2017 INF/INA Conference & Annual Meeting

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2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Table of Contents 2017

Welcome to Annual Meeting 2017 & Map. .............................................. 3

Schedule of Events. ................................................................ 5

2017 Iowa Nurses Association Award Recipients. .......................................... 6

Continuing Education: Healthy Nurse, Healthy Nation. ...................................... 7

Continuing Education: Iowa Nursing Law Legal Update 2017. ............................... 23

Continuing Education: Iowa Nurse Assistance Program. .................................... 29

2018 INA Legislative Day Announcement. .............................................. 36

Business Meeting Agenda. .......................................................... 36

Election Procedures and Parliamentary Information. ....................................... 37

Iowa Nurses Association Balance Sheet and Profit and Loss Statement ......................... 43

INA Membership Comparison. ....................................................... 44

Report of the Iowa Nurses Association President. ......................................... 51

Reports of the Regions. ............................................................ 54

Reports of the Committees of the Board. ............................................... 57

Reports of the Committees of the Association. ........................................... 59

Report of 2017 Legislative Priorities with Corresponding Bills of Interest from the Session. .......... 61

Report of State Government – Iowa Board of Nursing. ..................................... 68

Report of Iowa Department of Public Health. ............................................ 69

Report of the Iowa Nurses Foundation ................................................. 72

Iowa Nurses Foundation Balance Sheet. ................................................ 72

In Memoriam – Nightingale Pledge Contributions to INF. ................................... 74

Candidate Statements for INA Board of Director Positions. .................................. 75

2017 Ballot. ..................................................................... 78

Printed and published for the Iowa Nurses Foundation and the Iowa Nurses Association by:

Arthur L. Davis Publishing Agency

517 Washington St., P.O. Box 216 | Cedar Falls, Iowa 50613

(319) 277-2414

www.iowanurses.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

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2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Welcome

Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

October 19-20, 2017

On behalf of the INF/INA planning committee, welcome to the 2017 Conference and Annual Meeting!

The theme for this year meeting is “Healthy Nurses, Healthy Iowa.” We have planned a outstanding

line-up of educational opportunities for you to re-energize personally and professionally!

Join us Thursday evening for networking and dinner with colleagues at the hotel. You will have the

opportunity to meet and speak with our keynote speaker, from the American Nurses Association, Holly

Carpenter, BSN, RN.

New this year is the INF awards breakfast where we will honor 2017 award winners and introduce the

2017 INA Hall of Fame Inductees. In addition to the CEU programs, INA will hold its annual business

meeting at the end of the day. Stay and learn about the work the organization is doing for nurses in Iowa.

The INF will hold its annual fundraiser. This year, we need to raise $6000 to fund scholarship requests. In

lieu of a silent auction or raffle to raise funds for the INF Scholarships, we are asking members to make a

cash donation to our “Raise the Thermometer” on Nursing Scholarships and Our Profession.

Thank you for taking time from your busy schedule to attend the INA/INF Annual Meeting and Conference.

We are looking forward to meeting you!

INF Co-Chair: Christina Peterson

INA Co-Chair: Lisa Caffery

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

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2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Attendee Agenda

2017 Planning Committee: Christina Peterson and Lisa Caffery

SCHEDULE OF EVENTS - THURSDAY, OCTOBER 19

Time

Event/Topic

5:15 PM to 5:45 PM Social and Networking followed by dinner

6:00 PM to 8:00 PM

Healthy Mind Networking Event - All Participants

Meet & Greet with Holly Carpenter, American Nurses Association

SCHEDULE OF EVENTS - Friday, OCTOBER 20

Time Event/Topic Presenter

7:00 AM to 7:45 AM

8:00 AM to 8:45 AM

9:00 AM to 10:30 AM

Registration Opens & Continental

Breakfast

Iowa Nurses Foundation Awards

Program

Healthy Nurse, Healthy Nation

1.8 Contact Hours

10:30 AM to 10:45 AM Break

2017 Legal Update

10:45 AM to 12:15 PM

1.8 Contact Hours

12:15 PM to 1:30 PM Exhibits & Refueling Luncheon

The Iowa Nurse Assistance Program

(INAP), offered by the Iowa Board

of Nursing. “Addressing Impaired

1:30 PM to 2:30 PM Nurses in the Workplace and

how an Alternative to Discipline

Program Can Help”

1.2 Contact Hours

2:30 PM to 4:00 PM INA Annual Business Meeting

4:00 PM Closing Remarks and Evaluations

4:00 PM Adjourn

Holly Carpenter, BSN, RN

ANA Center for Occupational &

Environmental Health

Lynn Böes, RN, BSN, JD

Davis Brown Law Firm

Rhonda Ruby, MS, BA, RN

Iowa Nurse Assistance (lNAP)

Coordinator

Iowa Nurses Foundation is IBON continuing education

provider #25 approved by the iowa board of nursing

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

2017 Iowa Nurses Association

Award Recipients

Hall of Fame Award

The Hall of Fame Award will be given

annually to an individual who has displayed

visionary leadership, dedication to the mission

of INA, and a passion for the profession of

nursing in an ongoing basis.

Betty Lord-Dinan, Elkader

Iowa Nurses Foundation Scholarship

Awardee

This scholarship is awarded to further the

education of practicing registered nurses who

are members of the Iowa Nurses Association

in their final year of a nursing program and

based on the individual’s professional goals,

career plans, academic standing, professional

and personal references.

Candace Chihak, Mt. Vernon

Andrea Jimmerson, Indianola

Mike Anderson Scholarship

The Iowa Nurses’ Foundation is a vehicle for

money donated by Mr. Gerald Hugh “Mike”

Anderson for scholarships for students

interested in nursing education. The scholarships

are only available to students at Grand View,

Des Moines Area Community College and the

University of Iowa College of Nursing

Rachel Baker, Des Moines

Jaci Brungardt, Fort Dodge

with the upmost grace and compassion. The

scholarship is a way for her family to help

carry on her legacy and is to help current

nurses further their education and advance

their nursing careers.

Candace Chihak, Mt. Vernon

Andrea Wilhite, West Des Moines

Jaci Brundgardt, Fort Dodge

Gina Kubik, Waterloo

Rose Hedges, Mt Vernon

Jamie Briar, Norwalk

American Nurses Foundation Scholarship

From among the applicants, for INF

scholarships, monies are sent from the

American Nurses Foundation to be awarded

to individuals who show leadership in nursing

or diversify the nursing workforce.

Andrea Wilhite, West Des Moines

Candace Chihak, Mt. Vernon

2017 Region Nurses of the Year

Award Recipients

Region 1-NW – Deb Bomgaars, PhD, RN

Region 2-NE – To be Announced

Region 3-SW – Marcia Weis,

MSN, RN-BC, ONC

Region 4-Central – Lorinda Inman, RN, MSN

Region 5-SE – Rebecca Lewis, RN, MSN

Mary Paulson Scholarship (est. 2017)

This nursing scholarship was established in

memory of Mary Weihs Paulson who was

an RN at Mercy Medical Center and Surgery

Center Des Moines-West for 30 years. Mary

loved being a nurse and was very passionate

for her profession. She cared for her patients

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Continuing Education

KEYNOTE SPEAKER OUTLINE

Healthy Nurse, Healthy Nation TM

Holly Carpenter, BSN, RN;

ANA Center for Occupational & Environmental Health

Ms. Holly Carpenter, BSN, RN, is the Senior Policy Advisor for the American

Nurses Association’s (ANA) Nursing Practice and Innovation department. Her

responsibilities at ANA include Healthy Nurse, Healthy NationTM (HNHN) initiatives

such as the Year of the Healthy Nurse, HNHN Grand Challenge, and continuing

education programs, as well as supporting multiple occupational health and work

environment issues.

COURSE TITLE: Healthy Nurse, Healthy Nation TM

DATE & TIME Friday, October 20th, 9:00 AM – 10:30 AM

LOCATION: Courtyard by Marriott, Ankeny, IA

COURSE CREDIT: 1.8 contact hours (.18 CEUs) IBON

FEES: $50 for CE only/ Conference Attendees included in registration

IOWA NURSES FOUNDATION

IS IBON CONTINUING

EDUCATION PROVIDER #25

APPROVED BY THE IOWA

BOARD OF NURSING

COURSE PURPOSE: Nurses often lag behind the general population in leading

health indicators, yet as the largest group of healthcare professionals, we need to

be role models, advocates and educators of improved health, safety, and wellness

for ourselves, our families, our co-workers, our patients and our communities.

COURSE OBJECTIVES: Upon completion of this presentation the nurse should be

able to:

1. Define a healthy nurse.

2. Identify and describe ANA’s nurse health, safety, and wellness resources (including Year of the Healthy

Nurse and the Healthy Nurse, Healthy Nation Grand Challenge).

3. Discuss Iowan nurse health, safety, and wellness results from a recent survey and compare them to

national nurse averages.

CERTIFICATE OF EVALUATION IBON - Please complete the evaluation form and return it to: Iowa Nurses Foundation,

2400 86th Street, #32, Urbandale, IA 50322. Course evaluations may be sent directly to the Iowa Board of Nursing

at RiverPoint Business Park 400 SW 8th Street Suite B Des Moines, IA 50309

CERTIFICATE OF ATTENDANCE: Please complete the certificate of attendance. Keep the pink copy for your file

for 4 years and return the white and yellow copies to the course coordinator, along with your completed course

evaluation at the completion of the program. Copies of the certificate of attendance are kept by the Iowa Nurses

Foundation office for 4 years.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Notes

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Continuing Education

KEYNOTE SPEAKER OUTLINE

Iowa Nursing Law: Legal Update 2017

Lynn Böes, RN, BSN, JD

Ms. Lynn Böes is a Shareholder at the Davis, Brown, Koehn, Shors and Roberts law

firm in Des Moines, Iowa and is a member of their Health Law Department. She

provides representation to Health Care Facilities, Health Care Associations, and

Health Care Providers on a broad array of health issues. Projects have included

drafting legislative language, representing clients at hearings, presenting speeches

on legal issues in health care, and researching case law, statutory law, and regulatory

law, for the purpose of rendering legal opinions.

COURSE TITLE: Iowa Nursing Law: Legal Update 2017

DATE & TIME: Friday, October 20, 2017, 10:45 am – 12:15pm

LOCATION: Courtyard Marriott, Ankeny, IA

COURSE CREDIT:1.8 contact hours (.18 CEUs) IBON

FEES: $50 for CE only/ Conference Attendees included in registration

IOWA NURSES FOUNDATION

IS IBON CONTINUING

EDUCATION PROVIDER #25

APPROVED BY THE IOWA

BOARD OF NURSING

COURSE PURPOSE: The presentation is designed to provide attendees with

information on changes in the law that impact nursing and health care practice in

the last year.

FACULTY: J.R. “Lynn” Böes, RN, BSN, JD; Davis Brown Law Firm

COURSE OBJECTIVES: Upon completion of this presentation the nurse should be able to:

1. Identify three sources of the law which affect liability for practitioners in Iowa.

2. Identify at least one legislative change in the law impacting nursing practice in the last year.

3. Identify at least one regulatory change in the law impacting nursing practice in the last year.

4. Identify at least one judicial precedent impacting nursing practice in the last year.

5. Discuss legal implications of changes in nursing practice related to changes in the law.

CERTIFICATE OF EVALUATION: Please complete the evaluation form and return it to: Iowa Nurses Foundation, 2400

86th Street, #32, Urbandale, IA 50322. Course evaluations may be sent directly to the Iowa Board of Nursing at

RiverPoint Business Park 400 SW 8th Street Suite B Des Moines, IA 50309

CERTIFICATE OF ATTENDANCE:Please complete the certificate of attendance. Keep the pink copy for your file

for 4 years and return the white and yellow copies to the course coordinator, along with your completed course

evaluation at the completion of the program. Copies of the certificate of attendance are kept by the Iowa Nurses

Foundation office for 4 years.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

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2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Iowa Nursing Law: Legal Update 2017

J.R. “Lynn” Böes, R.N., B.S.N., J.D.

Davis, Brown, Koehn, Shors & Roberts, P.C.

