The Florida Nurse - September 2018
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OFFICIAL BULLETIN OF THE FLORIDA NURSES FOUNDATION<br />
Volume 66 • No. 3 CIRCULATION 314,000 TO EVERY REGISTERED NURSE & NURSING STUDENT IN FLORIDA <strong>September</strong> <strong>2018</strong><br />
Annual Student Issue<br />
Mission Statement<br />
Serve and support all Registered <strong>Nurse</strong>s through professional development, advocacy<br />
and the promotion of excellence in every area of professional nursing practice.<br />
FNA does not endorse advertised products, services, or companies,<br />
nor any claims made in paid advertisements.<br />
<strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> is proudly brought to you by FNA dues paying members.<br />
current resident or<br />
Janegale Boyd<br />
I would have been<br />
surprised early in my<br />
career to find myself<br />
working with colleagues<br />
from age 16 to 83. Yes,<br />
we now have four and<br />
occasionally five broadly<br />
diverse generations<br />
working together which<br />
makes for appreciation of<br />
and sometimes tension<br />
concerning various<br />
perspectives, values and opinions.<br />
Generational characteristics are broad and are<br />
theoretically based upon the societal activities<br />
of a group of people that had shared experiences<br />
within an age range during their formative years.<br />
<strong>The</strong>se shared experiences could be economic,<br />
acts of nature, significant events like war or 9/11,<br />
introduction of or removal of large societal or<br />
governmental programs (Medicare/Medicaid),<br />
innovations (airplanes, TV, computers, cell<br />
phones) or reaction to do things differently from<br />
their parents. This theory about generations is<br />
more an art or urban legend-definitely not science!<br />
President’s Message<br />
Diversity and the Nursing Workforce<br />
Non-Profit Org.<br />
U.S. Postage Paid<br />
Princeton, MN<br />
Permit No. 14<br />
<strong>The</strong> authors William Strauss and Neil Howe<br />
noted differences in attitudes, values, behaviors<br />
and lifestyles in these patterns of generations.<br />
<strong>The</strong> most accepted generation categories and a<br />
summary of each with very broad characteristics<br />
are:<br />
• Matures (1901-1924): Sometimes called the<br />
“Greatest Generation” are fiscally conservative,<br />
came of age during the great depression, trust<br />
in government, patriotic (WWII).<br />
• Silent Generation (1925-1944): are<br />
traditionalists, known as the “Lucky Few.”<br />
Wars during their life time WWII, Korean<br />
and Vietnam. <strong>The</strong>y don’t ever retire.<br />
• Baby Boomers (1945-1960): Baby Bust as<br />
they were born after WWII, promised the<br />
American dream, radicals of the 70's &<br />
Yuppies of the 80's, dramatic social changesparents<br />
had largest divorce rate, civil rights,<br />
Vietnam war, space travel. Known as the “ME<br />
generation.” Enjoy now pay later.<br />
• Gen X (1961-1981): Only out for self.<br />
Watergate, Barack Obama and first latchkey<br />
kids-Mothers working at new rates & in new<br />
professions. Corporate downsizing & no job<br />
security.<br />
President’s Message. . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />
Notes from the Executive Director ................2<br />
News from Headquarters ......................3<br />
Focus on the Foundation .......................4<br />
FNPAC ....................................5<br />
American Cancer Society ......................6<br />
Student Forum ............................8-9<br />
Inside this Issue<br />
• Millennials/Gen Y (1982-1990’s): Confident,<br />
Connected, Open to change, most socially<br />
conscious generation (health, environment,<br />
etc.), civic-minded, more globally minded<br />
and expect corporate responsibility.<br />
• Gen Z (1997-mid 2000’s): the iGeneration<br />
(iPhone, iPad) and seem to be surgically<br />
attached to their cell phone. Also, commonly<br />
referred to as the Homeland generation.<br />
What have I learned while working with a<br />
Silent Generation and Gen Z team members?<br />
During a discussion of historical events the<br />
