SNAs and their leadership team for a Saturday of leadership development and clinical education. This

program is held in Tulsa. In the fall we hold our annual convention in OKC and which regularly attracts

over 500 students and faculty. We are always on the lookout for nurses who have a passion to share their

leadership and knowledge with the next generation of nurses. If you have an interest to be a presenter,

please reach out to me and we can get you plugged in.

Again this year we took many from the ONSA state board to the National Student Nurses Association

convention, this year in Dallas TX. Our student leaders got involved in the running of their national

organization, participated in the parliamentary procedures in the House of Delegates, and took advantage

of the multitude of learning opportunities provided at the convention. It also allowed networking with other

SNAs and for our leadership team find new or creative ways to better their schools SNAs, change how we

operate in ONSA, and to highlight how well our organizations is running and to assist another SNA.

It is an honor to work with this group of nursing leaders!

Dr. Dean L. Prentice

ONA Consultant


2017 Oklahoma Nurses Association


2017 Oklahoma Nurses Association

Political Activities Committee

The Political Activities Committee is a vital part of Oklahoma Nurses Association. It is a committee in which

Oklahoma Nurses have the opportunity to be patient advocates at the state and national level. 2017 has

been a very active year as noted in the legislative report by Vickie White-Rankin and the report of our

Chief Executive Officer, Jane Nelson and 2018 will be just as active. We need all Oklahoma Nurses actively

involved in the process of advocating for our patients and our profession at local, state, and national levels

to ensure healthcare for our patients and a healthy nursing workforce. Below are multiple opportunities

that have been present and continue to be options for all Oklahoma Nurses to be actively involved in the

legislative process.

The Nurse of the Day is an excellent opportunity for Oklahoma Nurses to develop healthy relationships with

your legislator, formally identifies our presence at the capital, and provides networking with other nurses and

health care professionals. We had numerous positions filled this year and for next year one can simply go to

the ONA website and sign up under the events tab and then show up at the Capital!

Nurses Day at the Capital continues to be an annual event that brings student nurses and their faculty

together to actively learn about the role of the nurse in legislative activity. Plan to participate at the event

February 27, 2018

The ONA website has continued to provide information and links under the Advocacy tab that provides

our Legislative Agenda, Priorities and links to Track State Legislation, Find your Legislator, How to Talk with

Legislators, Student Guide for Nurses Day at the Capital, an Oklahoma Policy Institute’s Legislative Primer,

Oklahoma Policy Institute, and Oklahoma Election Board, APRN Toolkit. Just go to the website, click, learn

and use the information!

Weekly phone calls from Vickie and Jane during the legislative session are very helpful in keeping members

updated of relevant activities at the capital. If you are interested in participating in these, please contact the

ONA office.

The American Nurses Association provides websites to access current information from DC. The

www.rnaction.org is the site where ANAs federal priorities reside, http://anacapitolbeat.org is where you

can sign up to receive blog posts to keep you aware of the latest happening in DC. ANA monitors more

than 1,000 nursing related legislation across all states each legislative session. ONA ensures all nurses are

represented in Oklahoma legislature and works diligently to increase Nursing Presence at the Capital.

It has been a pleasure to serve as Political Activities Director in 2017

See you at the Capital!

Martha Hernandez, DNP, APRN, PMHCNS/NP-BC


2017 Oklahoma Nurses Association

Medical Advisory Committee

Joseph T. Catalano, PhD, RN, Representative from ONA

​The primary goal of the Medical Advisory Committee (MAC) is to offer recommendations to the full Board of

the Oklahoma Health Care Authority on health care related issues, which in turn makes recommendations

to the Oklahoma Legislature. The MAC has meetings every other month, usually on Wednesday afternoon

and is composed of 26 representatives from almost all the areas of health care, including but not limited

to nursing, physical therapy, advanced practice providers, respiratory therapy, radiology, mental health,

and medicine. The meetings start by allowing the public to speak to any issue they feel is important for

the committee to hear about. Each person is allowed two minutes to talk to the health care topic they are

interested in bringing before the committee.

​The next part of the meeting reviewed the proposed changes in the laws and regulations that the Health

Care Authority deals with. These can range in number from a few to several dozen. The MAC votes to either

approve the changes or not. Generally these changes are in the wording and language for the myriad of

legislative regulations that govern the Health Care Authority and are presented by the MAC staff.

​This year the budget shortfall at both the state and national levels was the focus of much the discussion.

The passage of the increased tax on cigarettes by the legislature was a major positive step in maintaining

provider fees and keeping providers in the State. However, the funds allocated to the Health Care Authority

were $34,000 less than last year and not enough to meet the needs of the agency. CHIP, the program to help

disadvantaged children, was not re-authorized. Services will be cut across the agency with mental health

taking one of the largest cuts.

Respectfully Submitted,

Joseph T. Catalano, PhD, RN


2017 Oklahoma Nurses Association

Community relations board

Joseph T. Catalano, PhD, RN, Representative from ONA

​The Federal Transfer Center (FTC) is a US federal prison facility for male and female inmates. It is operated

by the Federal Bureau of Prisons, a division of the United States Department of Justice. The FTC is located

near the airport in OKC and houses holdover offenders and parole violators who have yet to be assigned to

a permanent prison facility. Prisoners spend anywhere from a few hours to weeks at the transfer center until

they are moved on. The facility moves approximately 87,000 prisoners through the center every year, with an

average daily turnover rate of 1,600. Almost every prisoner who is moved anywhere in the US goes through

the FTC. The FTC also maintains a small resident population of prisoners who may be incarcerated for short

periods of time instead of being sent to a large federal prison.

​As a federal prison, the FTC must meet multiple regulations and standards for accreditation by several

agencies both local and national. One of the requirements for accreditation is to have and meet with a

varied group of individuals from the public who have an interest in the welfare of the inmates at the facility. In

response to this requirement, the FTC has established the Community Relations Board which has a number

of individuals from health care, including a nurse, mental health and a physician. There are also members

from local law enforcement and the FTC. Meetings are held every other month.

​The meeting format consists of a presentation by an individual from one of the departments of the prison

followed by a question and answer period from the members of the committee who are attending. The

presentations are always interesting and informative. Topics included gangs in prisons, food, health care,

mental health issues, technology, re-entry programs and education. There is also special training for the

guards in relation to the mental health issues of the inmates.

​The community members are asked if they have any comments or observations that may improve the care

provided by the staff. They are also asked to present a short report on their activities and if they have any


Respectfully submitted,

Joseph T. Catalano, PhD, RN


2017 Oklahoma Nurses Association

2017 Region 1 report

Region 1 Officers for 2016-2017 include:

President: Lucas Richardson-Walker, BSN, RN

President-elect: Open

1st Vice-President: Cecelia Armstrong, MSN Ed, RN

2nd Vice-President, Jessica Cochran, RN

Secretary: Marcus Kesler, MSN, RN

Treasurer: Susan Reid, MSN, RN

Past President: Teressa Hunter, PhD, RN

Elections were held April 10th to fill vacant positions and the election results were as follows

Cecelia Armstrong, MSN Ed, RN office of 1st Vice President

Marcus Kessler, MSN, RN office of Secretary

Susan Reid, MSN, RN office of Treasurer.

ONA region 1 welcomes these officers and thanks them for their willingness to serve our wonderful profession!

Region 1 has had and active year! We are thankful to all our members for making this an active, engaging,

and growing region!