215-10th Street

Des Moines, IA 50309

(515) 246-7807

Due to time limitations and the nature of the program, please understand that printed materials contained

herein and oral presentations of the speaker are not intended to be a definitive analysis of the subject

discussed. Persons are cautioned that fact situations involving legislation, regulations and Judicial

interpretations related to nursing law in Iowa vary in each individual circumstance. Material contained

herein or presented by the speaker must not be considered as a substitute for sound legal advice on your

own independent situations.

I. Introduction

II. Sources of the Law

A. Constitution

B. Legislation

C. Regulation

D. Judicial Precedent

III. Changes in the Law in 2017

A. Legislation

1. SF 419 (Enhanced Nurse Licensure Compact)

https://www.legis.iowa.gov/docs/publications/LGE/87/SF419.pdf

2. SF 471 (Prerequisites for Abortion)

https://www.legis.iowa.gov/docs/publications/LGE/87/SF471.pdf

3. SF465 (Medical Malpractice Reform)

https://www.legis.iowa.gov/docs/publications/LGE/87/SF465.pdf

4. SF234 (Prohibition Against Writing, Sending or Viewing Electronic Messages While Driving)

https://www.legis.iowa.gov/docs/publications/LGE/87/SF234.pdf

5. SF 51 (Cytomegalovirus)

https://www.legis.iowa.gov/docs/publications/LGE/87/SF51.pdf

6. HF642 (Education Appropriations)

https://www.legis.iowa.gov/docs/publications/LGE/87/HF642.pdf

7. HF 232 (RN and PA Authority to Pronounce Death in Correctional Facilities)

https://www.legis.iowa.gov/docs/publications/LGE/87/HF232.pdf

8. HF544 (Personal Degradation of a Dependent Adult)

https://www.legis.iowa.gov/docs/publications/LGE/87/HF544.pdf

9. HF524 (Medical Cannabis)

https://www.legis.iowa.gov/docs/publications/LGE/87/HF524.pdf

10. HF593 (Authorizing Mental Health Professionals to Provide Certain Functions for Persons with

Substance Abuse Disorder or Mental Illness)

https://www.legis.iowa.gov/docs/publications/LGE/87/HF593.pdf

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

11. Other Legislative Items of Interest (Bills not passed)

A. AARP Caregiver Bill

B. Genetic Counseling Bill

C. Advanced Practice Registered Nurse Interstate Compact

B. Regulations

1. Iowa Board of Nursing published its Notice of Intended Action (ARC 3046C) in the May

10, 2017 I.A.B. proposing significant changes to 655 I.A.C. Chapters 3 and adopting a new

Chapter 5. These proposed amendments had been approved by the Iowa Board of Nursing on

January 11, 2017. Comments were due on May 30, 2017. INA submitted comments at the inperson

hearing on May 30, 2017.

2. Iowa Department of Inspections and Appeals published its Notice of Intended Action (ARC

3110C) in the June 7, 2017 I.A.B. proposing an amendment to the definition of dependant

adult abuse in Facilities and Programs, and defining “personal degradation. The proposed

amendment had been reviewed by the State Board of Health at its May 10, 2017 meeting.

3. Iowa Board of Nursing published its Notice of Intended Action (ARC 3127C) in the 6/21/175

I.A.B. proposing to amend Chapter 2 related to Nursing Education Programs. The proposed

amendments had been approved by the Iowa Board of Nursing on April 19, 2017.

4. Iowa Department of Public Health published its Adopted and Filed Emergency Rules (ARC

3150C) along with Notice of Intended Action (ARC 3151C) amending 641 Iowa Administrative

Code Chapter 154 “Medical Cannabidiol Act Registration Care Program.” The State Board of

Health adopted the amendments on June 8, 2017, subject to the Administrative Rules Review

Committee on June 13, 2017. The rules became effective on June 13, 2017, but a public

hearing was held on August 9, 2017 to take into any other recommendations to the proposed

rules.

5. Iowa Department of Inspections and Appeals published its Adopted and Filed Rules (ARC

3235C) in the 8/2/17 I.A.B. pertaining to dependant adult abuse and the definition of “personal

degradation.” This was amended further taking into account comments received during the

notice and comment period. The rules become effective 9/6/17.

C. Judicial Precedent

1. Pamela Plowman and Jeremy Plowman v Fort Madison Community Hospital, et. al, No. 15-

0974, Iowa Supreme Court, filed June 2, 2017

2. Mary E. Roth, et. al v. The Evangelical Lutheran Good Samaritan Society d/b/a/ Good Samaritan

Society-George, No.15-2095, Iowa Supreme Court, filed October 21, 2016

3. In re: Guardianship & Conservatorship of Whetstone, No. 16-0668, Iowa Court of Appeals, filed

August 16, 2017

4. Abbas v. Iowa Ins. Div., No. 15-1248, Iowa Supreme Court, filed April 21, 2017

5. In the Matter of M.W., No. 15-2213, Iowa Supreme Court, filed May 5, 2017

6. Other Matters of Interest: October 2016 Letter to Iowa Board of Health re: Fluoroscopy

IV. Questions/Answers

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Notes

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

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2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Continuing Education

KEYNOTE SPEAKER OUTLINE

Iowa Nurse Assistance Program

“The Iowa Nurse Assistance Program (INAP), offered by the Iowa Board of

Nursing, “Addressing Impaired Nurses in the Workplace and how an Alternative

to Discipline Program Can Help”

Rhonda Ruby, MS, RN

Ms. Rhonda Ruby, MS, RN is the Iowa Nurse Assistance Program Coordinator with the

Iowa Board of Nursing. Her current position requires expertise in developing, coordinating

and managing all aspect of the INAP program and educating the community on how

INAP can help impaired nurses. She is responsible for the monitoring of all active

participants in the program, as well assuring compliance to program requirements.

COURSE TITLE: “The Iowa Nurse Assistance Program (INAP), offered by the Iowa

Board of Nursing. “Addressing Impaired Nurses in the Workplace and how an

Alternative to Discipline Program Can Help”

DATE & TIME: Friday, October 20, 2017, 1:30 PM – 2:30 PM

LOCATION: Courtyard Marriott, Ankeny, IA

IOWA NURSES FOUNDATION

IS IBON CONTINUING

EDUCATION PROVIDER #25

APPROVED BY THE IOWA

BOARD OF NURSING

COURSE CREDIT: 1.2 contact hours (.12 CEUs) IBON

FEES: $50 for CE only/ Conference Attendees included in registration

COURSE PURPOSE: This session will describe the alternative to discipline (ATD)

process utilized by the Iowa Nurse Assistance Program for impaired nurses. It will

explain how employers can utilize INAP to assist impaired nurses in the workplace

including reentry into safe practice.

FACULTY: Rhonda Ruby, MS, BA, RN; Iowa Nurse Assistance Program (INAP) Coordinator

COURSE OBJECTIVES: Upon completion of this presentation the nurse should be able to:

1. Identify the alternative to discipline process utilized in INAP process including referral, eligibility, intake, and monitoring.

2. Identify key components of an effective alternative to discipline program.

3. Distinguish between disciplinary and non-disciplinary approaches used by the Board.

4. Recognize the strengths and benefits of the Iowa Nurse Assistance Program.

CERTIFICATE OF EVALUATION: IBON - Please complete the evaluation form and return it to: Iowa Nurses Foundation,

2400 86th Street, #32, Urbandale, IA 50322. Course evaluations may be sent directly to the Iowa Board of Nursing

at RiverPoint Business Park 400 SW 8th Street Suite B, Des Moines, IA 50309

CERTIFICATE OF ATTENDANCE: IBON - Please complete the certificate of attendance. Keep the pink copy for your

file for 4 years and return the white and yellow copies to the course coordinator, along with your completed course

evaluation at the completion of the program. Copies of the certificate of attendance are kept by the Iowa Nurses

Foundation office for 4 years.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Iowa Nurse Assistance Program (INAP)

An Alternative to Discipline

Session Outline

• Purpose Statement

• INAP Introduction

• INAP Process

• INAP Components

• Discipline Considerations

• Nurse Manager Considerations

Offered by the Iowa Board of Nursing

Rhonda Ruby, MS, BA, RN

INAP Coordinator

Session Purpose Statement

• This session will describe the INAP Program and the alternative to discipline (ATD) process

utilized for impaired nurses.

• This session will explain how the INAP process works, components of the program and

address how employers can utilize INAP to assist impaired nurses in the workplace.

Why This Program is Important for Nurse Managers

• As a nursing leader, you have an important responsibility to keep both patients and

staff safe.

• You are in a unique position to early identify and intervene.

• Part of employer responsibility includes communication with staff and the

administration of your facility about this issue.

• Substance use disorder (SUD) is rarely discussed and you may be in a position of

educating staff and or reporting an impaired nurse.

So, What is INAP?

• The Iowa Nurse Assistance Program (INAP) is offered by the Iowa Board

of Nursing (IBON).

• INAP is a new resource for individual nurses who are impaired as a result

of substance use or by any mental or physical condition.

• It is a voluntary, confidential program and provides an

opportunity for licensed professionals to receive proper treatment

and maintain their professional status, while protecting the safety

of the public.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Special Considerations

• Does not involve public discipline

• Participation is voluntary, cannot be ordered into the program

• Participants are responsible for program expenses, not paid for by the Board

• INAP does not release participants name, confidential program

Who is Eligible for INAP

• Any LPN, RN, or nurse practitioner that has a physical, mental or substance use concern

• Diagnosed impairment and or treatment recommendation

• Approval of INAP committee (eligibility to participate in the program is at the sole

discretion of the INAPC)

Who is Not Eligible for INAP

• Diverted drugs for distribution to third parties or for personal profit

• Adulterated, misbranded, or otherwise tampered with drugs intended for a patient

• Provided inaccurate, misleading, or fraudulent information or failed to fully cooperate

with the INAPC

• Participated in the program, or similar programs offered by other states, without success

• Failed to sign contract when recommended by INAPC

How the INAP Process Looks

Requirements of INAP

• Work-site monitor

• Chemical screening

• Recovery program monitor (treatment provider, aftercare, counselor)

• Three year monitoring contract (legally binding)

Does INAP Involve Discipline?

• No discipline or Enforcement as long as in compliance with contract

• Non compliance can result in referral for discipline

• Non compliance can result in referral to Board

• Prior to INAP, only option for nurse was discipline

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Disciplinary Process

Complaint or Self-Report Received and Reviewed

Case Assigned to an Investigator & Investigation Conducted

Evidence Reviewed by the Board

Statement of Charges, Notice of Hearing,

Settlement Agreement (Combined)

Case Closed Nurse May

Receive a Confidential Letter

of Reprimand

Nurse & Complainant

Typically Notified of Decision

No Public Record

Statement of Charges

Charges Accepted by the

Board, Hearing Scheduled,

Settlement Agreement

Offered to Nurse

Combined NOT

Accepted by the

Nurse or Board

Combined

Accepted by the

Nurse & Board

Settlement

Agreement Not

Accepted by Nurse

Board Hearing

Settlement Agreement

Accepted by Nurse and

Board. A Signed

Settlement is Presented

to the Board in Lieu of the

Hearing. The Nurse Need

Not Appear.

Final Board Order

Public Record & Final

Order Sent to Nurse

National Practitioner Databank &

IBON Website/Newsletter Notified

Nurse Must Notify Case Manager

Unless Citation & Warning

All Statement of Charges, Notice of Hearing, Settlement Agreements (Combined) are reviewed by an Assistant Attorney General

prior to issuance. Please call if you have questions about the process (515) 281-6472.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

How INAP is Managed

• INAP is managed by a committee.

• Committee members are required to have specific qualifications and represent

substance use professionals, mental health professionals, nurses who have successfully

completed a recovery program, a public member, and the executive director of the

Iowa Board of Nursing.

• INAP also has legal counsel advising program and works with the Attorney General

Office.

INAP Committee Members

• Robert Colin

• Misstie Day, RN, CARN

• Karen Ganzer, MSN, RN

• Kevin Moeckly, BSN, RN

• Alicia Rivera, BSN, RN

• Debra Starr, BSN, RN

• Kathleen Weinberg, MSN, RN

How INAP Assures Safety For Employers

• Earlier Identification and swift intervention

• Standardized, comprehensive evaluations

• Recognized providers and treatment programs

• Comprehensive monitoring

• Collaborative effort and involvement by employers

• Quicker identification of relapse behaviors resulting in intervention

Employer Considerations

• Recognize signs and symptoms of Substance use disorder

• Investigations and reporting

• Return to work

• Education

Questions?