Kennedy Tragedy was very different for each of<br />
us. My memory was from a Boomer’s perspective<br />
and it was the assassination of President John F.<br />
Kennedy and for our Gen Z perspective it is the<br />
missing plane of John-John Kennedy.<br />
Do not think the categories above are absolutes!<br />
For example: my Silent Generation colleague is a<br />
big tech user, writes books and has her own Blog.<br />
While the Gen Z colleague likes the collaborative<br />
approach with discussions and engagement and<br />
expects an equal voice in team decisions.<br />
President’s Message continued on page 4<br />
FNA Research Conference Highlights ............10<br />
Legislative Update ..........................11<br />
Region News ............................12-13<br />
Nursing Community .......................14-15<br />
ANA Update ...............................16<br />
In Memoriam Barbara Lumpkin. . . . . . . . . . . . . . . . . 18<br />
Welcome New FNA Members ..................19
Page 2 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
Notes from the<br />
Executive Director<br />
Medical-Surgical Nursing:<br />
A Tribute to Our Unsung Warriors<br />
Willa Fuller, RN<br />
As an old (yes, I just<br />
realized I am now eligible<br />
for all kinds of senior<br />
discounts) medicalsurgical<br />
nurse, I am<br />
sometimes taken aback<br />
by comments from students and new nurses<br />
about the crucial role of medical surgical nursing.<br />
Recently, I heard, “I was bored to tears during<br />
clinical” and “I want to do something more<br />
exciting.” I have even heard nurses say, “I’m only<br />
a med-surg nurse.” I am here to tell you, if you feel<br />
that way, then you are not doing something right.<br />
While the landscape has changed in terms of<br />
acuity, patient load, practice models, technology,<br />
length of stay and many other parameters,<br />
several other things have remained the same.<br />
Humanity, connection to patients, the need for<br />
topnotch assessment skills and clinical decisionmaking<br />
abilities are just as crucial in this area of<br />
nursing care as they are in any other. <strong>The</strong> sheer<br />
unpredictability of the healthcare environment<br />
and the necessity for highly educated competent<br />
personnel to respond to the diversity of situations<br />
in a moment’s notice necessitates that ALL nurses<br />
be knowledgeable and competent. Furthermore,<br />
navigation of a patient care assignment with<br />
multiple types of patients in various states of<br />
health requires a vigilant professional with a<br />
variety of skills.<br />
Fairly recently, as a patient, I found myself in<br />
an emergency situation on a medical surgical unit.<br />
As my blood pressure rose rapidly and my limbs<br />
began to swell, a physician who happened to be in<br />
my room started ordering meds. <strong>The</strong> medications<br />
were not effective and I watched intently as<br />
my very young nurse came into the room and<br />
recognized immediately that this was a critical<br />
situation. She left the room and minutes later, the<br />
Rapid Response Team came in and began giving<br />
www.floridanurse.org<br />
Published by:<br />
Arthur L. Davis<br />
Publishing Agency, Inc.<br />
me medications that worked. I must say that the<br />
physician was not incompetent, but this was not<br />
her area of expertise and the nurses knew exactly<br />
how to respond. Every minute of the day medicalsurgical<br />
nurses are intervening in situations like<br />
this one or even those that are even more critical.<br />
As we consider the delivery of nursing care, the<br />
role of a medical-surgical nurse requires a high<br />
level of vigilance and competence. I have spoken<br />
of my preceptor, Diana Vaughan in previous<br />
articles in relation to the level of expertise and<br />
knowledge she displayed as a nurse over all the<br />
years I worked with her. Her attention to clinical<br />
detail, ethics and knowledge were noteworthy.<br />
She questioned everything and looked at the<br />
whole patient when delivering care. She reached<br />
back to anatomy and physiology, microbiology<br />