This year we held the following meetings

• November 10th, 2016 – General meeting

• December 8th, 2016 – General meeting

• January 12th, 2017 – General meeting and presentation: “Treatment Options for the Chronic Renal

Patient” by Jaime Ortiz, BSN, RN, Esq, from Fresenius Kidney Care.

• February 8th, 2017 – General Meeting and presentation: “The state of Foster care in Oklahoma

Presented by Collette Pendarvis and Malia Smith from the Oklahoma DHS.

• March 9th, 2017 – General Meeting and presentation: “HB 1013 and what it means to Oklahoma

Presented by Gina Crawford, DNP, APRN-CNP, FNP, CNE of Oklahoma City University.

• April 13th, 2017 – General Meeting and discussion on Healthy Nurse, Healthy Nation.

• May 11th, 2017 – General Meeting and Discussion on PTSD lead by Bryan Rich of the Oklahoma City VA.

• June – no meeting

• July 13th, 2017 – General Meeting and presentation: “Food insecurities in the State of Oklahoma

and the state and federal resources available to our patients including Fresh Rx” presented by Ellen

Pogemiller of the Regional Food bank of Oklahoma.

• August 10th, 2017 – General meeting and encore discussion on PTSD by Bryan Rich of the

Oklahoma City VA.

• September 16th, 2017 – The first ONA region 1 Family and Friends picnic at Early Wine park in

Oklahoma City. With Zumba demonstration by Jaime Ortiz, BSN, RN, Esq. and Zumba instructor and

trainer, Fun, Food, and Games for all to promote Healthy Nurse Healthy nation!

Region one would also like to thank Oklahoma City University’s Kramer School of Nursing for their support

of Region one by allowing us the space to host our monthly meetings.

Submitted by

Lucas A Richardson-Walker, BSN, RN

Region 1 President.


2017 Oklahoma Nurses Association

2017 Region 2 report

This past year has been a busy one in Region 2. We have continued with our tradition of offering General

Membership meetings with guest speakers and CE credit. This year’s topics and speakers included “Health

Literacy” by Michelle Montgomery, “Caring for the LGBTQ Community” by Dr. Angela Sivadon, and “Caring

for Veterans” by Dr. Deb Greubel. At our Winter Luncheon to honor the Region 2 December graduates,

Dr Shelly Wells presented on “Wholeness of Character” and at the Spring Luncheon to honor the May

graduates, Micki McKinney presented on “A Culture of Safety and High Reliability.” Overall, our events were


The Region voted this year to provide members with financial rewards when they win our Region sponsored

awards including the Nightingale Award for Excellence in Nursing. This year’s winners of our Region awards

were: Teresa Frasier, Excellence in Nursing Award; Pam Price-Hoskins, Nursing Research Award; Janet

Jackson, Nursing Impact on Public Policy; Janet Jackson, Nightingale Award of Nursing Excellence; Marla

Smith, Excellence in Workplace Environment. Region 2 will also be offering awards to members who have

chosen to complete their education by earning their BSN, Master’s or Doctorate degrees.

We would like to thank our outgoing Region Officers – Brenda Nance – President, Mary Helen Freter –

Secretary, Pam Price-Hoskins – Director at Large, and Teresa Frasier – Director at Large. We truly appreciate

your hard work in supporting our Region. We look forward to the 2017-18 year with our new officers: Brandi

Payton – President, Donna Fesler – President Elect, Chris Thoman – Secretary, Pam Price-Hoskins –

Treasurer, and new Directors at Large – Julia Profit-Johnson and Betty Kupperschmidt and our continuing

officers Chris Thoman – Secretary, Micki McKinney – Chair for the Committee on Nursing Advancement,

Janet Jackson and Marla Smith – Directors at Large, and Helen Farrar – Chair of Nominations.


2017 Oklahoma Nurses Association

2017 Region 3 report

We have an excellent group of dedicated nurses who are part of the Green Country Chapter and I am

grateful to serve with them. Our meetings are on the second Thursday of the month except for June-August.

This year has been busy! Our chapter began the year by being the first region to begin a chapter within the

new reorganization of ONA regions and chapters. This is still a work in progress and we are moving forward.

We also spent a lot of the year planning a conference geared at finding alternatives to the opioid crisis.

This year we had excellent and knowledgeable speakers at our meetings including,

• September: Planning meeting

• October: Over-prescription of opioids: Dr. Rachel Mack, PhD, DNP, APRN, C-FNP, CNE

• November: Certified Healthy: by Latricia Morgan

• December: Annual ONA Christmas Party—money raised for the Gospel Rescue Mission-a homeless

shelter located in Muskogee, OK.

• January: Bridges out of Poverty: Treasure McKenzie and Thomas Martindale

• February: Cancer Survivorship: Karen Scott, MS, APRN, CNP

• March: Bridges to Health and Healthcare: Angela Martindale, PhD(c), MSN, RN

• April: Mentoring in Nurse Academia: Dr. Mindy Thompson, DNP, RN, CNE

• May: Membership Development: Dr. Shelly Wells, PhD, MBA, APRN-CNS

SAVE THE DATE!!! Green Country Chapter is hosting a conference on March 30th, 2018

The Green Country Chapter/Region 3 Board of Directors for 2017-2018

President: Angela Martindale

Secretary: Mindy Thompson

Treasurer: Catherine White

Representative to the ONA Board: Lynette Gunn

We look forward to another great year of serving the nurses in our region.


2017 Oklahoma Nurses Association

The Children’s Health Group

The Children’s Health Group functions as an advisory body to the OHCA and the OSDH on child health

issues and provides oversight of state activities to reach the 2020 objectives for perinatal, infant, child

and adolescent health in Oklahoma under the new Healthy Oklahoma 2020 – the new Oklahoma Health

Improvement Plan. The meetings occur on a quarterly basis with Dr. Mary Anne McCaffree, MD, serves as

the Chair with Marny Dunlap, MD and Dr Edd Rhoades, MD, MPH as Co-Chairs.

The meetings consist of important updates and presentations regarding child health issues in the state of

Oklahoma. Some of the highlights of this year’s meetings are set forth below:

• OSDH Budget – There was a 7% state fund reduction for 2016.

• OHCA Budget – The provider rate cuts that were presumed did not take place and appropriations

were arranged by the Legislature that brought the agency to $15 million short of funds needed.

• OSDH-Zika Pregnancy Registry Update – In Oklahoma public health surveillance is done for pregnant

women regarding Zika virus and ends when the infant is born. Therefore, surveillance is continued

under the Oklahoma Birth Defects Registry (OBDR) for the first year of the child’s life, and the parent

may opt out of participation as they wish. Currently, there are 2 pregnant women on the state Zika

Pregnancy Registry and both are travel related cases. Also, there is 1 infant currently being enrolled

on the state Pediatric Registry.

• OHCA Update – Rebecca Pasternik-Ikard, OHCA shared that OHCA recently participated in a

Legislative study of the Zika virus, and OHCA’s focus was on the June 1, 2016 informational bulletin

from Centers for Medicare & Medicaid Services (CMS) for Medicaid to begin covering the costs of

health care professional prescribed insect repellent for women and children of child-bearing age (10-

45 years of age) under the Federal Financial Participation program (FFP). The OHCA would receive

their federal matching rate of 60% and 40% would be state money. There are approximately 305,000

women and children in this age range and costs to cover the insect repellent would be $8.8 million,

and for pregnant women $1.6 million in state funds to supply 2 cans per month at the rate of $6.00

per can. Currently there is no coverage for the cost of insect repellents for Medicaid recipients at this

time, but discussions continue.