Helpful Resources

Iowa Board of Nursing, https://nursing.iowa.gov/

National Council of State Boards of Nursing,

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

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Notes

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

INA Annual Business Meeting

Agenda

October 20, 2017 • 2:30 – 4:15 p.m.

2:30 Call to Order—Jann Ricklefs, President

• Roll Call of the Board of Directors

• Roll Call of Membership by Region

• Declaration of Quorum

• Appointment of Parliamentarian

• Review and Approval of the Agenda

• Thursday, October 13, 2016 Annual Meeting Minutes

• Greetings and Welcome Message

2:40 INA Financial Road Map—Anne Cook, Treasurer

2:50 Executive Director’s Message—Tobi Moore, Interim Executive Director

• Progress Report on the Strategic Plan

• Membership Pilot

3:00 2017 Proposed Bylaw Amendments—Susan Whitty, Bylaws Chair

3:30 Membership questions/comments regarding written reports in the book of reports

3:40 Motions from the Membership

3:50 Greetings to Collaborative Organizations

4:00 Recognition of Outgoing Board Members—Jann Ricklefs, President

4:05 Recognition of Incoming Board Members—Julie Schilling, Nominations Chair

4:15 Adjournment—Jann Ricklefs, President

Save the Date

2018 INA Lobby Day

Tuesday, February 13, 2018

Embassy Suites, Des Moines, IA

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Election Procedures

RULES:

1. All members in good standing may vote

2. No congregating or campaigning will be allowed near

voting area while voting is in progress.

Meeting Rules

____________________________________________________

Rule 1: Registered members must wear their name

badges during the business session.

Rule 2: In making a motion or speaking to a question,

a delegate shall move to the floor microphone,

address the Chair, await recognition of the Chair,

and give the delegate’s name and region.

Rule 3: The correct form to use in making a motion is “I

move that...”

Rule 4: All motions and amendments should be written

and signed by the maker of the motion or

amendment and then given to the Chair.

Rule 5: A member may not speak against her/his own

motion, but may vote against it.

Rule 6: No member shall speak more than once, or

longer than three minutes, on the same question

until all have spoken who wish to express and

opinion.

Rule 7: All reports and supplements to reports shall be

written and shall not be read.

Rule 8: A nominating speech of one minute will be

allowed for each nomination from the floor.

Rule 9: Only currently paid members of the Association

are entitled to vote at the polls upon verification

of their current dues being in good standing

according to the most current membership

rosters provided to the tellers. Members not in

attendance may vote by proxy per INA Articles of

Incorporation, Article IV.

Rule 10: The Association staff shall report the number

of members registered after the opening

ceremonies. Supplementary reports may be given

later as the Chair may direct.

Rule 11: A member should raise her/his hand to indicate

she/he cannot hear.

Rule 12: The member will act only on the resolves of a

resolution. Questions of clarification will be

handled according to parliamentary procedure.

Rule 13: All sessions of the Annual Business Meeting shall

be open to the public unless the Chair declares an

executive question.

Rule 14: No smoking will be allowed during the sessions

of the Annual Business Meeting.

Rule 15: Non-ANA members, with the exception of ANA

and INA staff, including consultants, must have

permission of the President to speak.

Rule 16 Items under New Business must receive a 2/3

vote of the members present in order to be

considered.

Rule 17

Revised 2007

On the election ballot, the “write-in” names

must also be marked with a check mark in order

that the tellers will count it as a vote.

Parliamentary Information

____________________________________________________

Robert’s Rules of Order, Newly Revised is the parliamentary

authority that shall govern the INA Business Meeting. The

chair, as the presiding officer, rules on all matters relative to

parliamentary law and procedures. The Parliamentarian

serves only in an advisory capacity to the presiding officer and

members.

Member participation in the business session is governed by

the standing rules.

The motions that follow are defined in terms of action a

delegate may desire to propose. Rules governing these

motions are listed in Table 1.

A main motion introduces a subject to the Business Meeting

for consideration and is stated: “I move that....”

FILLING OUT A MOTION FORM

Three part motion forms are provided by the INA staff. They

will be available at the Head Table by the Secretary and

by the Executive Director. Please fill them out completely

before bringing forward a motion for consideration at the

Business meeting for discussion.

You must sign your name and Region and get the signature

of a person to second the motion before bringing it up.

An amendment (primary) is a motion to modify the working

of a motion. The motion to amend may be made in one of the

following forms, determined by the action desired: “I move

to amend by.....”

striking (word(s), phrase, paragraph).”

inserting (word(s), phrase, paragraph).”

adding (word(s), phrase, or paragraph at the end

of the motion).”

substituting (paragraph or entire text of a resolution or

main motion and inserting another that is

germane).

An amendment to an amendment is a motion to modify the

wording of the proposed amendment and is made as follows:

“I move to amend the amendment by....” The same

forms for making an amendment are applicable for making a

secondary amendment.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

The motion to commit or refer is generally used to send a

pending motion (also called “the question”) to a small group

of selected persons - a committee, board, or cabinet, for

example - so that the question may be studied and put in

better condition for the assembly to consider. The motion

is stated: “I move to commit the question to..........for

further study.”

The motion to close a debate (previous question), if seconded

and approved by a two-thirds vote, stops discussion on the

pending question and is stated: “I move the previous

question.”

A division of the assembly may be called by any member if

the chair’s decision on a voice vote is in question. The member

proceeds to the microphone and states: “I call for a division

of the house.” The chair then takes a standing or roll call

vote.

A division of the question may be called when a pending

motion relates to a single subject but contains several parts,

each capable of standing as a complete proposition. The

parts can be separated and each considered and voted on as

a distinct question. The motion is stated: “I move to divide

the question........as follows....”

The motion to reconsider enables a majority of the assembly

to bring back for further consideration a motion that has

already been voted. The purpose of reconsidering a vote is

to permit correction of hasty, ill-advised, or erroneous action,

or to take into account added information or a situation that

has changed since the vote was taken. (Note exception on the

Table-Rules Governing Motions)

Parliamentary inquiry is a question directed to the presiding

officer to obtain information on parliamentary law or the

rules of the organization as relevant to the business at hand.

A member addresses the chair and states: “I rise to a (point)

of parliamentary inquiry.”

Point of information is a request, directed to the chair or

through the chair to another officer or member for information

relevant to the business and hand. The request is not related

to parliamentary procedure. The member addresses the chair

and states: “I rise to a point of information.”

The motion to appeal the decision of the chair is made at

the time the chair makes a ruling. If it is made by a member

and seconded by another member, the question is taken from

the chair and vested in the voting body for a final decision.

The motion is stated: “I move to appeal the decision of

the chair.”

Before a member can make a motion or address the assembly

on any question, it is necessary that he or she obtain the floor

through recognition by the presiding officer. The member must:

- rise and proceed to the microphone.

- address the chair by saying, “Madam

Chairperson”

- await recognition

- give name and region

- state immediately the reason for rising.

Rules of Governing Motions

___________________________________________________________________________________________________________

Interrupt Speaker Recognized by Chair Requires a Second Debated Vote

Main motion NO YES YES YES Majority

Amendment NO YES YES YES Majority

Amendment to

amendment

NO YES YES YES Majority

Refer to Committee NO YES YES YES Majority

Limit Debate NO YES YES NO Two-thirds

Close debate (previous

quest)

NO YES YES NO Two-thirds

Divide the Question NO YES YES NO Majority

Division of Assembly YES NO NO NO

Demand of single

member compels division

Reconsider NO YES YES YES Majority*

Point of parliamentary

inquiry

YES NO NO NO Chair Decides

Point of Information YES NO NO NO Chair Decides

Appeal decision of chair

Yes (at time of

decision)

NO Yes (limited ruling) YES Majority

*Majority vote except when the motion being reconsidered required a two-thirds vote for its passage; then the motion to

reconsider requires a two-thirds vote.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

STRATEGIC PLAN 2016-2018

Desired Impacts

INA exists to create an environment where:

• All nurses see themselves as competent, confident leaders.

• Our nursing community engages in efforts to improve the well-being of nurses.

• Our nursing community works together to advance the profession and quality

healthcare in Iowa’s legislative environment.

• Decision-makers recognize the essential voice of nursing in their healthcare

debates and discussions.

• Our nursing expertise is integrated to healthcare design and transformation.

ADVANCE THE

POWER OF

NURSES

FOCUS

Activate Grassroots

• Increase awareness of INA investments in advocacy and the legislative

agenda

• Improve the understanding and involvement on the issues impacting the

practice of nursing

• Clarify communication that INA advocates for the whole profession

External Visibility

• Develop and expand connections with other state and government

agencies

• Educate, monitor and influence the Legislature and agencies.

• Identify emerging trends and concerns

REJUVENATE

BRAND IDENTITY

FOCUS

STRENGTHEN

PARTNERSHIPS

FOCUS

Articulate the Value of INA

• Evaluate the organization mission

• Develop mission, value and impact statements

• Develop key strategic message bullet points around the value of membership

• Collect and utilize testimonials around members’ stories

Enhance Communications

• Develop a communications plan that encompasses all types of

communications (email, print, social media, website, etc.)

• Create a calendar of different items throughout the year that can be reported

to the membership

• Create dynamic collateral marketing materials to better position the association

Specialty Nurse Organizations

• Engage with specialty nursing organizations to enhance nursing synergy in

Iowa

• Develop process to optimize specialties to maximize nursing as a profession

Form Alliances

• Develop Community Partners

• Promote a healthier Iowa

• Focus on collaborative care

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

2017 Proposed Bylaws

Amendments

Respectfully Submitted by:

• Susan Whitty, Chair Region 2

• Linda McFarland, Region 2

• Barb Gano, Region 4

• Peggy Khan, Region 2

• Deb Crawford, Region 2

• Lynn Boes, Legal Counsel, Region 4

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Report of the INA President

Greetings Everyone,

As my first full year serving as INA president comes to a close, it is a good time to reflect

on where we have been and where we are going. There are exciting things happening

at INA! During the summer of 2016, our Board contracted with Tobi Lyon Moore,

an expert in the development of leadership models and association management, to

develop a strategic plan for the future of INA. As part of our annual Board retreat in

July, with Tobi’s direction and valuable contributions from Board members and other

key stakeholders, we were able to draft a document that will guide us into the future.

During the October board meeting and fall conference, the board voted to implement

our Strategic Plan. The board also voted to hire Ms. Moore and her company, Engage

Management, to provide Interim Executive Director Services to help implement parts of

our Plan. As the work got started and Tobi provided her professional expertise, Board members recognized

the value of Tobi’s knowledge and skill in managing associations. During our 2017 July Retreat, the Board

voted to place the full responsibility of running our organization in Tobi’s skillful hands.

But stop! That is not all that was happening during that time to positively prepare our association for the

future. During the second half of 2016, our association was accepted as part of a membership pilot by ANA.

Thank you to the board members and Maggie Rice for all of your contributions in writing our successful

application. As part of the ANA membership pilot, INA is now able to offer memberships to Iowa nurses

at a reduced and much more affordable rate. The cost of a new membership is now only $15 a month for

INA and ANA. What a great opportunity to belong to both organizations! If you know nurses who are not

members of INA, pass this along.

INA represents all nurses in all specialties. We support our members through professional development and

advocacy. Our Iowa Nurses Foundation annually offers scholarships to help nurses improve their knowledge

and skills as a health care professional by attaining advanced degrees. INA newsletters keep members

informed on pertinent issues and healthcare activities for Iowa nurses. Members of our INA public policy

committee work with our state legislators to ensure that policy is written to support nursing practice and the

health of Iowans. A highlight of the recent legislative session has been the passage of the Enhanced Nurse

Licensure Compact. This Compact gives Iowa nurses the ability to practice in multiple states under their Iowa

license, protects patient safety, and supports technology driven health care environments of today through

such activities as telehealth. A further benefit of INA/ANA membership that I cannot fail to mention is the

opportunity to network with peers. INA accomplishes this through meetings and activities within our area

regions and at our annual conference in the fall. The membership pilot increases the opportunity for all Iowa

nurses to take advantage of these great benefits. Information and application for membership can be found

on our website at www.iowanurses.org.