and continuing education courses to apply both<br />
seasoned and new knowledge to her nursing<br />
interventions. She took the analysis of nursing<br />
situations very seriously and she would often ask<br />
me what I had learned since my education was<br />
more recent. In those days, we could be caring for<br />
up to fifteen or more patients on any given day.<br />
That meant monitoring lab work, medications,<br />
response to pain (and other medicines), discharge<br />
planning, nutritional status, wound care, and an<br />
endless array of clinical and personal parameters<br />
on patients with a variety of conditions.<br />
Our unit was primarily Orthopedics,<br />
otorhinolaryngology, plastic surgery and other<br />
surgical patients. We cared for trauma patients,<br />
cancer patients and those with elective surgeries.<br />
<strong>The</strong> unexpected occurrences were countless,<br />
deep vein thrombosis, pulmonary embolism,<br />
seizures, cardiac arrest. I even remember one case<br />
of autonomic dysreflexia in a paraplegic patient<br />
caused by a clogged urinary catheter. (We figured<br />
it out and that was quite exciting!) It is important<br />
to note, that we handled these emergencies using<br />
only our eyes, ears and nursing judgement.<br />
It is critical in nursing that we are able to see<br />
beyond our silos and see the value in each other<br />
as a part of this great profession. I remember<br />
being pulled to a critical care unit one day and<br />
one of the nurses who was keeping an eye on me<br />
said, “This will be a piece of cake for you, you<br />
only have two patients and we gave you two that<br />
are not so difficult.” She added, “I have been to<br />
your floor before, I don’t know how you do it.”<br />
That small expression of respect really lifted my<br />
spirits and my self-esteem and I shared it with my<br />
colleagues when I returned to the unit. She was an<br />
awesome critical care nurse who had my back all<br />
day while caring for her patients.<br />
We at FNA are proud of all nurses and<br />
understand the value of all roles in nursing.<br />
For me, this was an opportunity to remind my<br />
Executive Director continued on page 3<br />
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1235 E. Concord Street,<br />
Orlando, FL 32803-5403<br />
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Telephone: (407) 896-3261<br />
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E-mail: info@floridanurse.org<br />
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Published quarterly, March, June, <strong>September</strong>, and<br />
December by FNA, a constituent member of the American<br />
<strong>Nurse</strong>s Association.<br />
Editor - Kaitlin Scarbary, 1235 E. Concord St., Orlando, FL<br />
32803-5403<br />
Subscription available at $20.00 plus tax, per year. Members<br />
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COPIES of <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> are available on 35mm<br />
microfilm, 106mm microfilm, article reprints and issue copies<br />
through Bell & Howell, 300 North Zeeb Road, Ann Arbor,<br />
Michigan 48106<br />
Board of Directors<br />
2017–2019<br />
Officers<br />
<strong>The</strong> Hon. Janegale Boyd, RN, President<br />
George Byron Peraza-Smith, DNP, RN, APRN, GNP,<br />
AGPCNP, President-Elect<br />
Anne Peach, MSN, RN, NEA-BC, Vice President<br />
Barbara Russell, MPH, RN, CIC, Secretary<br />
Ann-Lynn Denker, PhD, RN, Treasurer<br />
Region Directors<br />
Jill Van Der Like, DNP, MSN, RNC, Northwest<br />
Justin Wilkerson, BSN, RN-BC, CHPN, CCRN,<br />
North Central<br />
Pamela Delano, MSN, MBA, RN, Northeast<br />
Marti Hanuschik, MSN, RN, CCM, East Central<br />
Janice Adams, DNP, MPA, RN, West Central<br />
Susan Torres, MSN, RN, LHCRM, Southwest<br />
Carmen “Vicky” Framil, DNP, ARNP, ANP-BC, South<br />
Southeast -Vacant Position<br />
New Grad Liasion<br />
Hannah McRoberts, BSN, RN<br />
FNA Office<br />
Willa Fuller, BSN, RN, Executive Director<br />
John Berry, Jr., Director of Labor Relations &<br />
Government Affairs<br />
Kaitlin Scarbary, Associate Director of Programs,<br />
Technology, and Membership Marketing<br />
Partners with<br />