• Additional Updates on ZIKA Virus Update – Kristy Bradley, OSDH. Dr. Bradley provided the latest

Zika data: the Zika virus has now been documented to be spread by mosquito, sexual contact, in

utero, transfusion, and laboratory exposure. Although, 80% of Zika virus cases are asymptomatic or

have very mild symptoms such as rash, fever, or headache, the risk of microcephaly ranged between

0.88%-13.2% for exposure during the first trimester. A travel alert has been issued and that, along

with updated guidelines for testing pregnant women, have helped to raise awareness to women

of reproductive age. She mentioned that Oklahoma surveillance and response activities include:

provider outreach, network advisories, weekly planning meetings, expanded mosquito surveillance

for the primary Zika vector, and developed testing capabilities at public health laboratory. As of

January 2017, there have been 4,835 cases in US states with the majority of those being in New York,

Florida, California, and Texas. Oklahoma has had 29 cases and one of those was a pregnant woman.

Active local mosquito transmission of Zika has been controlled in Florida for the time being. Testing

at the OSDH laboratory must be coordinated between the clinician and epidemiologist on call and

submitted between Mon-Fri with an OSDH form 419.

• Another development in OHCA is leveraging guidance from CMS about maternal depression

screening done during a well child visit. CMS is considering postpartum depression screening and

treatment as part of the EPSDT, so this would allow providers to bill for screening. Treatment would


2017 Oklahoma Nurses Association

depend on insurance coverage of the mother. Postpartum depression is the most common form of

morbidity associated with pregnancy. Posters are available through NICHD for providers to display in

various areas of their facility.

• OSDH – Legislative Priorities-The $1.50 cigarette tax was pursued. There is a tremendous need for the

revenue from the cigarette tax as there were $400 million spent out of the rainy day fund and $200 million

bonded to appropriate to the DOT, and another $60 million needed to supplement various state agencies.

The Tri-Boards (OCCHD, TCCHD, OK State Board of Health) adopted a resolution pushing for the tax as

they believe cigarette consumption will decrease and the funds could be put back in to better the health of

Oklahomans. However, the tax was recently declared Unconstitutional by the Oklahoma Supreme Court.

• OSDH – Carter Kimble stated that OSDH has $48 million in state appropriations which is 43% lower

than in 2009. He shared that if a 15% reduction were to take place SFY 2018, it could possibly

eliminate some OSDH programs and contracts such as dental services, in-home nurse visitation pilot

program, colorectal screening, and child abuse prevention. Discussion has taken place regarding

consolidating county health departments. There will be no reduction in services for restaurant

inspections. Mr. Kimble stated that the Public Health Lab (PHL) has structural inadequate and is in

desperate need of a new structure. He shared that a bond issue was authored for $58 million to fund

rebuilding of the PHL.

• OSDH is requesting $12 million for the budget for State FY 2018 which included is:

• $1.5 million for immunizations to buy vaccinations for privately insured clients. The VFC is

designated for uninsured clients and Medicaid recipients.

• $7.5 million is included in the budget request for a revenue bond to put towards a new Public

Health Laboratory as there is dire need of an update. The total cost for a new Public Health Lab is

$57 million.

• A component is being asked for “Lead” which further details will come later.

• $1.2 million is being asked for FMAP.

• OSDH is looking to restructure and simplify the fee and fine structure.

• Dr. Garth Splinter, OHCA, announced that OHCA submitted a budget to the House today for 194

million dollars. He stated that there are four larger areas within the program that may need to be

adjusted additionally. There was a reinstatement of the last cut of 3.5%. Aged, Blind, and Disabled

(ABD) will not be effected other than transitional costs.


Stop Sexual Violence: A Technical Package to Prevent Sexual Violence (CDC) and Preventing Child Abuse &

Neglect: A Technical Package for Policy, Norm, and Programmatic Activities (CDC) – Mary McCaffree, MD

Dr. McCaffree is on the National Health Collaborative for Violence and Abuse which is against violence and

abuse. Dr. McCaffree shared that clients should be screened for their safety status every time they are seen

for a medical visit.

Substance-Exposed Newborns – Tasha Granillo, Child Protective Services, DHS – Shared an overview of the

process CPS takes to investigate a referral regarding caretakers of children or infants partaking in substance

abuse and that CPS determine if the child’s basic needs are being met or if there is threat of harm, criminal

activity, or anything that could have an effect on the child’s present or future health. Needed actions will be

based on the investigation findings.


2017 Oklahoma Nurses Association

Neonatal Abstinence Syndrome – Denise Cole, OU Health Science Center, Office of Perinatal Quality

Improvement Collaborative OPQIC – Ms. Cole stated the website address for OPQIC http://opqic.org. She

shared the definition of Neonatal Abstinence Syndrome—NAS is a postnatal withdrawal syndrome that

some newborns experience after birth who were exposed to addictive opiate drugs while in the mother’s

womb. Some signs associated with NAS include seizures, respiratory symptoms, feeding difficulties, and low

birthweight. State health agencies can support a standardized approach by encouraging birthing hospitals to

have a written policy regarding women and infant screening for substance exposure, use of NAS screening

tool as standard of care for monitoring infants prior to discharge, working with CPS to train staff effectively on

policies for reporting substance-exposed newborns, and tracking outcomes for CPS referrals made for NAS.

Trauma-Informed Intervention – Gwendolyn Downing, Hope and Resilience, Department of Mental Health

and Substance Abuse Services (DMHSAS) – Trauma-Informed Services assists children and adults affected

by all aspects of trauma. There are universal precautions within DMHSAS in place because the majority of

the population have been affected by trauma at some point. All case managers have core trauma training.

Screening and assessment have billing codes in place for any agency to bill to Medicaid. All clinicians are

also required to take child and adult training within the first 90 days of hire date. DMHSAS has several

e-learnings available as well as live trainings. Also, DMHSAS is building a database for reporting cases of

clients affected by trauma.

Oklahoma Childhood Lead Poisoning Update – Susan Quigley and Lori Yearout, MPH, OSDH – The

Screening and Special Service’s goal is to eliminate childhood lead poisoning, as there are many adverse

health effects associated, including but not limited to mental delays, behavioral problems, and damage to

the entire body. Lead is a neurotoxin so any level of lead in a child’s system is not good. There are a number

of methods for lead to be ingested in a child’s body. In 1994 the Oklahoma Legislature passed State Law

(O.S.63-1-114.1) establishing the Oklahoma Childhood Lead Poisoning Prevention Program OCLPPP which

currently receives CDC funding. Testing is required on all children 6-72 months of age; however, any lead

testing results in the state of Oklahoma, specifically for this age group, pass through OSDH Screening

and Special Services. Ms. Quigley shared with the group since 2012 the CDC has considered 5ug/dl as

the reference level because 97.5% of children screened are below 5 in their screening results. If a child is

tested and their blood lead level is near 20> an environmental investigation is done to determine the cause.