Finally, it is hard to believe that the summer of 2017 is almost over! With children going back to school I am

sure there are many parents looking forward to the return of a daily schedule for the kids and oneself. When

this happens, if the hustle and bustle of summer has not allowed you personal time recently, set aside time

to promote a healthier you. Reflecting on the joys and happiness you have in your life can decrease stress

and improve the quality of your life. Walking, running or biking will promote physical health and enhance a

brighter outlook on work and family. ANA has some excellent information to promote health for nurses on

their website: http://www.healthynursehealthynation.org/. Helping others starts with taking care of yourself.

Jann Ricklefs, RN,

MSN, PhD, CNE

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Lisa Caffery, Jann Ricklefs and Sue Whitty

In June, Lisa Caffery, INA’s voting Representative to Membership Assembly; Sue Whitty, Iowa Nurses

Association (INA) Vice-President and INA Representative; along with Jann Ricklefs, INA President and

MA Observer, had the privilege of attending the American Nurses Association’s (ANA) Lobby Day

and Membership Assembly (MA) in Washington DC. It was a quick, but packed event. Lobby Day

started with representatives from ANA prepping participants for the conversations they would be

having with House and Senate representatives. The Iowa group then spent the rest of the day literally

running between appointments and relating nursing perspectives and experiences to Iowa legislators.

Unfortunately, the Iowa group was not able to participate in the ANA group picture on the Capital

steps, because they were visiting with a healthcare staffer in Joni Ernst’s office discussing important

nursing and health care issues that are affecting Iowa.

While not newcomers to the sites and activities of Washington DC, this was a first experience at

Lobby Day for Lisa and Jann. Sue has attended previously and was able to help guide the group

through the grand historic halls that house the federal government. It was exciting to see how things

work behind the scenes. Attending ANA Lobby Day was an enlightening and educational experience

and all INA members would find it highly motivational to attend the annual event held in June. Next

year’s Representatives to Membership Assembly would certainly appreciate having more people with

them to tell their stories. While there, take a few days to enjoy all the beauty of our Nation’s Capital.

At Membership Assembly, the Iowa delegation met nurses from across the United States and its

Territories. It was exciting to see the number of nurses just beginning their journey in the profession

and based on what was observed, the future is in good hands! Membership Assembly participants

worked hard centering on updating of the ANA By-Laws and deciding the structure and makeup of

the Membership Assembly for the future. While the current format of Membership Assembly will not

change, the number of representatives will increase with a total of 300 people representing all states

and a total of 400 votes cast. The number will be based on a weighted system. With this increase, it

is likely that state associations (C/SNA’s) will once again need to plan to assist with the additional cost.

We are blessed as a national organization to have an ANA President who is able to inspire from the

microphone. Pam Cipriano’s thoughts run deep. She has a gifted ability to communicate and spoke

about how the deep divisions that are currently present in our country and are causing an unhealthy

level of stress. She reflected back to her early nursing education and Hans Sele’s stress response

model. She suggested we use the model to find a maintenance state vs. allowing unhealthy stress

responses to take its toll. How appropriate. She stressed that nurses need to know what is going

on to respond positively but stated, “my desire to be well informed is currently driving me insane.”

Then, quoting Dorthea Dix who said, “Be of good cheer because sadness cannot heal the national

wounds.” President Cipriano also discouraged us from wallowing in the “ain’t it awful” way of

thinking and instead encouraged nurses to:

• Fight for your highest attainable aim but never put up resistance in vain; make resistance lead

somewhere.

• Remember, kites rise highest against the wind not with it; we have strong headwinds right now.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

• Remember, if you are not

at the table, you may be

on the menu. Nurses,

more than ever before,

need to be at the table

or our viewpoints will be

overlooked.

Throughout both days, there

were a number of opportunities

to discuss topics of concern with

other nurses, including member

engagement, advocacy, and

recruitment of new members.

Some activities that stood out

to the Iowa delegation were

discussions on the use of social

media when connecting with

key stakeholders in healthcare

policy and engaging member

interest, Also, a powerful

presentation by former ANA

President Karen Daley was a

particularly inspiring. She shared

her involvement with HIV (called

AIDS at that time) and blood

borne pathogen advocacy after

she was exposed to the virus in

her emergency room work.

We appreciated having our

Interim Executive Director, Tobi

Moore with us for the first

time. Her leadership at the

ANA level is clearly present. It

was particularly enlightening to

watch Tobi advocate for MaryLee

Pakiser’s candidacy. MaryLee,

immediate past president in

Michigan and was elected as an

ANA board member giving the

Midwest states a voice at the

table. Overall, it was a busy and

engaging three days with many

worthwhile outcomes!

L to R: Jann Ricklefs, INA President; Sue Whitty, INA Vice-

President; ANA President Pam Cipriano; Lisa Caffery, INA Delegate

2017 INA Membership Assembly

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Reports of the Regions

Northwest Region (IA01)

The members attending the 2016 INA Annual Meeting joined in the Dine-around event for

an informal meeting in October. We decided to do a Spring Event and offer CEUs.

Planning for the Spring Event was done via email between the officers. On March 29, our

Spring event, Creating and Sustaining Healthy Nurses: Making Personal Self-Care a Priority

was held at Morningside College with over 20 in attendance.

Correspondence between officers has been through emails and no further formal meetings

were held.

Current officers are: Mary Kovarna as President, Christina Petersen as secretary/communications officer. The

two officers elected to serve again are Diane Anderson as Treasurer and Linda Opheim as Representative

to the Board.

Respectfully submitted,

Mary Kovarna, EdD, RN

INA NW Region 1 President

Northeast Region (IA02)

The INA Northeast Region 2 met by teleconferences and face-to-face during this past year.

Northeast Region (IA02)

Throughout the past year there has been much discussion amongst our region members

during meetings about developing creative ways to increase the INA membership,

improving membership participation and attendance at the INA Annual Meeting. A toolkit

was organized by council member Jan Neal and INA statewide members of the membership

committee. This toolkit was utilized in hosting local events in Dubuque and Independence

for INA recruitment efforts.

Sue Whitty continues her legislative leadership in working effortlessly with public policy. Her expertise

continues to be admirable.

Nan Ambrosy served as the INA Board representative keeping the region members updated on state and

Midwest INA happenings.

Northeast Region (IA02) 2017 council members include: Margie O’Neill, INA NE Region 2 Chair; Peggy

Khan- Finance Chair; Julie Kolker-Communication Chair; Nan Ambrosy- INA Board Representative; Peg

Murphy, Brenda Helmuth. Newly elected; Michelle Ficken and April Quandahl. Nominating Committee

consists of Sue Bushman, Deb Crawford and Paula Anderson.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Long time INA NE Council members Jan Neal and Donna Kirschenmann are newly retired and enjoying

their free time. They have dedicated their careers to nursing and have been strong INA members. We will

miss their friendship and leadership tremendously! Join us in wishing them Happy Retirement!

Respectfully submitted,

Margie O’Neill, MSN, RN

INA NE Region 2 Chair

Southwest Region (IA03)

Looking for active members to participate in region meetings. Please let Brian Cooley know

if interested at nursenairb@yahoo.com.

Thank you,

Brian

Treasurer and interim President

Central Region (IA04)

Central region continue to watch developing steps working with ANA as dues structure

chances in 2016-2017. Member discussions voiced a positive change for INA including the

website, however continue to get questions related to outcomes and services. Our region

has struggled with low attendance at region meetings; although several of our members

remain very active at the state level. We attempted destination meetings but very poor

attendance. INA Central Region changes back this year to hosting meetings at Waterfront

Restaurant in Ankeny spring and fall. Current agendas included steps to review annual

meeting resolutions, and public policy activity; as well time for networking.

Andrea Wilhite was recognized as our region nurse of the year at the last convention. Central Region

supported new member recruitment efforts and hosted Regional Dine-Around at the Annual Meeting but

had to cancel a regional meeting scheduled in conjunction with Strategic Planning this year. The region

plans to meeting in September including nomination committee and will select 2018 ballot at that time.

Region Board Members are as follows: President: Pam Deichmann; Secretary: Janis Adams; Treasurer:

Rhonda Carney; Regional Representative: Barb Gano; Vice President vacant at present

Respectfully submitted:

Pam Deichmann, MPH, BSN, RN

Central Region Chair

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Southeast Region (IA05)

The SE Region held one face-to face meeting in Davenport. There were 22 members and

non-members in attendance. The group enjoyed networking, dinner and a presentation by

Michelle Robnett. Michelle is a member of our region and her presentation titled “The

Opioid Crisis and Guidelines for Managing Chronic Pain generated a lot of discussion on

the topic. Thank-you Michelle for sharing your expertise! The group indicated that they

would like another meeting in the Davenport area. One will be planned for 2018.

SE Region Board members are as follows; Darcy Koehn, President, Mary Tarbox, vice

President, Sheila Crook-Lockwood, Secretary, Deann Short, Treasurer. Becky Lewis, SE Region Board

representative and Lisa Caffery, Membership Assembly representative. Thank-you to all Region 5 members

serving on INA committees. A special thank-you to Darcy Koehn for her leadership and dedication to the

SE Region and to INA/INF.

Respectfully submitted,

Mary P. Tarbox, RN, EdD

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Reports of the Committees of the Board

FINANCE COMMMITTEE REPORT

Members: Diane Anderson, NW Region; Peggy Khan, NE; Brian Cooley, SW; Rhonda Carney, Central; Deann Shortt,

SE; and Anne Cook, Chair

The Finance Committee has been meeting quarterly via teleconference/Zoom. Committee members and Board have

received a financial report monthly to review.

For 2018 the committee has set the goals of investigating higher yield investments and reviewing financial policies

and procedures, along with budget planning and regular review of organization finances.

Committee members have been actively involved in committee meetings and have provided valuable perspective

for me in my first year as treasurer. Interim Executive Director Tobi Moore has been instrumental in preparation of

budget for the coming year. Also thanks to Maggie Rice who has prepared complete monthly reports comparing

income and expenses to budgeted amounts. She has also assisted with all of our committee meetings. Everyone’s

assistance is greatly appreciated!

Anne Cook, MSN, RN

State Treasurer

MEMBERSHIP COMMITTEE REPORT

Members: Lynn Boes (Legal Counsel); Jan Neal (NE Region); Christina Peterson (NW Region); Paula Anderson (NE

Region); DeAnn Short (SE Region); Andrea Wilhite (Central Region); Maggie Rice (INA); Tobi Moore (INA Interim ED)

This year has been quite exciting with change in membership dues and addition of membership classes, in hopes

that we would increase membership recruitment and retention. This has been exciting yet challenging, as there

were many processes that needed revision to help make this transition a smooth one. Membership recruitment

seems to be positively increasing each month. Currently we are above the budgeted membership dues for the FY

2017. Membership recruitment efforts have been displayed at the IANS (Iowa Association of Nursing Students)

convention, INA Lobby Day, 2017 Iowa Immunization Summit, and we are hopeful to have a booth at the 2017 Iowa

Hospital Association Conference. We are attempting to gather further opportunities for marketing and membership

recruitment across the state.

The Membership Committee met monthly through conference calls to discuss current issues regarding the value

pricing pilot, current membership, membership recruitment and retention strategies, and lack of communication

between regions. Currently each region has access to an INA banner and marketing materials (pamphlets, pens,

badge holders, etc.) for any events where these materials would be helpful. The Membership Committee has

also been utilizing the INA Facebook page to market INA and the regional opportunities. We hope to continue to

encourage regional and state-wide membership events to not only recruit new members and positively market our

organization but to thank our existing members for continuing to be a part of our organization.

As a committee our communication between all regional representatives and INA members seems to be scarce

at times. We have been officially sending out postcards to grace period members and calling cancelled members

monthly. Many of the feedback we get are “I just forgot to renew” or “Could you send me another reminder?”

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Current Membership Committee goals for the year remain at continuing to increased member outreach and

retention with marketing materials or networking and increasing communication across the regions. We appreciate

the support of all of our INA members and hope to continue positive changes towards membership recruitment and

retention.

Please let me know if you have any questions, concerns, ideas or if you are interested in joining the Membership

Committee.

Andrea Wilhite BSN, RN

Membership Committee Chair

PUBLIC POLICY COMMITTEE REPORT

This is how INA lobbyists, Bob Mulqueen and Jim Obradavich responded when asked to characterize the 2017

legislative session:

“The 2017 session of the Iowa Legislature will not be forgotten for quite some time. With the GOP controlling

the House of Representatives, Senate and Governorship, many of the topics of debate which were blocked from

being voted upon by the Democratic majority last year in the Senate, were considered.