Every time you shop online, make sure you visit<br />
www.floridanurse.org and click on the Amazon link.<br />
FL<br />
365 days of Easy Access to all of your<br />
shopping needs
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 3<br />
Executive Director continued from page 2<br />
colleagues how we have the power to lift one<br />
another up. I think of that very young nurse who I<br />
am certain averted disaster for me. (I mention her<br />
youth because age is sometimes a divisive issue<br />
as well). I think of the nurse practitioners from<br />
whom I have been so fortunate to receive care as<br />
valued colleagues. I remember the emergency<br />
room nurses who saved my brother’s life when<br />
he arrested in the ED several years ago. And<br />
then, I am grateful for the critical care nurses<br />
who cared for him and brought him back from<br />
unresponsiveness to consciousness by their<br />
fastidious care. Of course, there are the nurse<br />
faculty who give you the confidence to give that<br />
first injection or perform some other invasive<br />
procedure on a patient.<br />
<strong>The</strong>re are some roles in which we might feel<br />
disconnected from our “nurseness,” but I am here<br />
to tell you that we have all shared the common<br />
experience of becoming nurses, entering the<br />
profession and sharing the vast body of knowledge<br />
that makes us who we are. Our specialties are<br />
ALL of great value. <strong>Nurse</strong>s in their many roles,<br />
nurse practitioners, nurse anesthetists, clinical<br />
nurse specialists, nurse midwives, educators and<br />
all those nurses in a multiplicity of roles are each<br />
special in their own way.<br />
My preceptor, Diana, left us way too soon, but<br />
I will remember her as the model of expert care.<br />
She confidently suggested to the physician what<br />
she thought the patient needed. For example, she<br />
once determined that the patient wasn’t receiving<br />
enough nutrition and asked the physician to<br />
consider TPN or a tube feeding. She would ask<br />
for a review of the patients’ medications if she<br />
felt they were receiving medications that may not<br />
be needed. She was respectful but self-assured.<br />
Moreover, she was a fearless advocate. She was my<br />
role model.<br />
My experiences in medical-surgical nursing<br />
enhanced my nursing knowledge to a level that<br />
I became confident enough to become a clinical<br />
educator in a hospital. In that role, I learned<br />
even more. I implore all nurses to value EVERY<br />
experience; don’t spend so much time looking to<br />
the future that you miss all the knowledge and<br />
rewards of the present.<br />
In my years here at FNA, I have met many more<br />
nurses like Diana through our Clinical Excellence<br />
Conference. <strong>The</strong> hundreds of stories that nurses<br />
submitted to that conference are a true testament<br />
to the excellence that is the nursing profession.<br />
We have a proud heritage of making a difference<br />
over and above what nurses are paid to do. We<br />
sometimes need to be reminded to value others<br />
and of course, to value our own experiences. We<br />
are all blessed to experience the privileged space<br />
of nursing. Always remember, you are special. Tell<br />
a colleague that today.<br />
News from Headquarters<br />
FNA would like to welcome its newest<br />
employee, Christopher De Sanctis. Chris is<br />
a former U.S. Marine who served tours in<br />
Afghanistan and Iraq. He holds several degrees<br />
including an associate degree in accounting,<br />
bachelors in management, and masters in<br />
human resource management. Chris is our new<br />
administrative assistant specializing in member<br />
account services.<br />
In light of recent staffing changes, please<br />
reference our staff directory below so that<br />
you may address the appropriate person when<br />
contacting the office.<br />
Willa Fuller, RN<br />
Executive Director<br />
Professional/Clinical Questions,<br />
Legal Referrals, Business<br />
Proposals, Collaborative<br />
Meeting Requests, Complaints/<br />
Problem Resolution, Research<br />
Requests<br />