Additional interesting statistics: In 2015 of all children screened in Oklahoma approximately 0.5% resulted in

> 10ug/dl and 2.4% resulted in > 5ug/dl. If the CDC adopted a lower level > 4ug/dl the percentage of children

6-72 months of age would be at 5.6%. In Oklahoma only 13.4% of the population below 6 years of age

was screened which is a concern that children are not being screened as they should be. Providers are not

screening according to recommendations, so some children are being screened at later ages. Ms. Quigley’s

department receives a list from the manufacturer of the screening machines purchased in Oklahoma,

and the reports that are coming in do not match the list. Some providers did not send in the results for

all testing done, or are still using 10ug/dl as the reference level so they are not sending in results below

that. Some providers send in information years after the screening was done, and if there was an elevated

level a letter is automatically generated, so Ms. Quigley’s department had to send out a letter to let clients

know the screening was done in prior years with instructions for the client. Screening and Special Services

partners with many entities to get information to the public on the dangers of lead including DEQ/EPA as

lead poisoning is an environmental issue. Educating parents on lead removal and nutrition are pertinent to

lowering elevated lead levels in children.


2017 Oklahoma Nurses Association

OHCA – Shelly Patterson, Oklahoma Health Care Authority (OHCA), indicated that there is a great deal of

discussion on blood lead screening and that they are working closely with the Oklahoma State Department

of Health (OSDH) to get information to the providers by having their provider service representatives

distribute educational material and conduct on site trainings. This material will also be provided to the

members with information on how to obtain these screenings.

OSDH – Dr. Rhoades, OSDH – Expanded on the topic of childhood lead poisoning and indicated OSDH

partnering with OCHA and Department of Environmental Quality (DEQ). A joint budget request was

submitted to expand the capacity of the childhood lead screening program to update the software system,

to support surveillance and case management work and to do environmental investigations with blood lead

levels >10 μg/dL which is down from the previous level of >20 μg/dL, and to address lead in water.

2015 Oklahoma Infant Mortality Data—Joyce Marshall, MPH and Paul Patrick, MS, MCH – Ms. Marshall

shared that the group has been very instrumental regarding “Preparing for a Lifetime, It’s Everyone’s

Responsibility, Infant Mortality Reduction Initiative.” Mr. Patrick shared some informative statistics for

2013-2015 infant mortality within Oklahoma and there is a large disparity between ethnic groups. The state

average infant mortality rate is 7.4 per 1,000 live births, and the highest is for African American population

of 14.3 per 1,000 live births. The U.S. average rate is 5.9 and the Healthy People 2020 infant mortality rate

goal is 6.The largest decrease of infant deaths occurred in the 1980s and since then it has remained level.

Infant deaths in Oklahoma over a four year period from 2012-2015 resulted in African American/Black being

the highest and American Indian following closely and increasing slightly. Congenital malformations was the

leading cause of infant deaths between 2011-2015, preterm birth was the leading cause for neonatal deaths,

and SIDS was the leading cause for postnatal deaths. Oklahoma ranked 41st in preterm births. In 2013, the

percentage of women who are breastfeeding and lying infants on their back to sleep is up from previous

years with disparities among ethnic groups for both areas. MCH has a safe sleep program in progress that is

educating parents on safe sleep measures and

providing sleep sacks. There are also disparities among ethnic groups regarding smoking in the last 3

months of pregnancy with a rise among Black populations.

ACES and Maternal Mood Disorders/Postpartum Depression—Mary McCaffree, MD. Adverse Childhood

Events (ACES) is activation of the body’s stress response due to experiences that have occurred over the

course of a lifetime. Providers should look for signs of violence within households and screen the patients for

difficult situations that may be taking place. Screening for ACEs is only 10 questions and all staff should be

trained on screening. Additionally, The U.S. Preventive Services Task Force recommends that all adults over

the age of 18 should be screened for depression. Providers are asked to implement an action plan and begin

screening their clients. A child’s coping mechanism can lead to chronic diseases if they are victims of ACEs

early in life, but can also be reversed in a nurturing, loving environment. Dr. McCaffree shared NIH posters

regarding support during pregnancy and after giving birth are available for visit rooms via https://www.nichd.

nih.gov/publications/Pages/pubs.aspx and additional information is found on https://www.nichd.nih.gov/

maternalmentalhealth. Dr. McCaffree gave reference to Nadine Burke-Harris, MD, MPH Epigenetics who has

a You Tube video https://www.youtube.com/watch?v=95ovIJ3dsNk regarding the effects of ACEs that are

carried into adulthood. Dr. McCaffree suggested Dr. Burke speak at one of the meetings in the future.

Sickle Cell Community Based Services- Velvet Brown, Supporters of Families with Sickle Cell Disease

and Denise Easter, OHCA. Ms. Brown spoke about Supporters of Families with Sickle Cell Disease (SCD)

is and the provided services. She explained that they are a non-profit organization that strives to assist

Oklahomans impacted by sickle cell and thalassemia, who have either the disease or the trait, with evidence

based research and knowledge to better learn how to live with their disease. They seek partnerships with

all entities to promote and create information to increase self-efficacy and improve quality of life for those

with this disease. Mandatory testing for sickle cell began in 1990 and numbers continue to be monitored.


2017 Oklahoma Nurses Association

Oklahoma has two treatment locations for individuals diagnosed with sickle cell: Jimmy Everest Blood and

Cancer Center in Oklahoma City and St. Jude Affiliate Clinic, Warren Clinic Hematology and Oncology Clinic

at Children’s Hospital in Tulsa. Ms. Brown provided some statistics about SCD which include: approximately

100,000 Americans are affected and it occurs in about 1 out of every 365 Black or African-American births.

It is present in about 1 out of every 16,300 Hispanic-American births and about 1 in 13 Black or African-

American babies are born with the sickle cell trait. Several barriers to sickle cell patients are: lack of family

support, education, medical home, access to specialty care, transportation, community support, awareness

and resources.

Furthermore, according to Denise Easter, OHCA – There are resources available from the OHCA. OHCA

utilizes Population Care Management (PCM) which is comprised of three units; Case Management, the

Health Management Program and the Chronic Care Unit (CCU). The CCU nurses provide phone case

management to high risk and at risk members with chronic conditions. They assess and address the health

status, behavioral health and prescription utilization of the members. The CCU cares for chronic conditions

including: diabetes, hypertension, cardiac disease, asthma, hemophilia, sickle cell, and hepatitis C. The

enhanced benefits of PCM offer patients and providers more ways to help control complex conditions and

improve quality of life at no cost to its members.

System of Care: Strengthening our CareNet (SOC^2) Grant: Focus on the Infant and Early Childhood Mental

Health Portion of the Grant – Shannon Lee, Manager, Infant and Early Childhood Services, ODMHSAS.

SAMHSA federal grant was issued to ODMHSAS for Systems of Care Expansion (SOC^2) that will issue $3

million per year through September 30, 2020 for a total of $12 million. The vision of ODMHSAS is to reach

all children through young adult (age 5 and up) impacted by serious emotional disturbances or are at risk.

The expansion will enhance the current System of Care (SOC) to focus specifically on children age 0-5 and

young adults age 16-25. There are trainings available in Norman and then Tulsa to enhance the recognition of

focus areas specific to the 0-5 age group. ODMHSAS has partnered with many agencies, departments, and

schools, and has five host agencies focused on Infant and Early Childhood Mental Health (IECMH); Canadian

County Red Rock; Oklahoma County Red Rock and Northcare; Payne County Grand Lake; Rogers County

Grand Lake; and Tulsa County Family and Children’s Services.

Stop Sexual Violence: A Technical Package to Prevent Sexual Violence (CDC) and Preventing Child Abuse

& Neglect: A Technical Package for Policy, Norm, and Programmatic Activities (CDC)-Mary McCaffree, MD.