In short, the 2017 legislative session was one which, for good or bad, enacted legislation which will affect

significant numbers of people in a variety of ages and occupations.”

As my first year as Chair of the Public Policy Committee it was quite a whirlwind of activity. Early in the session the

Public Policy Committee was monitoring up to 70 bills related to the healthcare of Iowans and nursing practice. It

quickly became apparent that we had to be prepared to respond proactively to bills to have nursing’s voice heard. I

would like to highlight some of the most significant bills of the 2017 session. A full listing of the bills the committee

monitored is included.

A bill of great concern to Iowa nurses, the enhanced Nurse Licensure Compact (eNLC), passed both the Iowa house

and senate. In July, North Carolina was the 26th state to enact the legislation which triggered the enactment of the

eNLC. Representatives of the 26 states that make up this new compact will form the eNLC Interstate Commission.

Their first priority will be to adopt operational rules and set implementation dates which will then be shared with

licensed nurses and the public. Next year, the hope is that many other states will also pass legislation with the goal

of all 50 states being part of the compact. Kathy Weinberg, Executive Director of the Iowa Board of Nursing worked

tirelessly on the passage of this legislation and deserves much credit for all her hard work.

Unfortunately, we were unable pass legislation for an eNLC for ARNPs in Iowa this year. The bill did not move

forward due to opposition by the anesthesiologists. So, a priority for the upcoming legislative session will be to

get the eNLC for advanced practice nurses put into legislation fulfilling part of the INA’s mission to “connect,

advocate and support nurses.” Also the title of ARNP (Advanced Registered Nurse Practitioner) will change to APRN

(Advanced Practice Registered Nurse).

Two children’s health bills were prevented from being put into legislation. The first, SF 475 would have repealed

dental and vision screening among other provisions for students. The INSO (Iowa School Nurse Organization) was

very vocal about the need to screen students. INA also opposed the bill and the bill died. The second bill, HF 7

would have allowed students to be exempt from school vaccinations based on personal convictions of the parent or

guardian. Although INA, INSO and many health care organizations opposed the bill it passed out of subcommittee,

but then went no further.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

INA and most health care groups opposed SF 489 Fireworks Sales due to the potential for injury for Iowa residents.

In a Des Moines Register editorial on February 18, 2017 INA was recognized for its opposition to the bill. Regrettably

the bill passed.

Of significant concern to Iowa nurses and residents is the substantial reduction in budgets for the Department of

Public Health and Human Services. The Department of Public Health had a decrease of $5.7 million from FY2017.

Addictive disorders was decreased by $1.3 million; Healthy Children and Families suffered an $112,000 loss of

funding; Youth Suicide Prevention funding and ACEs (adverse childhood experiences) were cut; Chronic Conditions

lost $658,000; and the Direct Care Worker programs were cut $237,356.

The Department of Human Services had an $18.8 million decrease from FY2017. The HAWK-I Program budget was

decreased by $917,000, Funding for two MHIs was decreased by $1.7 million. The Regional Mental Health Grants

were reduced by $3 million with no funding for FY2018. This is only a partial listing of Health and Human Services

appropriations.

The 20 nurses on the Public Policy Committee represent a wide variety of specialties in nursing. Their knowledge

and expertise provide the insight as to how to respond to the bills to protect the healthcare of Iowans and to protect

the practice of nursing. Those nurses include: Sue Whitty (Dubuque), Nan Ambrosy (Waterloo), Colleen Brems (Iowa

City), Betty Lord Dinan (Elkader), Ginny Wangerin (Clive), Raelle Heister (Dubuque), Lynn Colberg (East Moline), Lisa

Caffery (Davenport), Robin Carmichael (Brooklyn), Pam Deichmann (Winterset), Deb Gingrich (Cedar Falls), Sharon

Guthrie (Cedar Rapids), Rosemary Holland (Des Moines), Lynne Himmelreich (Oxford), Mary Kovarna (Merrill),

Rhonda Price (Solin),Teri Schloss (Winthrop), Kristi Schroeder (Fort Madison), and Carol Chesterman (Peosta).

Also, we could not do the work we do without Linda Goeldner, who monitors and tracks all our bills as well as

monitoring the administrative rules and Lynn Boes, RN, JD who provides the committee with her legal expertise. INA

lobbyists, Bob Mulqueen and Jim Obradavich provide the committee with over 50 years combined experience as

lobbyists, while representing INA on Capitol Hill and providing the committee members with their valuable insights.

Please join me in thanking them all for their willingness to devote their time and talents to represent nursing and

protect the healthcare of Iowans.

Respectfully submitted,

Carol Chesterman, Chair

Reports of the Committees of the Association

BYLAWS COMMITTEE REPORT

Members: Sue Whitty (NE Region 2), INA Vice President & Chair; Debbie Crawford (NE Region 2); Barb Gano (NW

Region 4); Linda McFarland (NE Region 2); Peggy Khan (NE Region 2); and Lynn Boes ex-officio (Central Region 4)

The Bylaws Committee focused on four separate areas during the 2016-17 year.

1. Following discussion with membership at the 2016 Annual Meeting, and later, with the Board of Directors,

the Bylaws Committee’s began the process of adding the role of President-Elect to the INA Board as an

officer position. After looking at ways to structure the new President-Elect position based on research from

other associations and other state organizations within ANA (C/SNA’s), the committee decided it would be

best to simply replace the vice-president position with the president elect position and maintain the Odd

year election cycle. Those changes have been reviewed by the ANA Bylaws Committee and submitted to the

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

INA membership for approval. During discussion, the INA Board emphasized the need to need to define the

new role if it is passed and revise other job descriptions as they relate to the new officer position.

2. The Bylaws Committee continues to be mindful of changes within ANA that impact state organizations (C/

SNA’s) and have submitted bylaws revisions to the INA membership for approval that reflect both ANA policy

and ANA bylaws changes. The INA and ANA Bylaws Committee have made recommendations that align INA

Bylaws language to reflect that Membership Assembly has replaced the House of Delegates. Additionally,

the committee added language that allows for a successor label to the Leadership Summit that is now

informally being called a Council. In addition, there are some changes included that were recommended by

ANA to help C/SNA bylaws be more consistent between states.

3. The Bylaws Committee also reviewed the need to continue the State-only membership option. After review,

and with input from the BOD and our Interim Executive Director, the committee decided to leave this

language “as is” due to contractual agreements with ANA that allow for nurses to choose both State-only

and National-only memberships.

4. In collaboration with the Resolutions Committee, the Bylaws Committee considered looking at changes in

how we research and approve Resolutions based on ANA’s newly evolved Content Discussions but there were

no recommended changes this year. The committee decided there was a need to pilot Content Discussions

at our annual meeting first before determining if bylaws changes are warranted in the future.

Respectfully submitted,

Sue Whitty, Bylaws Chair

Nominations Committee Report

Members: Julie Schilling (SE Region 5), Chair; Brian Cooley (SW Region 3), Joanne Wedig (SE Region 5), Brenda

McAllister (SE Region 5), Terri DeClerck (SE Region 5).

The INA Nominations Committee held three conference calls: May 30, June 6, and June 13, 2017. Candidates

were sought for: President, President-elect, Director at Large Staff Nurse, Director at Large Newly Licensed RN,

Nominations Committee, ANA Delegates, and the Iowa Nurses Foundation Board. Information about candidates

being elected this year is on the INA website, and was included in the INA Weekly News. Phone calls and e-mails

were made to the membership to seek candidates for the 2017 ballot.

The Nominations Committee wishes to thank all the members who volunteered to submit their names to be on the

ballot!

Respectfully submitted,

Julie A. Schilling, RN-BC, BSN, MA

Resolutions Committee Report

Members: Virginia “Ginny” Wangerin (Central Region) Chair; Rosemary Holland, (Central Region); Pam Deichmann

(Central Region); Margaret “Margie” O’Neill (NE Region)

The committee responds to the membership by receiving, reviewing and presenting resolutions on subjects of great

importance impacting nursing practice and policy. Resolutions are presented at the annual meeting in October and

posted on the INA website. The Chair and committee are working with the INA Board of Directors and the Interim

Executive Director/Consultant to renew the process and consider ways to more actively engage the membership.

Respectfully submitted,

Virginia “Ginny” Wangerin, PHD, MSN, RN, CNE

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Report of 2017 Legislative Priorities with

Corresponding Bills of Interest from the Session

IOWA NURSES ASSOCIATION 2017 LEGISLATIVE SESSION SUMMARY

OUTLINING LEGISLATION

IMPACTING NURSING AND HEALTH CARE IN IOWA

PRACTICE RELATED BILLS

HF 232 DECLARATION OF DEATH

Allows RNs to make a declaration of death in a Dept. of Corrections institution. Was amended to specify

actions in correctional institutions as defined in Iowa Code Section 904.102. Passed House and Senate

unanimously. INA supported this bill.

HF 233 STEP THERAPY PROTOCOLS Defines medication step therapy protocols using clinical guidelines

instead of insurance plan formularies but excludes Managed Care Organizations from these requirements.

Requires that patients have a clear process for asking that the step protocol be overridden. Includes

processes and timelines for approving, denying or appealing such exceptions.

HF 306 NURSE AIDE TRAINING

Directs DHS to adopt rules governing how the DIA approves nurse aide training. Requires that on-line

instruction be used for theoretical parts of the curriculum but requires that lab/clinical training be done in

a face-to-face environment. The House and Senate passed unanimously.

HF 518 WORKERS COMP (Substituted for SF 435)

Establishes a presumption that if a worker tests positive for drugs or alcohol at the time of an injury that

the worker was intoxicated and not eligible for compensation. Deems that the imposition of liability

against an employer does not create a private cause of action. Limits when a temporarily disabled worker

can raise an objection to offered work based on suitability. Makes many other changes related to disability

and timing of payments. Lowers the interest paid for unpaid compensation payments. House passed 55-

38 and Senate passed 29-21.

HF 642 EDUCATION APPROPRIATIONS

FY 2018 appropriations of $908.41 million for Education to the College Student Aid Commission, the

Dept. of Education, the DOB, the Regent schools and the community colleges. DOJ, the DOC, the DPD,

the DPS, DHS/Emergency Management, ILEA, State Public Defender, Civil Rights Commission and the CJJP.

OF INTEREST TO NURSING:

• Health Care-Related loan program ($200,000): This is a new appropriation for a program that

replaces the existing Registered Nurse and Nurse Educator Loan Program (Code Section 261.116)

and phases out the existing Rural Advanced Nurse Practitioner and Physician Assistant Loan

Repayment Program 261.114.

• Responsibility of the “Iowa Needs Nurses Now Initiative” was moved to the Iowa Dept. of Public

Health. The program remains in Code Section 261.129

• U of I General: $216.76 million; Oakdale ($2.18 million); Hygienic Lab ($4.4 million); Family

Practice ($1.79 million); Specialized Child Health Service ($659,456); Cancer Registry ($149,051);

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Substance Abuse ($55,529); Cancer Registry ($149,051); Biocatalysis ($723,727); Primary Health

Care ($648,930); Birth Defects Registry ($38,288)

SF 404 EXPERIMENTAL TREATMENTS

Establishes the ‘Right to Try Act’ permitting patients with terminal illnesses to attempt treatment with

experimental drugs or devices. Requires that the manufacturer receive written consent from the patient.

Requires the consent to show that the treatments are not approved and unlikely to prolong life. Deems

that the heirs of a patient cannot be charged for any unpaid costs. Prohibits the Board of Medicine from

taking adverse action against a doctor. Prohibits the treatments from being used as a cause of action. The

Senate and House passed unanimously.

SF 419 INTERSTATE NURSE COMPACT (amended and substituted for HF 419)

Adopts the interstate Nurse licensing compact. The Senate passed it 49-0 and the House 98-0. INA supported

this bill that, once enacted in 26 states, allows nurses to have mobility across state borders because

licensing standards are aligned. This includes federal and state fingerprint-based criminal background

checks. NOTE: This summer, North Carolina became the 26th state to pass the compact, which triggered

its enactment. Once operational rules are adopted and implementation dates set, implementation details

will be shared with licensed nurses and the public. Think of it similar to a driver’s license. We are allowed

to drive in another state with a license from the state we reside in as long as we follow the rules and

regulations of the states we are traveling in.