wfuller@floridanurse.org<br />
John Berry<br />
Director of Labor Relations<br />
and Governmental Affairs<br />
Bargaining Unit Issues,<br />
Workplace Issues, Legal<br />
Questions Related to Workplace<br />
Issues, Legislative and PAC<br />
Issues<br />
jberry@floridanurse.org<br />
Kaitlin Scarbary<br />
Associate Director of Member<br />
Services, Technology and<br />
Marketing<br />
Conference Information, Special<br />
Interest Group Meetings, <strong>The</strong><br />
<strong>Florida</strong> <strong>Nurse</strong>, Scholarships,<br />
Conference Calls, Website,<br />
Regional Activities,<br />
Continuing Education,<br />
Marketing, Email Blasts<br />
kscarbary@floridanurse.org<br />
Christopher De Sanctis<br />
Administrative Assistant<br />
General Information,<br />
Membership, Membership<br />
Lists, Membership Cards, ANA<br />
Information<br />
info@floridanurse.org<br />
Bibi Lowton<br />
Program Specialist, Labor and<br />
Government Relations<br />
State Unit, Bargaining Unit,<br />
FNPAC, ARNP Issues, Materials<br />
for Legal Programs, LERC Info,<br />
CQRC Engage, Legislative<br />
Updates, Health Policy SIG<br />
govt@floridanurse.org<br />
Leslie Homsted<br />
Communications Coordinator<br />
& Membership Specialist<br />
Membership Materials,<br />
Conference Registration,<br />
Membership Applications,<br />
Foundation/Scholarships,<br />
General Information<br />
receptionist@floridanurse.org<br />
True work-life balance<br />
You should be here<br />
RNs & LPNs<br />
Relocate to beautiful North <strong>Florida</strong>,<br />
and join a collaborative mental health care team<br />
<strong>The</strong> Best Benefits<br />
• Relocation reimbursement up to $5,000<br />
(for RNs contingent on funding)<br />
• Student loan forgiveness eligibility<br />
• Paid Vacation, Holidays and<br />
Sick Days that accrue annually<br />
• Advancement Opportunities<br />
Expand your career opportunities at<br />
these award winning facilities<br />
• <strong>Florida</strong> State Hospital, Chattahoochee<br />
• North <strong>Florida</strong> Evaluation and Treatment<br />
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• Northeast <strong>Florida</strong> State Hospital,<br />
Macclenny<br />
For more information contact: Kevin Bist, Recruiting Consultant<br />
Kevin.bist@myflfamilies.com, Call or text 850-274-4287<br />
Obtain your next degree with <strong>Florida</strong>’s tuition waiver program.
Page 4 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
Focus on the Foundation<br />
<strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong>s Foundation is built on<br />
the work of the District 5 Charitable Trust, FNA<br />
Districts and other groups and individuals<br />
within FNA. <strong>The</strong> establishment of named<br />
funds encouraged members to embark on<br />
robust fundraising campaigns forged from the<br />
recognition of their colleagues. Each named fund<br />
was endowed with the amount of $10,000. This<br />
innovative planning has led to a corpus of over<br />
$1,000,000 which allows the Foundation to award<br />
scholarships and research grants annually. A few<br />
years ago, the Trustees voted to take the cap off<br />
the funds allowing additional donations above<br />
$10,000 with the goal of increasing each fund in<br />
$5000 Increments. <strong>The</strong> ultimate goal is larger<br />
scholarship awards for individuals.<br />
In addition to<br />
scholarships, the<br />
Foundation awards<br />
small grants to<br />
<strong>Nurse</strong>s in Need that<br />
meet specific<br />
criteria for aid.<br />
<strong>The</strong>re are several<br />
<strong>Nurse</strong>s in Need<br />
funds, including<br />
the Paula Massey<br />
<strong>Nurse</strong>s in Need<br />
fund which was endowed to honor the 32 year<br />
legacy of former Executive Director, Paula Massey.<br />
<strong>The</strong>re is also a <strong>Nurse</strong>s in Need funds to honor<br />
Undine Sams who is one of the pioneer leaders of<br />
both nursing in <strong>Florida</strong> and in the formation of the<br />
<strong>Florida</strong> <strong>Nurse</strong>s Foundation. Maureen Finney is<br />
also an honoree in the establishment of a <strong>Nurse</strong>s<br />