Dr. McCaffree is on the National Health Collaborative for Violence and Abuse which is against violence and

abuse. Dr. McCaffree shared that clients should be screened for their safety status every time they are seen

for a visit.

Respectfully submitted,

Donna M. De Simone, MS, RN, APRN-CNP, APRN-CNS, FNP-C, CPN


2017 Oklahoma Nurses Association

The Association of Women’s Health,

Obstetrics and Neonatal Nurses

Mission: The mission of AWHONN is to improve and promote the health of women and newborns and to

strengthen the nursing profession through delivery of superior advocacy, research, education and other

professional and clinical resources to nurses and other health care professionals.

AWHONN’s Purpose & Values

Core Purpose: AWHONN is an organization of nurses committed to the health of women and newborns.

Core Values (as expressed in the acronym “CARING”)

• Commitment to professional and social responsibility

• Accountability for personal and professional contributions

• Respect for diversity of and among colleagues and clients

• Integrity in exemplifying the highest standards in personal and professional behavior

• Nursing Excellence for quality outcomes in practice, education, research, advocacy and management

• Generation of Knowledge to enhance the science and practice of nursing to improve the health of

women and newborns

Become an AWHONN member!

• AWHONN membership is representative of over 25,000 nurses in the US and Canada. Oklahoma

AWHONN includes over 400 members.

• AWHONN’s many nursing resources include patient education, continuing nursing education, staff

development, perinatal quality measures, annual nursing convention, and evidence-based practice

guidelines such as Women’s Health and Perinatal Nursing Care, Perinatal Staffing, Fetal Monitoring,

and Neonatal Skin Care.

• AWHONN produces Healthy Mom & Baby journal for patients and two nursing journals, Nursing for

Women’s Health and Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN). Both nursing

journals are included with AWHONN membership.

• AWHONN membership entitles you to many resources from the National organization, reduced

registration to the AWHONN Convention each June and Oklahoma Section Conference each April,

free continuing education webinars and meetings at Oklahoma AWHONN Chapter events, and the

opportunity to be a voice in the care of women’s health, obstetric and neonatal patients in Oklahoma.

AWHONN Oklahoma holds an annual nursing conference typically in

OKC, Tulsa, or Norman. Over 150 Oklahoma nurses meet each April at the

conference to learn, network and reenergize every year.

For updates and more information, see our Oklahoma AWHONN website at







2017 Oklahoma Nurses Association


Faith community nurses are licensed, registered nurses who practice wholistic health for self, individuals

and the community using nursing knowledge combined with spiritual care. They function in paid and unpaid

positions as members of the pastoral team in a variety of religious faiths, cultures, and countries. The focus

of their work is on the intentional care of the spirit, assisting the members of the faith community to maintain

and/or regain wholeness in body, mind, and spirit.

Their practice is governed by:

• the nurse practice act of their state

• Nursing: Scope and Standards of Practice

• Faith Community Nursing: Scope and Standards

• Code of Ethics with Interpretive Statements (for nurses)

Mission Statement FCNA OK

Preserve, support and advance the professional practice of faith community nursing in Oklahoma.

Vision Statement

• FCNA-OK will be recognized so that faith community nursing will be accessible to the people of Oklahoma.

• Therefore the association will serve as a model for other states.

The Purpose of FCNA OK is to preserve, support and advance the professional practice of faith community

nursing in Oklahoma. Interested registered nurses and health ministers come together to pray, witness, support,

learn and share in the context of faith and health. Faith community nursing is a specialty practice recognized by

the American Nurses Association. A faith community nurse is a registered nurse who provides wholistic nursing

care to faith community members of all ages, reclaiming the healing ministry of the congregation.

This organization exists to share practice ideas in faith communities and to nurture personal spiritual

development. FCNA OK further supports the training, continuing education, certification, and mentoring of

Faith Community Nurses.

FCNA OK meets quarterly on the second Tuesday of January, April, July, and October from 10:00 a.m. to

3:00 p.m. Two hours of CE are offered at each membership meeting on pertinent Faith Community Nursing

topics. The Annual Conference is held on first Friday of March.

FCNA OK has members from over 17 different Christian denominations. Faith Community Nursing

represents all faith traditions. The membership has grown to 81 members in 2017. For more information see,

www.fcnaok.org or www.westberginstitute.org.

2017 Accomplishments

• FCNAOK Annual Conference – March 3, 2017 “Collecting the Wisdom: Harnessing The Power of Faith

Community Nursing,” attended by over 90 nurses from Oklahoma and Kansas with Dr. Susan Dyess

as the keynote.

• Continuing Education program at FCNAOK quarterly general meetings

• January 2017 – “Home Fit for Life” presented by AARP and OHCA

• April 2017 – “Human Sexual Trafficking” by Wilma Lively

• July 2017 – “POLST” presented by Jan Slater, JD

• October 2017, “Mentoring” presented by Dr. Dia Campbell-Detrixhe


2017 Oklahoma Nurses Association

• Scholarships provided by FCNAOK for the Faith Community Nursing Foundations Course participants

at Oklahoma City University.

• Established scholarship fund for educational events for faith community nurses.

• Revised bylaws for the Association.

2017 Officers

Lana Bolhouse, President

Angie Tomlinson, Vice President

Glenda Bronson, Treasurer

Genie Ford, Secretary

Membership fees are $50/year.

Respectfully submitted,

Glenda Bronson, Treasurer


i https://westberginstitute.org/philosophy-of-parish-nursing/


2017 Oklahoma Nurses Association

Oklahoma association of nurse anesthetists

Oklahoma Association of Nurse Anesthetists (OANA) is a statewide

professional organization of Certified Registered Nurse Anesthetists (CRNA’s).

CRNAs are the primary providers of anesthesia care in rural America, enabling

healthcare facilities in these medically underserved areas to offer obstetrical,

surgical, pain management and trauma stabilization services.

Mission: We are dedicated to advancing and protecting the CRNA practice through

professional advocacy and education; promoting practice excellence; ensuring

patient safety; supporting members in personal wellness; and providing professional

growth opportunities.

Our Vision: OANA is a vibrant, cohesive and motivated community focused on advancing the cause of costeffective,

quality patient care.

The Value of CRNAs: Research shows that CRNAs are the most cost-effective anesthesia providers with an

exceptional safety record. In today’s changing healthcare environment, patients want healthcare delivered

with personal care, at a lower cost, with a high degree of confidence. CRNAs deliver all of these.

Education and experience required to become a CRNA include:

• A Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree.

• A current license as a registered nurse.

• At least one year of experience as a registered nurse in an acute care setting.

• Graduation with a minimum of a master’s degree from an accredited nurse anesthesia educational

program. Nurse anesthesia programs range from 24-36 months, depending upon university

requirements. All programs include clinical training in university-based or large community hospitals.

• Pass the national certification examination following graduation.

• In order to be recertified, 60 credits of Class A credits (assessed CEs) + 40 credits of Class B

credits (professional development) must be completed every 4 years. Core Modules every 4 years.

Continued Professional Certification (CPC) Examination every 8 years.