SSB 1075 APRN COMPACT

Proposed the adoption of the Interstate Advanced Practice Registered Nurse Compact. Would change the

current title of ARNP (Advanced Registered Nurse Practitioner) to APRN. INA supported this bill. It passed

subcommittee but the bill died. It will still be active in the 2018 session.

SF 465 MEDICAL MALPRACTICE (substituted for HF 487)

Damages: Limits non-economic damages (pain, suffering and other non-pecuniary damages) to $250,000,

except in cases of actual malice. Fees: Requires the court to review contingency fees in personal injury/

wrongful death cases against Advanced Nurse Practitioners and various residential/nursing care facilities.

Experts: Establishes standards for expert witnesses. Requires the witness to be a health care provider in

good standing, with relevant experience and training. Certificate of Merit: Requires a plaintiff to serve a

certificate of merit on the defendant within 90 days of the answer by the defendant for each expert the

plaintiff intends to call. Requires the certificate to state the credentials of the expert, the standard of care,

how the health care provider breached that standard and what actions should have been taken. Allows for

a dismissal for a failure to substantially comply with the requirements. Evidence: Requires courts to admit

evidence-based medical practice guidelines. Establishes an affirmative defense for the health care provider

that evidence-based medical practice guidelines were used. Adverse Outcome: Includes additional health

care professionals under the provisions regarding discussions between a health care provider and a patient

of an adverse outcome. House amended and passed 65-32; Senate concurred with amendment and

passed 37-12.

SF 484 PHARMACY REGULATIONS

Allows the Board of Pharmacy (BOP) to establish of a pool of seven alternative board members in order

to ensure quorums for contested cases. Requires the Governor to approve. Identifies the licensed health

care providers who are authorized to prescribe drugs. (Specifies in Section 2 of the bill that in Iowa Code

155A.3 advanced registered nurse practitioners (ARNPs) are included in definition of “practitioner” and are

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

allowed to prescribe.) Allows the BOP to allocate from its fees for the cost of administering pharmaceutical

collection and disposal program. Passed Senate and House unanimously.

CHILDREN’S HEALTH & SCHOOL HEALTH

HF 543 DRUG ENDANGERED CHILDREN (formerly HF 276)

Deems that an unmarried child who is drug-endangered can be the subject of a ChINA. Deems it child

abuse for the parent responsible for the child to allow the child to be drug endangered. Defines drug

endangered as the child being in the presence or the house of dangerous drug use or manufacture (meth

lab). Passed House and Senate unanimously.

SF 51 CYTOMEGALOVIRUS (Similar to SF 68, which did not move)

Requires the Center for Congenital and Inherited Disorders to work with health agencies and other

organizations to develop materials on the cytomegalovirus and the dangers to pregnant women. Requires

healthcare providers to make the information available to women in the first trimester of pregnancy. Requires

DPH to make the materials available to health care providers and to publish information on the internet.

Screening: Requires that newborns who show hearing loss be screened for congenital cytomegalovirus,

unless the parent objects. The Senate and House passed unanimously. INA supported this bill.

SF 475 CHILDREN’S HEALTH SCREENINGS

Among other provisions, repeals provisions on dental and vision screening, and related provisions on dental

clinics and vision cards. INSO (Iowa School Nurse Organization) was vocal about the need for screening

students. INA also opposed the bill.

HF 7 VACCINATION EXEMPTION

Establishes an exemption for school vaccinations for children based on the personal convictions of the

parent or guardian. Passed out of Subcommittee even with substantial resistance from health care providers.

INA and ISNO both oppose this bill as do all health care groups. Bill died.

WOMEN’S HEALTH

SF 250 BREAST DENSITY

Requires the DPH to adopt rules requiring that mammogram facilities give patients information on breast

density and inform patients if they have dense breasts per national standards, that dense breasts may

make cancer detection more difficult. Requires mammography facilities to comply by January 2018. Does

not change any existing liability. Passed Senate 49-0 and House passed 95-2.

SF 2 FAMILY PLANNING

Addressed state family planning services program and Medicaid funding. This bill resulted in a dramatic

and abrupt change in the availability of women’s health care services in Iowa.

PUBLIC HEALTH & SAFETY

SF 234 TEXTING AS PRIMARY OFFENSE

A bill that prohibits a person from using a hand held electronic communications device to write, send or

view an electronic message while driving a motor vehicle, unless the motor vehicle is at a complete stop

off of the traveled portion of the roadway. Senate passed 43-6 and House passed 90-6.

SF 489 FIREWORKS SALES

Requires the State Fire Marshal to develop rules regarding licenses for fireworks sellers. Maintains current

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

rules for display fireworks and distinguishes them from consumer fireworks. Uses fees to administer the

bill and for grants to fire departments and EMS organizations. Requires the DOR to transfer the portion of

the sales tax for firework sales to PORS. Effective on enactment. The Senate passed on a 34-14 vote, after

considering numerous amendments on the bill. House passed 56-41. NOTE: INA and most health care

groups were opposed to this bill because of the potential for injury and its cost.

HF 393 DEPARTMENT OF PUBLIC HEALTH (DPH) BILL

Allows the DPH to offer additional grants or other SA spending if licensing fees from liquor exceed

grant requests. Strikes or changes certain reporting requirements. Changes the nursing workforce data

clearinghouse to new code section 135.163. Makes changes related to the Medical Home/Patient Centered

Health Council. Eliminates the PRIMECARRE scholarship program, but retains the primary care loan

repayment and community grant program. Eliminates the mental health professional shortage program

135.180 of stipends for psychiatrists in community mental health centers. Strikes or changes outdated or

unfunded provisions. This bill will establish a new Medical Home and Patient Centered Advisory council

that will include INA. This is a complex bill. Repeals many health programs. Floor amendment: H 1144 by

Pettengill was adopted adding protections to ban the collection/sharing of SS numbers with certain health

care data. The House and Senate passed unanimously.

HF 523 MEDICAL EXAMINER ACCESS TO DRUG PRESCRIBING INFORMATION

Allows the BOP to give information from the Iowa Prescription Monitoring Program to the state medical

examiner and county medical examiner, pursuant to investigations. House Public Safety recommended

amendment and passage. Passed unanimously by House and Senate.

HF 653 HEALTH & HUMAN SERVICES APPROPRIATIONS. (Governor item vetoed parts)

Makes The FY 2018 appropriations to the DVA, the IDA, the Long-Term Care Ombudsman, the DPH, the

IFA, the DHR and the DHS. GF Total: $1.766 billion.

Funds Dept. of Public Health at $51.3 million, which is a decrease of $5.7 million from FY 2017.

• Decreases Addictive Disorders by $1.3 M;

• Decreases Healthy Children & Families by $112,000; funds Youth Suicide Prevention at $50,000

and ACEs (adverse childhood experiences) at $40,511

• Decreases Chronic Conditions by $658,00; but $215,263 for Patient Centered Advisory Committee

and $22,100 to implement IA Code 124D Medical Cannabidiol Act

• Decreases Community Capacity by $3.9 M; funds Direct Care Worker programs by $267,419 cutting

$237,356; cuts $2M from medical residency (psychiatry) in FY18 to $0; restores to $436,327 in

FY19

• Decreases Public Protection by $52,000;

• Increases Essential Public Health Services by $1.1M

• Increases Infectious Diseases by $398,000.

• PRIMECARRE no longer funded; repealed in HF 393 in 2017

Funds Dept. of Human Services at $1.284 billion Medicaid, which is an $18.8 million decrease from

FY2017.

• Establishes state family planning in lieu of Medicaid Planning Network waiver (incorporates SF2).

• Decreases HAWK-I Program by $917,000; funds at $8,518,452

• Decreases two MHI funding by $1.7M;

• Decreases Regional Mental Health Grants by $3 M; no funding for FY18; see SF 504 MH/DS LEVIES

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

• Requires DHS to submit new administrative rules to require updating psychiatric bed tracking system

at a minimum, two times daily.

• Requires convening of Children’s Mental Health & Well-being Advisory Committee and support

work.

Studies and Intent

Department of Human Services

• Requires a study of Step Therapy protocols and override exceptions in Medicaid with findings by

November 15, 2017.

• Requires DHS and Department of Public Safety to review alternatives for contracting the performance

of state mandated criminal history background checks to a non-state entity and submit a report by

December 15, 2017.

Department of Public Health

• Alzheimer’s Association Project: Requires the DPH to assist the Alzheimer’s Association of Greater Iowa

with identifying funding opportunities to support the HERO Project for individuals caring for a family

member with dementia-related conditions

Department on Aging

• Requires the IDA, DPH, Department of Inspections & Appeals (DIA) and DHS to analyze and make

recommendations for coordinating between State agencies and private entities to promote increased

access to care for individuals diagnosed with dementia. A report must be filed by December 15, 2017.

Legislative Council

• Telehealth Parity Interim Committee: Requests the Legislative Council establish an Interim Study

Committee to examine issues relating to telehealth parity for private insurance and State employee

health plans and report by December 15, 2017.

• Opioid Epidemic Interim Committee: Requests the Legislative Council establish an Interim Study

Committee on evaluating the State’s response to the opioid epidemic and report by November 15,

2017.

SF 498 FEDERAL BLOCK GRANTS

Appropriates $436.32 million from the federal block grants. Administration & Regulation ($62.5 million);

Economic Development ($119.38 million); Health & Human Services ($90.13 million); Justice System ($1.75

million); Transportation ($152.5 million).

MENTAL HEALTH & SUBSTANCE USE

HF 215 AUTISM COVERAGE (substituted for SF 400)

Requires health care coverage for public employees who are not state employees to include coverage for

autism spectrum disorders. Establishes maximum benefit amounts, preauthorization requirements and

made changes to treatment plans. Effective January 2018. House and Senate passed unanimously.

HF 234 MH ADVOCATE REPORTS

Requires MH advocates to file reports for persons who are involuntarily committed when the advocate

believes a report is necessary, rather than quarterly. Strikes requirements that the MH advocate report

includes the actions taken with each patient and the amount of time spent on those actions. The House

and Senate passed unanimously.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

HF 593 MH COMMITMENT EXAMS (substituted for SF 464)

Allows MH professionals to do exams, treat patients, submit reports to the court and prescribe medications

if authorized to do so, in certain voluntary and involuntary commitments. Allows the MH professional to

examine a person who appears to have a serious MI but a commitment application has not yet been filed.

Gives the MH professional protections against liability. House and Senate passed unanimously.

SF 332 CONTROLLED SUBSTANCES/PRECURSORS

Adds four synthetic opioids as Schedule I Controlled Substances and an analogue of fentanyl to Schedule

II. Removes combination drugs with hydrocodone from Schedule III, making them Schedule II substances

along with additional changes. The Senate and House passed unanimously.

SF 504 MH/DS LEVIES (substituted for HF 650)

Establishes a methodology for setting MH/DS levy rate, based on regional per-capita expenditures, the

base expenditure amount and the size of a county in the region. Caps the regional rate at no more than

the statewide rate. Requires counties to levy to bring in an amount equal to the per capita expenditure

times the size of the county. Includes provisions on the power of a region to reserve some of the cash

flow. Requires reserves in excess of 25% to be used for costs. After FY 2022, restricts cash flow (20% of

gross expenditures in regions over 100,000 and 25% of gross expenditures in regions under 100,000).

Includes additional provisions on these calculations. Allows a county to recertify the county budget after

the certification date in FY 2018. Requests a study by the Legislative Council on the viability of the funding

provisions in the bill. Senate amendment S3333 was a “Strike & Replace” adopted and passed 46-4 with

Polk County legislators voting no. House amended and substituted SF 504 and passed 98-1; returned SF

504 to the House for debate on 4/2. The Senate and House passed near unanimously.

OLDER ADULTS

HF 183 DEPENDENT ADULT NOTICE

Includes in the priority list for serving notice to persons concerning an order of protective services for a

dependent adult, the spouse of the dependent adult and the dependent adult’s parents and grandparents.

The House and Senate passed unanimously.

HF 544 DEPENDENT ADULT DEGRADATION (Substituted for SF 420)

Department of Inspections and Appeals bill. Makes personal degradation of a dependent adult by a

caretaker in a DIA program or facility an act of dependent adult abuse and defines such acts. The House

and Senate passed unanimously.