in Need Fund.<br />
<strong>The</strong> Barbara Lumpkin<br />
Institute exists to promote<br />
public policy education for<br />
nurses and friends of<br />
nursing. FNA has long<br />
been an advocate for<br />
nurses and healthcare<br />
policy, especially since<br />
many of FNA’s legislative<br />
priorities exist to protect<br />
the health of <strong>Florida</strong><br />
residents. <strong>The</strong> Barbara<br />
Lumpkin Institute (BLI)<br />
supports public policy education through<br />
conferences, webinars and scholarships to nurses<br />
attending FNA Advocacy Days and the American<br />
<strong>Nurse</strong>s Association Advocacy Institute (ANAI). We<br />
are saddened by Barbara’s recent death and are<br />
honoring her with a call for donations to the BLI to<br />
continue to grow that important resource for<br />
nurses.<br />
NURSING OPPORTUNITIES IN TALLAHASSEE, FL<br />
Now Hiring<br />
ARNP & RNs/LPNs<br />
Inpatient & Outpatient<br />
Residential Programs<br />
Visit www.apalacheecenter.org or call Stephanie<br />
at 850-523-3212 for additional information.<br />
<strong>The</strong> Foundation also<br />
supports and promotes<br />
research through the<br />
awarding of grants. One<br />
example of these is the<br />
Imogene King Research<br />
Fund which is open to<br />
graduate students all over<br />
<strong>Florida</strong>. Dr. King is a<br />
renowned nursing theorist<br />
and was a very active<br />
member of the <strong>Florida</strong><br />
<strong>Nurse</strong>s Association,<br />
serving on the Foundation<br />
Board at one time.<br />
Kay Fullwood is a long<br />
time member of FNA and<br />
one of the regional nurse<br />
practitioner councils<br />
honored her by endowing<br />
a scholarship in her name.<br />
Kay is a dedicated<br />
geriatric nurse practitioner<br />
and also served on the<br />
board of FNA. This<br />
scholarship is awarded to<br />
a student who has an<br />
interest in working in the<br />
field of geriatrics. Here in this article we see Kay<br />
working diligently on a Foundation fundraiser<br />
when she served as a Trustee.<br />
<strong>The</strong>re are many other funds that you may<br />
contribute to or you may make a general donation<br />
to the Foundation. We invite you to go to the<br />
website https://tinyurl.com/nzsqu8c. This year<br />
we are encouraging you to Honor a Colleague by<br />
donating to the Foundation in their name. We will<br />
send them a letter notifying them that you have<br />
recognized them in that manner.<br />
To make a donation, you may write a check<br />
to <strong>Florida</strong> <strong>Nurse</strong>s Foundation and designate the<br />
fund you want to donate to in the memo line. Or<br />
you can go to the website at https://tinyurl.com/<br />
nzsqu8c to donate.<br />
Your Foundation Trustees are:<br />
• George Byron Peraza-Smith, President<br />
• Daleen Penoyer, Vice- President<br />
• Rose Rivers, Trustee<br />
• Jan Hess, Trustee<br />
• Darlene Fritsma, Trustee<br />
• Patricia Messmer, Trustee<br />
Are you interested in serving as a trustee?<br />
We have vacancies.<br />
Contact Chris de Sanctis at<br />
info@floridanurse.org to ask for an application.<br />
President’s Message continued from page 1<br />
We all must successfully integrate the diverse<br />
workforce of the generations; while leading a<br />
workforce of one generation serving another and<br />
design every facet of care that meets the needs of<br />
our patients/clients and their multi-generational<br />
families. For nurses today understanding<br />
the diverse perspectives, values and lifestyle<br />
expectations is important and shows respect for<br />
one another.<br />
Announcing Career Opportunities<br />
You’ve Been Waiting For!<br />
Now Hiring:<br />
• Citrus County Detention Facility, Lecanto, FL<br />
Clinical Supervisor - RN, RN and RN PRN<br />
Contact Sherry at 615-263-3285<br />
• Lake City Correctional Facility, Lake City, FL<br />
RN and RN PRN<br />
Contact Cyndy at 615-263-3148<br />
New Licensed Graduates Welcome!<br />
Competitive Salary and Pay Based on Experience.<br />
Apply online at jobs.corecivic.com<br />
CoreCivic is a Drug Free Workplace & EOE - M/F/Vets/Disabled.