Officers and Board of Directors 2017-2018

Maria Roberson, OANA President

Jennifer Schmitt, OANA Vice President

Kathleen Feeley, OANA Treasurer

Rebecca Donnell, OANA Secretary

Ashley Craig, OANA Board Director

Erica Buel, OANA Board Director

Ray Luth, OANA Board Director

Jason Wauson, OANA Board Director

James Hilfiger, OANA Board Director

Victor Long, OANA Governmental Relations Chair

Sally Kennedy, OANA Federal Political Director

Tawni Phelan, OANA Association Manager

Upcoming Events: OANA Spring Conference March 24th & 25th 2018, Hilton Garden Inn Edmond & Edmond

Conference Center

Oklahoma Association of Nurse Anesthetists

PO Box 1197 | Mustang, OK 73064

For questions or inquiries, please contact our Association Manager at tawni@oana.org

Websites: oana.org, aana.com, www.future-of-anesthesia-care-today.com


2017 Oklahoma Nurses Association

Emerging nurses

Jennifer Booms, BSN, RN

​The Emerging Nurses are comprised of newly licensed nurses who have been an RN for less than five years.

The EN group focuses on catering towards the needs and desires of the newer nurse, assisting them in

their personal and professional development. The Emerging Nurses are actively working towards increasing

membership within the group and encouraging community involvement. The Emerging Nurses gathered for

a Meet-and-Greet breakfast on June 2nd. Jane Nelson presented and promoted ONA/ANA membership,

and newly licensed nurses discussed issues they are facing in the workplace. The Emerging Nurses are

also working towards forming a formal chapter. Additionally, the Emerging Nurses have several community

involvement opportunities available.

If you are interested in participating in the Emerging Nurses Chapter, please email: ona@oklahomanurses.org

Volunteer Activities:

• August 25th, 2017- Regional Food Bank of Oklahoma

• September 23rd, 2017- Down Syndrome Association Festival and 5K

• October 6th, 2017- Tulsa Day Center for the Homeless


2017 Oklahoma Nurses Association

Membership Development Committee

Shelly Wells, PhD, MBA, APRN-CNS – Committee Chair

The Membership Development Committee met at the ONA office for its first meeting on March 4, 2017 and

has had additional phone meetings in April and June and September. This committee was formed as a

result of the ONA Bylaws change in 2015 and the committee’s charge is focused on developing a process to

determine independent vs dependent regions in ONA, develop tools and resources such as sample bylaws

and Memorandum of Understanding document that will exist between ONA and the Regional Organizations.

Members of this committee include Susan Reid (Region 1), Pam Price-Hoskins (Region 2), Cheryl Kent

(Region 4), Rosemary Spring (Region 6) and Pamela Clay (Region 6).

The Committee has completed development of the Memo of Agreement (MOA) that documents the

relationship between the regions and the ONA and the document was approved by the ONA Board in March.

Financial reporting forms were distributed to region leaders and the independent regions were identified

as those regions that intended to maintain their own financial accounts and IRS tax status and at this time

include Regions 1, 2, and 3 while Regions 4, 5 and 6 were declared to be dependent regions.

The Membership Development Fund Application has been approved and applications for funds will be

reviewed quarterly to assure the Committee will be responsive to the needs and requests of Chapter and

Region needs. The quarterly deadlines are December 31st, March 31st, June 30th, and September 30th.

The Committee has worked to develop the toolkit to be used by the regions to boost membership and

chapter growth. The Region and Chapter Guidelines and the Chapter Application is now found on the ONA

website http://www.oklahomanurses.org/Main-Menu-Category/Regions/Create-a-Chapter. Additional

resources including sample bylaws for independent regions and talking points for how to talk to members

will be added soon.

Members of the committee have been working with region leaders to strategize about membership growth

and will continue these activities in the coming year.


2017 Oklahoma Nurses Association

Nursing Education and

Practice Advisory Committee

The Nursing Education and Practice Advisory Committee to the Oklahoma Board of Nursing serves to

provide guidance and recommendations to the Oklahoma Board of Nursing members and staff in addressing

salient issues pertaining to the education and practice of nurses and unlicensed nursing personnel

throughout the state. Recommendations from this Committee are sent to the Oklahoma Board of Nursing

members for action and have resulted in changes in the State Nurse Practice Act and Oklahoma Board of

Nursing Rules. The ONA representatives to this committee were Lynn Sandoval (term expired May 2017),

ShyRonda Roy (term started May 2017), and Shelly Wells.

This year, the Nursing Education and Nursing Practice Advisory Committee met three times. Practice

issues addressed by the Committee since the last report included changes to the guidelines on Patient

Assessment (#P-14), and Limited Obstetric Ultrasound and Limited Ultrasound in a Reproductive

Medicine Setting Examinations Performed by Registered Nurse (#P-13). These were both sent forward to

the Board for approval.

The issues for Nursing Education that were reviewed and revised by the Committee included: Nursing

Competencies by Educational Level: Guidelines for Nursing Practice and Education in Oklahoma (#P-

21); Employment of Nursing Students or Non-Licensed Graduates Guidelines (#E-04); Determining

Appropriate Faculty to Student Ratios in the Clinical Area in Board-Approved Nursing Education

Programs Guidelines (# E-09); Establishment of Training Equivalency for Certification as an Advanced

Unlicensed Assistant Policy (#E-41); Approved Advanced Unlicensed Assistant Training Program

Curriculum, (#E-44), Refresher Course Policy (# P-17). These were sent forward to the Board for Approval.

The Committee also reviewed and moved the OBN Position Statement on Entry into Practice forward to

the Board for approval without any changes or revisions.

You are encouraged to visit the OBN Website http://nursing.ok.gov/ to view all of the Board approved

revisions to the Rules and Guidelines.

The Enhanced Licensure Compact that was approved by Oklahoma is still awaiting the approval of several

more states for it to become effective. Once there have been 26 states approve the Enhanced Licensure

Compact, it will take up to an additional six months for it to become effective. This is estimated to occur in early

2018. The OBN will issue a letter to all licensed RNs about the availability of the Enhanced Licensure Compact

license once it is ready to start. Oklahoma RNs will have a choice of whether they wish to maintain their current

single-state license or change to the Enhanced Multi-State License. Of note is that the requirements for this

Enhanced Multi-State License are stricter than those of our current single-state license and the cost for this

license will be higher than the single-state license. For more information on the requirements for the enhanced

license, you are encouraged to visit the website https://www.nursecompact.com/.

Submitted by: Shelly Wells, PhD, MBA, MS, APRN-CNS

July, 2017


2017 Oklahoma Nurses Association

Education Director Report

The board has discussed plans for the following:

Amy Hutchens, MS, RN, CNE

Re applying for Approved Provider Status with the Texas Nurses Association so that ONA may continue to

provide continuing education activities and Joint Provide with other entities in Oklahoma that would like to

offer continuing education credits to nurses.

Exploring the possibility of becoming an ANCC Accredited Approver for continuing education. ONA is in the

beginning stages of developing the business case to support this project in addition to starting ONA’s selfstudy.

Potential launch of education modules for preceptor training on an education learning system. Available at no

cost to all Oklahoma nurses.


2017 Oklahoma Nurses Association



Janet Sullivan-Wilson, PhD, RN, ONA Representative, ODVFRB

Donna L. Wong Professor in Nursing Science

Associate Director, RCGNE Community Based Interdisciplinary Research

Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center

1100 N. Stonewall, Rm.363, PO Box 26901, Oklahoma City, Oklahoma 73126-0901

MISSION of the Board

The mission of the Oklahoma Domestic Violence Fatality Review Board is to reduce the number of domestic

violence related deaths in Oklahoma. The Board will perform multi-disciplinary case reviews of statistical

data and information derived from disciplines with jurisdiction and/or direct involvement with the case to

develop recommendations to improve policies, procedures and practices within the systems involved and

between agencies that protect and serve victims of domestic abuse.