HF 548 STROKE CARE IMPROVEMENT (Substituted for SF 457)

Requires the DPH to implement a continuous quality improvement program and State Stroke task force for

stroke response and treatment and coordination of efforts. Requires the DPH to designate some hospitals

as comprehensive stroke centers, acute stroke-ready or primary stroke centers with reporting requirements.

EMS: Requires EMS services to have protocols related to strokes. Quality: Requires the DPH to implement

a continuous quality improvement program for stroke response and treatment and maintain a stroke

database. House and Senate passed unanimously.

HF 576 TEMPORARY STAFFING CHECKS

Requires a temporary staffing agency that contracts with a healthcare facility or assisted living program

to do background checks on prospective employees. Requires DHS to evaluate any criminal record or

founded abuse record. Requires a staffing agency to notify the facility, and the person, if it discovers a

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

record of founded abuse or a conviction. Makes an agency liable for damages and civil penalties. Passed

Senate and House near unanimously.

HEALTH CARE ACCESS BILLS

HF 577 LYME DISEASE TREATMENT

Exempts health professionals from license discipline, revocation or suspension for recommending certain

treatments for Lyme disease. Requires informed consent by the patient. Requires an examination and

explanation of the treatment. House and Senate passed unanimously.

HF 524 MEDICAL CANNABIDIOL & PRESCRIPTION DRUG ACT

Requires pharmacies to do daily reporting of controlled substance prescriptions that are covered under

drug prescribing and dispensing program. Requires coverage by health insurance plans for abuse-deterrent

opioid drugs as preferred drugs. Includes limits on cost sharing. Makes definitions and includes exclusions

for various kinds of health benefit plans. Amended & Passed House 96-0. Senate passed 49-0 to House

with Senate amendment. H-1341 by the Senate - Strikes the daily reporting requirement ADOPTED. H

1461 by Klein - Strikes the Senate amendment and the bill. Allows the BOP to enter into agreements

with other states for the exchange of prescription monitoring. Medical Cannabidiol: Expands the diseases

covered under medical cannabis, including MS, ALS, intractable pain, terminal illnesses and other illnesses.

Establishes an advisory board to add conditions. Establishes timelines for starting the program, including

that medical cannabidiol be available by December 2018. Limits the amount of THC to less than 3%.

Requires an RFP by the DPH for licensing up to two manufacturers and up to five dispensaries. Includes

various requirements for the manufacturers and dispensaries. Includes fees, reciprocity, affirmative defenses,

a ban on smoking medical cannabis and other related provisions. Requires the BOP to change the schedule

for various cannabidiol investigation products if the federal government does so ADOPTED. The House

CONCURRED & PASSED the bill as amended 83-1. The Senate CONCURRED in S 3388 & PASSED the bill

as amended 33-7.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Report of State Government - Iowa Board of Nursing

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Report of IDPH

Iowa’s Public Health Nurses

Bureau of Local Public Health Services

Phone: (515) 745-2163

Helping to achieve the vision of “Healthy Iowans in Healthy Communities”

Guiding Principles

IDPH Vision: Iowa’s Leader for Population Health

Mission: Protecting and Improving the Health of Iowans

ACCOUNTABILITY

We act with integrity and strive for fairness in all we do.

COLLABORATION/TEAMWORK

We value internal and external partnerships, and remain flexible to new and diverse ideas.

COMMUNICATION

We use timely, effective, and open dialogue to increase collaboration and participation in protecting and

improving health.

HEALTH EQUITY

We promote health for all by working to reduce health disparities and focusing on health where people

live, learn, work, and play.

QUALITY

We are dedicated to efficiency, effectiveness, and the continuous improvement of our processes and

services.

RESULTS ORIENTED

We strive for excellence through decision-making that is priority-focused, data-driven, and evidence-based.

WORKFORCE DEVELOPMENT

We continually work to develop the skills and competencies of our workforce.

Public health is a partnership of local public health, the Iowa Department of Public Health (IDPH), nonprofit

organizations, health care providers, policymakers, businesses, and many others working together

to promote and protect the health of Iowans. Public health strives to improve the quality of life for all

Iowans by assuring access to quality population-based health services related to the following goals:

• Promoting healthy living;

• Preventing injuries and violence;

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

• Strengthening the health infrastructure;

• Protecting against environmental hazards;

• Preventing epidemics and the spread of disease; and

• Preparing for, responding to, and recovering from public health emergencies.

Public health nurses across the state are central to the partnerships and the delivery of essential public

health services.

There is not a single day that public health services and public health nurses do not impact Iowans and

their quality of life. These services are central to Iowans being able to grow, work, play and live in a healthy

environment.

Policy decisions establish a foundation for strengthening the public health system in Iowa and assuring

future generations of Iowans enjoy the same, or improved, quality of life. Public health nurses continue to

be actively involved in these policy decisions.

Projects/Issues Addressed This Year:

• Privatization of Iowa Medicaid- assisting Iowans in understanding the steps needed to choose a

Managed Care Organization.

• The State Innovation Model (SIM) initiative – implementing Statewide Strategy Plans for:

ú Tobacco

ú Care Coordination

ú Diabetes

ú Healthcare Associated Infections

ú Medication Effectiveness and Safety

ú Obesity

ú OB Care

ú Person and Family Engagement

• Understanding emerging public health issues and implementing activities related to systems-level change.

• Ongoing efforts to improve and expand “long term living” in Iowa with a focus on “healthy aging”

and the provision of home and population-based services.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

• Continuing to develop and implement culturally competent strategies that address the unique needs

and health beliefs of Iowa’s growing ethnic and minority populations.

• And continuing to deliver caring, professional service to individuals, families and communities

throughout Iowa!

Looking Ahead:

Challenges and Opportunities for Iowa’s Public Health Nurses

• Changing State and Federal Regulations.

• Acquisition, retention, and management of fiscal resources.

• Understanding and responding to the changing demographics of the U.S. population and the public

health workforce.

• Understanding Social Determinants of Health.

• National Initiatives such as Foundational Capabilities, Public Health 3.0, and Chief Health Strategist.

• Public health accreditation - compliance with the National Public Health Standards

• Continuing to identify public health’s role in a changing health care delivery system

• Collaborating with Community Partners to implement strategies identified in 2015 Health Improvement

Plans (http://www.idph.state.ia.us/chnahip/default.asp).

• Emerging issues/increasing demands

• Telling “our story” – marketing the importance of public health to consumers, stakeholders and funders

Collaboration and Partnerships

Working with key partners is essential to the healthy community approach. The Iowa Nurses’ Association

has a history of supporting public health in Iowa and advancing the essential public health services. As we

look to the future and recognize the many challenges that are on the horizon, the support will be invaluable

to addressing the challenges and accomplishing the vision of “Healthy Iowans in Healthy Communities!”

Shell Rock Senior Living

920 N. Cherry Street | Shell Rock, IA 50670 | 319-885-4341

We have opportunities for LPNs and RNs.

For more information, contact Jody Lenstra, Director of Nursing Services, jody.lenstra@twsl.com.

Apply online at www.twsl.com

Seeking qualified Registered Nurses, Licensed

Practical NurseS and Certified Medical

Assistants for both our Ames and Des Moines locations.

To apply, go to www.mainstreamliving.org

We Don’t Hire Just Anybody

Qualities we look for

• Patient-centered

• Professional

• Friendly

• Part of the Team

What you get

• Patient-centered facility

• Opportunities to grow

• Friendly atmosphere

• Great benefits

Think we might be a match?

Visit www.franklingeneral.com for open positions.

1720 Central Ave. E. • Hampton, IA 50441

641-456-5033 • krusev@mercyhealth.com

EOE

RNs & NPs

Contact Chelsea Greene at

chelsea.greene@guttenberghospital.org for more information.

Guttenberg Municipal Hospital

200 Main Street | P.O. Box 550 | Guttenberg, IA 52052-0550

(563) 252-1121 | guttenberghospital.org

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Report of the INF President

Members: Lorinda Inman, Chair; Pam Hill, Secretary; Darcy Koehn, Treasurer (resigned);

Christina Peterson; Christine Kessel; and Kris Winter. The Iowa Nurses Foundation

held bimonthly meeting commencing October 2016 and subcommittee meetings for

investment review, marketing, scholarship review and convention planning.

Goals for the year continued as the previous year. The goals were to focus on quality

continuing education at convention and legislative days, continue to promote

attendance at the annual convention, explore fundraising ideas and develop goals and

strategies for marketing and the fundraising functions of the Foundation. It continues

to be critical that INA members give to the INF on an annual basis to address the

financial needs of the association.

Lorinda Inman,

RN, MSN, FRE

The Foundation is an IBON Continuing Education Provider, approved by the Iowa Board of Nursing. INF

approved 3.6 contact hours (0.36 CEU’s) for the Iowa Nurses Association Legislative Day, February 15, 2017

and 4.8 contact hours (0.48 CEU’s) for the INF/INA Conference & Annual Meeting focusing on “Healthy

Nurses, Healthy Iowa.” Christina Peterson, INF, participated in convention planning. Healthy Nurse, Healthy

Iowa CE programs were developed to provide quality CEU’s at Convention.

INF and INA participated with the University of

Iowa, College of Nursing and several other nursing

organizations in the 13th annual 100 Great Nurses event

held on May 7, 2017. This event provides opportunity

for recognition of Iowa Nurses. Scholarships were given

to DNP candidates Dawn Bowker, Tenaea Jeppeson and

Trudy Laffoon. Nominations for 2018 may be submitted

through the 100 Great Nurses website.

INF awarded thirteen scholarships in 2017. The recipients

are: Mary Paulson-Candace Chihak, Andrea Wilhite, Jaci

Brungardt, Gina Kubik, Rose Hedges; INF Scholarship-

Candace Chihak, Andrea Jimmerson, Jamie Briar,

Letha Patterson; Anderson Scholarship-Rachel Baker,

Jaci Brungardt; American Nurses Foundation-Candace

Chihak, Andrea Wilhite.

Current activities include the convention, memorials,

donations, CEU fees and interest bearing accounts. We

are working to raise funds for scholarships.

INF is the charitable and philanthropic arm of the INA with

a mission to promote and support the professional and

educational development of the registered nurses in Iowa.

Respectfully submitted,

Lorinda Inman, RN, MSN, FRE

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Fundraising for INF Scholarships

Help “Raise

The Thermometer”

on Nursing Scholarships

and Our Profession

Goal Set for 2017 INA/INF Healthy Nurse, Healthy Iowa

Conference in October

As nursing professionals, we all remember the slight sense of fear that accompanied us as we started

our first day of school as a nursing student. How hard would it be? Would I like my professors? Am

I cut out for this? And for some, the challenge of paying for this education only added to the fears.

Today, inability to afford a nursing education is preventing many bright, talented individuals from

entering our noble profession.

As an INA member, you understand the importance of raising awareness of our profession and the

benefits we provide to so many Iowans. The Iowa Nurses Foundation supports that mission by offering

continuing education programs and most importantly, nursing scholarships. This year, we need to

raise $6000 to fund scholarship requests. In lieu of a silent auction or raffle to raise funds for the INF

Scholarships, we are asking members to make a cash donation to our “Raise the Thermometer” on

Nursing Scholarships and Our Profession.

Our hope is to start now and reach our goal by the end of the 2017 INA/INF “Healthy Nurse Healthy

Iowa” Conference on October 20 in Ankeny, Iowa. Would you consider making a donation of $25,

$50, $75 or more to help the INA show prospective nurses that we care. For more information

and to donate securely on-line, please visit www.iowanurses.org or mail your donation to Iowa

Nurses Foundation, 2400 86th Street, Suite 32, Urbandale, IA 50322-4306. If mailing please notate

thermometer in the memo line. Thank you!

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

In Memoriam & Nightingale Tribute

Memorials & Honors

In Memory of Terry Koehn

In Memory of Mary Paulson

Lynn Boes

Linda Goeldner

Nancy Danielson

John Pazek

Angela McKenzie

Donations to INF

Caffery

Goeldner

Opheim

Ricklefs

She/He Was There

by Duane Jaeger MSN, RN

When a Calming, Quiet Presence Was All That Was Needed,

She Was There.

In The Excitement and Miracle of Birth or In the Mystery and Loss of Life,

He Was There.

When a Silent Glance Could Uplift a Patient, Family Member or Friend,

She Was There.