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 5<br />
Meet the PAC Leaders<br />
Isabel Francis, MPA, MSN, RN<br />
I have been active in community service<br />
since childhood. I have been politically active<br />
as well, having been a childhood participant in<br />
the Vietnam War protests, an adolescent during<br />
the women’s movement, a nurse contributing to<br />
the effort to provide affordable health care to the<br />
American people, and many other issues. When<br />
my children were in public school, I became<br />
very aware of children’s unmet needs. I ran and<br />
was elected to our local Board of Education. This<br />
helped me understand the political process from<br />
a new perspective. I am now in a clinical position<br />
in women’s health in southwestern <strong>Florida</strong>. Our patient population is<br />
incredibly diverse, and many have extremely limited access to care or ability<br />
to pay. I take the ANA Code of Ethics deeply to heart. Provision 8 of the Code<br />
states that healthcare is a universal right, and that nurses have an ethical<br />
obligation to advance health and human rights, and reduce disparities. One<br />
way in which we can do so is to research political candidates and their<br />
positions on nursing and health care. By exercising our right to vote, and<br />
by voting for candidates whose views are consistent with the ANA Code<br />
of Ethics, we not only uphold our professional ethical obligations, we can<br />
have a direct impact on the health of our nation. Nothing could be more<br />
important at this time than ensuring we, as the most trusted professionals<br />
in the United States for the 16th straight year, raise our voices in support of<br />
advancing health and human rights, and reducing disparities. It is our duty<br />
and our privilege as nurses.<br />
Ms. Frances is one of the newly appointed FNPAC Trustees. We will<br />
feature other PAC trustees in future issues of <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong>.<br />
Want to be a PAC member? Give a donation of $25 or more by visiting the<br />
FNA website at https://www.floridanurse.org/legislative/.<br />
<strong>Florida</strong> Team Storms the Hill<br />
for ANA Event<br />
A <strong>Florida</strong> team (Drs. Ed Briggs, Teri<br />
Chenot, Patricia Messmer, and Joseph<br />
Potts, MSN, RN) stormed the Hill for the<br />
annual American <strong>Nurse</strong>s Association<br />
event on Thursday, June 21st. More<br />
than 300 nurses from 45 states met<br />
with legislators to address the issues<br />
of: (a) safe staffing; (b) meaningful gun<br />
legislation; (c) addiction treatment; and<br />
(d) nursing workforce.<br />
Teri Chenot Meets with Rep<br />
John Rutherford (FL-04-R)<br />
during ANA Hill Day<br />
Joe Potts, Teri Chenot, Patricia Messmer and Ed Briggs at the<br />
Nation's Capitol on Hill Day at ANA
Page 6 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
American Cancer Society<br />
American Cancer Society Updates<br />
Colorectal Cancer Screening Guideline<br />
An updated American Cancer Society guideline<br />
says colorectal cancer screening should begin<br />
at age 45 for people at average risk. <strong>The</strong> new<br />
recommended starting age is based on colorectal<br />
cancer (CRC) incidence rates, results from<br />
microsimulation modeling that demonstrate a<br />
favorable benefit-to-burden balance of screening<br />
beginning at age 45, and the expectation that<br />
screening will perform similarly in adults ages<br />
45 to 49 as it does in adults for whom screening is<br />
currently recommended (50 and older).<br />
<strong>The</strong> American Cancer Society recommends:<br />
• Adults ages 45 and older with an average<br />
risk of colorectal cancer undergo regular<br />
screening with either a high-sensitivity<br />
stool-based test or a structural (visual) exam,<br />
depending on patient preference and test<br />
availability.<br />
To access electronic copies of the<br />
<strong>Florida</strong> <strong>Nurse</strong>, please visit<br />
www.nursingald.com/publications<br />
You PR♥MISE to take care of patients.<br />
We PR♥MISE to take care of you.<br />
South Lake Hospital has Nursing<br />
Opportunities in the following areas:<br />
ICU • Cath Lab<br />