22 § 60.1


1. The Oklahoma Domestic Violence Fatality Review Board shall review and study the fatalities caused as a

direct result of domestic violence acts and/or domestic violence is demonstrated to have had a causative

effect upon the death of an individual. The Board shall:

a) Conduct an in-depth review of domestic violence situations resulting in a fatality;

b) Develop accurate statistical information of domestic violence-related fatalities;

c) Make recommendations to improve access to protective services to those who may be living in a

dangerous domestic environment;

d) Make recommendations to improve policies, procedure and access to support systems that serve

victims of domestic violence; and

e) Carry out such duties and responsibilities as the Board shall designate.

2. In fulfilling this purpose, the Board shall be guided by specific principles:

a) Case review and data analysis shall be for the purpose of resolving systemic issues.

Individual case management shall be specifically outside the purview of the Board.

b) The Board shall be inclusive, seeking input from, and the expertise of, the diverse agencies and

disciplines working to resolve domestic violence issues.

c) Collaboration, coordination and communication shall be central to the operations of the Board.

d) All activities shall be conducted in a manner respectful to victims of domestic violence and the

feelings of their families.

3. The Office of Attorney General shall promulgate policies and procedures to administer the Board.

See 22O.S. 1601-1603§


2017 Oklahoma Nurses Association


1. From the, Domestic Violence Homicide in Oklahoma: An Analysis of 2015 Domestic Violence Homicides

(2016 ODVFRB Annual Report): https://www.ok.gov/oag/documents/2016%20ANNUAL%20REPORT%20


a) In 2015, 111 domestic violence related deaths involved intimate partners and ex-Intimate partners,

family members killed by family members, children killed by family members, roommates killed by

roommates, and suicide deaths of perpetrators. Of the 111 people who died, 94 were domestic

violence homicide victims, and 17 were homicide perpetrators who died as a result of suicide, law

enforcement intervention, or bystander intervention.

b) Causes of domestic violence deaths have remained consistent during the past 18 years. Firearms

continue to be the leading cause of death, followed by knife/cutting, blunt force trauma, strangulation,

asphyxiation, and poisoning.

c) The majority of murder/suicides continues to be male perpetrators of female intimate partners (86%).

d) 24 children died in 21 of the domestic violence cases reviewed

e) 2015 DVFRB Recommendation for health care: Healthcare professionals should implement

intimate partner violence lethality risk assessments in emergency rooms for every patient who

has been identified as a domestic violence victim. (p27)

f) The Oklahoma Department of Mental Health and Substance Abuse Services ​(ODMHSAS) engaged

domestic violence stakeholders to develop and implement ​a webinar training hosted online at

ODMHSAS. The online training consists ​of domestic violence modules that include the dynamics

of domestic violence, ​risk assessment, safety planning and other suggestions to enhance practice. ​

Online ODMHSAS Webinar is available at: ​https://ww1.odmhsas.org/AccessControl_new/ACMain/


2. Publications

Messing, J, Campbell, JC, Ward-Lasher, A., Brown, S., Patchell, B., and Wilson, JS (2016), The Lethality

Assessment Program: Which Survivors of Intimate Partner Violence are Most Likely to Participate?

Policing: an International Journal of Police Strategies & Management, 39(1), pp64-77 Permanent link to

this document: http://dx.doi.org/10.1108/PIJPSM-08-2015-0094


2017 Oklahoma Nurses Association






DVFRB Recommendations for Healthcare

Healthcare professionals should implement intimate partner violence lethality risk assessments in

emergency rooms for every patient who has been identified as a domestic violence victim

Educate Healthcare Providers in Health Care Settings

In 2012, the DVFRB made a recommendation for healthcare providers to be trained in use of the National

Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care

Settings (2004) developed by the Family Violence Prevention Fund. In early 2014, DVFRB Program Manager

and DVFRB member, Janet Wilson, PhD., R.N. met with Jane Nelson, Executive Director, Oklahoma Nursing

Association (ONA), for a discussion on implementation of the board’s recommendations. Several preliminary

ideas were considered to move this recommendation forward to nursing professionals in Oklahoma

1. Using the National Consensus Guidelines on Identifying and Responding toDomestic Violence

Victimization in Health Care Settings, (http://www.futureswithoutviolence.org/userfiles/file/Consensus.pdf),

educate/train all healthcare providers in:

• Traumatic nature of domestic violence & post-traumatic stress disorder

Oklahoma’s domestic violence reporting law

• Assessment of domestic violence

• Referral to appropriate services for care

• Documentation in the medical record

2. All health care providers should be familiar with current domestic violence reporting laws. 22 Okl.

St.Ann. § 58, which can be found at the following link: http://www.oscn.net/applications/oscn/


**For a simplified discussion of the requirements of the law, see Oklahoma’s Nursing Times at: http://




1. Encourage the creation of protocols and documentations tools by professional associations such

as Oklahoma Nurses Association, Oklahoma Osteopathic Association, Oklahoma State Medical

Association, Licensed Professional Counselors, Oklahoma Psychological Association, and Oklahoma

Association of Social Workers, as well as Training for health care providers.

2. Support inter-professional pilot studies utilizing a danger assessment tool

1. Explore the use of lethality and danger assessments for system professionals

2. Support inter-professional pilot studies utilizing a danger assessment tool

2005 Support inter-professional pilot studies utilizing a danger assessment tool

2004 Explore the use of lethality and danger assessments for system professionals


1. Encourage the creation of protocols and documentations tools by professional associations such

as Oklahoma Nurses Association, Oklahoma Osteopathic Association, Oklahoma State Medical

Association, Licensed Professional Counselors, Oklahoma Psychological Association, and Oklahoma

Association of Social Workers, as well as Training for health care providers.

2. Legislate minimal domestic violence and lethality screen (as necessary) at each medical encounter and

include in medical record


2017 Oklahoma Nurses Association

Nursing Scholarship advisory committee

For the past several years I have represented ONA as a committee member on the Nursing Scholarship

Advisory Committee (NSAC) with the Physician Manpower Training Commission (PMTC). Meetings were

traditionally held each year in July after the statewide interviews had been completed with applicants from

all over the state of Oklahoma. However, with recent budget cuts, annual meetings and annual interviews

were cut. Members of the NSAC Committee, in addition to the Oklahoma Nurses Association, remain to

be comprised of representatives from the Rural Hospital Nursing Service, Urban Hospital Nursing Service,

Oklahoma Association of Healthcare Providers, Oklahoma Hospital Association, Oklahoma League for

Nursing, Oklahoma State Association of Licensed Practical Nurses, Oklahoma League for Nursing, Associate

Degree Nursing Director’s Council, Association of Deans and Directors of Baccalaureate and Higher Degree

Nursing Programs, and one Lay Member.

The committee membership role now involves consulting. With the interviews no longer conducted across

the state and with no general annual meeting, the committee members are available as resources. I remain to

be the Vice-Chairperson and serve in that capacity when necessary.

The scholarships are either matching or non-matching, depending upon whether the student has matched

with a sponsoring facility or not. These student nurses are enrolled in LPN, ADN, BSN and Masters Nursing

Programs from across the state of Oklahoma as well as some national online Internet programs. Students

are now screened by the staff at Physician Manpower Training Commission. Determination of qualified

candidates are made at that time.

In order to qualify for a scholarship a recipient must be a legal resident of the State of Oklahoma, citizen

of the United States, and unconditionally accepted into a nursing program. For each year of financial

assistance, there will be a one-year full-time work obligation (or equivalent thereof) worked by the recipient.