At Those Times When the Unexplainable Needed To Be Explained,

He Was There.

When the Situation Demanded a Swift Foot and Sharp Mind,

She Was There.

When a Gentle Touch, a Firm Push, or an Encouraging Word Was Needed,

He Was There.

In Choosing the Best One from a Family’s “Thank You” Box of Chocolates,

She Was There.

To Witness Humanity, It’s Beauty, In Good Times and Bad, Without

Judgment,

He Was There.

To Embrace the Woes of the World, Willingly, and Offer Hope,

She Was There.

And Now That It’s Time to Be At the Greater One’s Side,

They Are There.

Our colleagues, we honor you this day and present this white rose and light this

candle to symbolize our honor and appreciation for being our nurse colleagues

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

INA Leadership Elections

President

Jann Ricklefs,

RN, MSN,

PhD, CNE

It is an honor and privilege to run for President of the Iowa Nurses Association (INA). I believe

that INA provides a voice for all nurses in Iowa. There are significant changes occurring in

health care law, and it is essential that INA advocate for the practice of Iowa nurses to ensure

safe, effective care for individuals in our communities. As your President, I will work closely

with our Board, staff, and members to ensure that our collective voices are heard. Over the

past year and a half the INA Board has developed a new strategic plan for success, with focus

on growing a robust membership reflective of the diversity of nurses in Iowa, and I would like

to continue to be part of this exciting process. I will work hard to promote the mission of INA,

build relationships with key stakeholders in Iowa to advance the power of nursing and our

association, and increase membership.

I have maintained an active role in INA for many years. First, as a board representative for Region 1, Region

1 president, state Vice-President, and for the past year have served as the INA President. My experience as

a staff nurse in a hospital, nurse leader in Home Health and Hospice, and a nurse educator have provided

me with an in depth understanding of the changing health care environment and the challenges that the

profession of nursing is facing. My present nursing position is as an Assistant Professor for Chamberlain

University’s online graduate nursing program.

I am excited to run for the position of INA President and if elected, will work hard to contribute my knowledge

and experience to this important role.

President-Elect

The rapidly changing health care environment requires nurses and nursing organizations to

be working together to ensure safe care for patients. The Iowa Nurses Association (INA) has

a long history of advocating for patients and nurses. However, recently the organization has

struggled to stay connected to all nurses. In order to be successful we must work to rebuild

our image and reconnect with nurses in Iowa. I believe the recent work by our Board of

Directors has positioned us to begin this work.

Lisa Caffery,

MS, BSN,

RN-BC, CIC,

FAPIC

I have been a member of INA/ANA for many years and have held variety of offices at both

the state and region level. Most recently, I served four years as the Resolution Committee

chair and board member. I also have had the privilege to represent INA at ANA Membership

Assembly meetings in 2016 and 2017. I have been very involved in my specialty organizations

throughout my career and have served as chapter president of the Society for Gastroenterology Nurses and

Associates (SGNA) and The Association of Professionals in Infection Control and Epidemiology (APIC) in

addition to leadership roles. These opportunities have taught me the importance of working collaboratively

with all healthcare professionals. Establishing and building relationships with other professional organizations

and healthcare groups in Iowa will be important to the success of INA.

I believe that my current and past experiences have prepared me for the role of Vice President of INA. I

look forward to working with INA staff and the INA Board of Directors to position INA as the organization

representing Iowa nurses. If elected, I will work to ensure that all voices are heard and represented during

this critical, but exciting time for the organization. It will take all of us working together to rebuild the

association and strengthen the presence of INA in Iowa!

Director – Staff Nurse at Large

Christina L.

Peterson,

BSN, RN

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

I became involved in the Iowa Nurses Association after attending my first Lobby Day that

was required for a Nursing Policy class I was taking towards my BSN. Little did I know that

by attending that required event would begin to shape my career. I signed up that day to

be a new member and then quickly was recruited to join the Board of Directors in the role

of Newly Licensed RN. Since joining the INA I had had the opportunity to network with

nurses across the state of Iowa in various roles. It is amazing to part of an organization that

is so passionate about the nursing profession and being a voice for nurses at the state and

national level. Healthcare is changing rapidly and so is the role of the nurse. I would be

honored to serve on the board in the role of the Staff Nurse at Large. I would not only be

able to bring to the board issues currently impacting nurses who are working at the bedside-

I would also be able to communicate the importance of being involved in a professional organization to

those nurses who I work side by side with.

Director – Newly Licensed RN

As a newer nurse, I feel it is important to take an active role in the future of nursing. The

Iowa Nurses Association’s mission to connect, advocate, and support nurses and healthcare

in Iowa reflects my belief that being active in nursing policy on a local and state level

directly influences the nursing practice and further develops nursing as a unique and

respected discipline.

Kate Pace,

While in nursing school, (graduation August 2016) I had the privilege to represent nursing

students on a local, state, and national level by serving on the board of the Mercy College

Association of Nursing Students (MCANS) as the Mentorship Coordinator and on the Iowa

Association of Nursing Students (IANS) as the State Treasurer. In these leadership roles, I had the opportunity

to attend National Student Nurses Association conventions, Iowa Association of Nurses Association

conventions, Iowa legislation days, develop and pass resolutions on the state and national level, and

present evidence based presentations on Trauma Informed Care in numerous professional settings.

I understand the importance and responsibility that serving on the INA presents. I believe my experiences

as a nursing student and my previous leadership roles has prepared me for the task of representing my

fellow nurses and the nursing profession as a new RN on the board of the Iowa Nurses Association. I desire

to serve as a mentor and advocate for new nurses and encourage them to take an active role in the future

of nursing early in their career so we can continue to build a strong base of nurse leaders. I ask for your

support in allowing me to serve new and tenured nurses in the state of Iowa.

Foundation

Dawn

Bowker, PhD,

RN, ARNP,

WHNP-BC

I believe in the power of professional nursing organizations and the influence they have on

nursing practice. The power of change comes with the belief that the future of nursing

begins now, by listening to the voices of nurses, developing a shared vision, and embracing

all that nursing is and all that nursing can be.

As a nurse, I have seen significant changes in scope of practice, autonomy, and

reimbursement. I was involved in the Minnesota Nursing Association (MNA), serving 6

years as the MNA chair for Advanced Practice Nurses. I had the privilege to speak with the

first Clinton administration regarding third party reimbursement and prescriptive rights for

advanced practice nurses. Since re-locating to Iowa in 2010, I changed from NP practice

to a nurse educator. Throughout my years as a nurse educator, I have been very active in

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

the NSNA, working with students preparing and presenting resolutions for state and national convention.

I have been an active participant in the INA Legislative Day and have great interest in nursing legislation. I

am currently on faculty at Grand View University teaching in both graduate and undergraduate education.

Through mentoring, I have led by example-teaching students to value the impact each can us exert on

positively influencing change in health care. This is the spirit of which I would serve as an INA Board

Member. I value the wisdom, the combined experience and expertise that the INA represents. I respect the

diversity of nursing and how we as nurses can bring our varied background together for a common cause.

As nurses, we can positively impact legislation for the greater good of the very people we serve - health

care consumers.

I look forward to serving you on the INA Board and supporting the INAs commitment to connect, advocate,

and support nurses and health care in Iowa. I ask for your vote supporting my election to the INA Board.

Christine

Gochenour

I am brand new to this organization and am extremely excited to get started. I am currently

the Manager for Volunteer Services at Mercy Hospital in Council Bluffs Iowa. I have no

clinical background, but have a lot of fundraising, philanthropic and event planning in my

forte. I began my career at the Council Bluffs Chamber of Commerce where I worked

heavily with the community, marketing and setting up networking events. I moved to CHI

Health Mercy Hospital Council Bluffs in 2008 where I have expanded the volunteer program

to over 200 volunteers, 30 different areas to volunteer in and helped grow our Philanthropy

at Work campaign this last year. I coordinate our annual Heritage Awards dinner where we

honor four outstanding community members in Arts and Humanities, Business, Education

and Health and Human Services. The event brings in around $35,000-$40,000 annual of which we are

able to give $16,000-$18,000 away in scholarship dollars directly to our staff.

Pam

Deichmann,

MPH, BSN, RN

Pam Deichmann, MPH, BSN, RN is a retired Bureau Chief for the Center for Acute Disease

Epidemiology at the Iowa Department of Public Health. She has been a med-surgical and

CCU nurse early in her career, and later she became a home care, public health and nurse

administrator at the local level. She had the opportunity to work both in small rural and

large urban settings. Then moved into state-level positions of Community Health and

Bureau Chief Roles in a career that last over 30 years in Iowa.

She has been an active member of INA since the mid 80’s; and served in various offices over

the years. But her passion remains public policy development that supports the nursing

profession. In addition recognize the importance of nurse role within the health care system;

and as a professional nurse the importance of supporting nursing student achieve higher education roles.

She would like to ask for your support and will work hard to contribute my knowledge and expertise.

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

2017 Ballot Iowa Nurses Association

Must be paying dues to the Iowa Nurses Association

President (vote for one)

Two year term

_______ Jann Ricklefs; Gilmore City – IA01

_______ __________________________ Region _______

President-Elect (vote for one)

Two year term

_______ Lisa Caffery; Davenport – IA05

_______ __________________________ Region _______

Director ( vote for one)

Staff Nurse At-Large

Two year term

_______ Christina Peterson; Dows – IA01

_______ __________________________ Region _______

Nominations (vote for three)

Two year term

_______ Julie Schilling; Burlington – IA05

_______ Elaine Boes; Ely – IA05

_______ Sue Whitty; Dubuque – IA02

_______ Marcia Weis; Council Bluffs – IA03

Foundation (vote for four)

Three year term

_______ Brian Cooley; Council Bluffs – IA03

_______ Christine Goechenaur, Council Bluffs – IA03

_______ Dawn Bowker; Des Moines – IA04

_______ Pam Deichmann; Winterset – IA04

_______ __________________________ Region _______

Director ( vote for one)

Newly Licensed New Member RN

Two year term

_______ Kate Pace, Des Moines – IA04

For WRITE-IN CANDIDATES, member must write in the

name AND place a check mark in front of the name for the

selection to be count as being elected.

ANA Membership Assembly Ballot

Must be paying dues to the American Nurses Association

• Tentative

• Location Washington, DC

For nominations from the floor, CONSENT

TO SERVE forms, must be given to the

Chief Teller.

For WRITE-IN CANDIDATES, member

must write in the name AND place a

check mark in front of the name for the

selection to be count as being elected.

Top two vote getters will be delegates,

alternates will be called if highest vote

getters cannot participate. Elected

Alternates are always welcomed, even with

one vote to elect.

ANA Delegates (Vote for one)

Three year term

*The President and top vote getter will attend. If unable to attend will go in

order by the votes received for the next participant to attend.

______ x_______ Jann Ricklefs; Gilmore City – IA01

(Presidential Candidate: Note President is to be elected as delegate to membership assembly)

______ x_______ Lisa Caffery; Davenport – IA05

(President-elect Candidate: Note President-elect is to be elected as delegate to membership assembly)

_______ Brian Cooley; Council Bluffs – IA02

_______ Carol Chesterman; Peosta – IA02

_______ Brenda McAllister; Palo – IA05

_______ ___________________________________

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Notes

2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference

Notes

Nursing Career Opportunities at MUSC Health

MUSC Health was named by U.S. News & World Report for the

third year in a row as the number one hospital in South Carolina

The Medical University of South Carolina

has an immediate need for talented

Nurse Managers and Registered

Nurses in a variety of areas including

the Operating Room, ICUs, Ambulatory,

Radiology, Procedural, Med/Surg, and

Mental Health areas!

We offer the following:

- Competitive Compensation and

Benefits Package

- Generous tuition assistance

- Nursing Clinical Ladder

- Relocation Assistance

- Hiring Incentive Bonus for select positions

- A wonderful opportunity to work in a fast paced

academic environment in beautiful Charleston,

South Carolina

Medical University of South Carolina

Medical Center Human Resources

1-843-792-0819

www.musc.edu/careers

Promoting Workplace Diversity

EOE M/F/Disabled/Vet

The Magnet Recognition Program ® , ANCC Magnet Recognition ® , Magnet ® names and logos are registered trademarks of the American Nurses Credentialing Center.

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2017 INF/INA Conference & Annual Meeting

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