The obligation is fulfilling at the sponsoring health institution if the funds are matched/sponsored or at a

qualified health institution if the scholarship is a non-match. Maximum assistance is for two years for each


PMTC has placed nurses in all 77 counties, mostly in rural hospitals and nursing homes. The purpose of

the program is to provide assistance to Oklahoma nursing students pursuing LPN, ADN, BSN or MSN

degrees and who are interested in practicing or teaching nursing in Oklahoma communities, with emphasis

placed on rural or smaller communities. There are many more applicants that will be turned down due to

limited funding. Physician Manpower has assisted nearly 6,700 nursing students since 1982 and will provide

scholarships to approximately 215 students for the academic year of 2017-2018. The funding for the current

academic year is attached to this report.


Beverly Botchlet, RN, MS


2017 Oklahoma Nurses Association

State council on aging

Anne W. Davis, PhD, RN State Council on Aging ONA Representative Advisor

What a year! Besides representing you at the now quarterly State Council on Aging meetings, I represented

you at our state Capitol advocating for Oklahoma seniors. This year was my initiation into the world of

Oklahoma Legislation 101.” Please see ONA’s Legislative Report for details about ONA’s incredible efforts.

This report will focus on legislation related to seniors. First, a brief pitch: YOUR voice counts!!! When ONA

requests you to communicate with your elected legislators, please do! Nurses can make a difference in how

our elected representatives vote on bills.

Here is a summary of selected bills which the Oklahoma State Council on Aging and the Oklahoma Aging

Partnership (OAP) supported or did not support (per 2017 Advocacy and Legislative Agenda by Shirley Cox,

Legal Services Developer and William Whited, State Long Term Care Ombudsman):

• HB 1357 The Oklahoma Caregiver Support Act was signed by the Governor. This bill requires DHS to

support community organizations in their efforts to increase services to caregivers and to publicize

information about these services.

• HB 1551 This bill is dormant while a Task Force meets to consider recommendations about eligibility

requirements for Nursing Home Administrators. Current law states that a four-year degree is part

of the requirement to be eligible. Oklahoma does not have a shortage of eligible Nursing Home

Administrators and OAP opposed HB 1551.

• HB 1620 Signed by the Governor, this bill requires all medical and direct care staff at nursing facilities,

adult day care centers, assisted living centers, and home health agencies to complete at least one

hour per year of in-service training specific to Alzheimer’s and dementia-related care. (My comment:

Yes, it would have been wonderful to have more than one hour.)

There were many bills impacting seniors which were supported or opposed throughout the session. I cannot

overstate how important you are to the legislative process and how vital it is to be vigilant! To track a bill,

simply go to http://www.oklegislature.gov/BasicSearchForm.aspx.

Besides advocating several days per week at the Capitol, this year I continued to serve as ONA’s

representative advisor on the State Council on Aging. SCAMS targeting seniors remain a major concern.

Ronnie Combs, DHS Division Information Systems Administrator, reminded Council members to report all

scams. Resources you may need? Your County Sheriff, OK Office of Attorney General, Public Protection Unit

(405-421-3921), Oklahoma Bankers Association Fraud Unit (405-424-4518, ext. 101), and Legal Aid Services

of OK (1-855-488-6814).

Of course, the “Elephant-in the-Room” is our state’s dire budget situation. Have you ever pondered the

positive effect which DHS Aging Services has in our state? Just one example: Senior nutrition programs

funded by DHS employ over 700 people at 200+ sites to prepare, serve, and deliver meals.

On a bittersweet note, Lance Robertson, Aging Services Director, will be leaving Oklahoma for Washington,

DC. He was recently named federal Assistant Secretary for Aging; his effective organizational skills and

genuine concern for seniors will be missed!

Please email me (aiwdavis73@gmail.com) if you have questions or feedback related to the State Council on

Aging or information in this report.


2017 Oklahoma Nurses Association

Oklahoma League for Nursing

Oklahoma League for Nursing – 2016-17 Major Accomplishments:

1. The Oklahoma League for Nursing received continued full affiliation status as a constituent

league of the National League for Nursing for 2016.

2. Developed and offered a successful workshop in OKC, OK. The workshop titled Select Your Peers: A

Motivational Strategy, presented by Dr. Anne Bavier, NLN President and jointly provided with ONA.

3. Revised the Bylaws in accordance with NLN.

4. OLN President, Diana Mashburn, was invited as contributing author to:

National League for Nursing. (2017). A vision for expanding US nursing education for global health

engagement: A living document from the National League for Nursing. Retrieved from http://www.nln.


5. Held the Annual Membership Meeting and officer elections during the ONA convention in OKC, OK.

6. OLN President, Diana Mashburn attended the NLN Education Summit in Orlando, FL with the

President’s Leadership Workshop.

7. Developed and approved by the OLN Board, a 2016 Strategic plan and budget is in place.

8. The OLN Board continues to work on a membership outreach. Many faculty at NLN member schools

do not realize that it does not include the state membership but they can join for $25 in 2017. Any LPN

or RN is eligible to join the Oklahoma League for Nursing.

9. Our OLN website is up and running and you can then accesses our page through a link at http://www.

nln.org. Under the Membership Service tab, select OK as a constituent league. The NLN and OLN

support all levels of nursing education and invite you to join us!

Diana Mashburn PhD, RN-BC, CNE President 2016-17


2017 Oklahoma Nurses Association

ONA Organizational Affiliates

Association of Oklahoma Nurse Practitioners

Association of Women’s Health, Obstetrics & NeoNatal Nurses

Oklahoma Association of Clinical Nurse Specialists

Oklahoma Association of Nurses Anesthetists

Oklahoma Case Management Association

Oklahoma Emergency Room Nurses

Oklahoma Faith Community Nurses

Oklahoma League of Nurses

Oklahoma State Affiliate of American College of Nurse Midwives

Oklahoma State Council of Perioperative Nurses

Organizational Sponsors

Juanita Milsap Partners ($10,000)

Alliance Health – Deaconess and its affiliates

Marie Mink Partners ($5,000)

Cherokee Nation Health Administration

INTEGRIS Health Systems

Mercy Health Center

OU Medical Center

St. John Medical Center

The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care

in all specialties and practice settings by working as a community of professional nurses.


2017 Oklahoma Nurses Association

Code of ethics for Nurses

1 The nurse, in all professional relationships, practices with compassion and respect for the

inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of

social or economic status, personal attributes, or the nature of health problem.

2 The nurse’s primary commitment is to the patient, whether an individual, family, group, or


3 The nurse promotes, advocates for, and strives to protect the health, safety, and rights of

the patient.

4 The nurse is responsible and accountable for individual nursing practice and determines the

appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum


5 The nurse owes the same duties to self as to others, including the responsibility to preserve

integrity and safety, to maintain competence, and to continue personal and professional


6 The nurse participates in establishing, maintaining, and improving health care environments

and conditions of employment conducive to the provision of quality health care and

consistent with the values of the profession through individual and collective action.

7 The nurse participates in the advancement of the profession through contributions to

practice, education, administration, and knowledge development.

8 The nurse collaborates with other health professionals and the public in promoting

community, national, and international efforts to meet health needs.

9 The profession of nursing, as represented by associations and their members, is responsible

for articulating nursing values, for maintaining the integrity of the profession and its practice,

and for shaping social policy.


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