OR • PACU • Same Day<br />
CDU • PCU • ED<br />
Intermediate Cardiac Care<br />
We offer competitive wages including shift differentials<br />
and clinical ladder, along with a dynamic benefits<br />
package that includes: health, dental, vision, disability,<br />
life, 401k, paid time off, and on-site fitness center.<br />
ú <strong>The</strong> change in starting age is designated<br />
as a “qualified recommendation,” because<br />
there is less direct evidence of the balance<br />
of benefits and harms, or patients’ values<br />
and preferences, related to CRC screening<br />
in adults aged 45-49 since most studies<br />
have only included adults aged 50+. <strong>The</strong><br />
recommendation for regular screening<br />
in adults aged 50 years and older is<br />
designated as a “strong recommendation,”<br />
on the basis of the greater strength of the<br />
evidence and the judgment of the overall<br />
benefit.<br />
• As a part of the screening process, all<br />
positive results on non-colonoscopy<br />
screening tests should be followed up with<br />
timely colonoscopy.<br />
• Average-risk adults in good health with a life<br />
expectancy of greater than 10 years should<br />
continue colorectal cancer screening through<br />
age 75. Clinicians should individualize<br />
colorectal cancer screening decisions for<br />
individuals ages 76 through 85, based on<br />
patient preferences, life expectancy, health<br />
status, and prior screening history. Clinicians<br />
should discourage individuals over age 85<br />
from continuing colorectal cancer screening.<br />
<strong>The</strong> recommended options for colorectal cancer<br />
screening are: fecal immunochemical test (FIT)<br />
annually; high sensitivity guaiac-based fecal<br />
occult blood test (HSgFOBT) annually; multitarget<br />
stool DNA test (mt-sDNA) every 3 years;<br />
colonoscopy every 10 years; CT colonography<br />
(CTC) every 5 years; and flexible sigmoidoscopy<br />
(FS) every 5 years.<br />
<strong>The</strong> new guideline does not prioritize among<br />
screening test options. Given the evidence that<br />
adults vary in their test preferences, the guidelines<br />
development committee emphasized that<br />
screening rates could be improved by endorsing<br />
the full range of tests without preference.<br />
Colorectal cancer incidence has declined<br />
steadily over the past two decades in people 55<br />
and over due to screening that results in removal<br />
of polyps, as well as changes in exposure to<br />
risk factors, but there has been a 51% increase<br />
in colorectal cancer among those under age 50<br />
since 1994. Death rates in this age group have<br />
also begun to rise in recent years, indicating that<br />
increased incidence rates do not appear to be<br />
solely the result of increased use of colonoscopy.<br />
A recent analysis found that adults born around<br />
1990 have twice the risk of colon cancer and four<br />
times the risk of rectal cancer compared with<br />
adults born around 1950, who have the lowest risk.<br />
Visit the American Cancer Society® website at<br />
cancer.org to learn more about colorectal cancer<br />
screening. (Source: American Cancer Society)<br />
South Lake Hospital<br />
For a full listing of positions and to apply online, please visit: www.southlakehospital.com<br />
For assistance, please contact Human Resources:<br />
1900 Don Wickham Drive • Clermont, FL 34711 • 352.394.4071 Extension 7120<br />
Calendar of<br />
Events <strong>2018</strong><br />
<strong>September</strong> 15, <strong>2018</strong> (Time TBA)<br />
FNA Annual Meeting<br />
FNA Headquarters, Orlando, FL<br />
and Online<br />
<strong>September</strong> 20, <strong>2018</strong> (7:00pm - 8:00pm)<br />
West Central Business Meeting and<br />
Update<br />
Online<br />
<strong>September</strong> 22, <strong>2018</strong> (8:30am - 3:30pm)<br />
BLI Advocacy Boot Camp<br />
Harry P. Leu Gardens, Orlando, FL<br />
<strong>September</strong> 22, <strong>2018</strong> (8:30am - 3:30pm)<br />
FNSA Pre-Convention<br />
UCF College of Nursing, Orlando, FL<br />
October 3, <strong>2018</strong> (6:00pm - 7:00pm)<br />
Suicide Prevention Webinar for Mental<br />
Health Awareness Month<br />
Online<br />
October 8, <strong>2018</strong> (6:00pm - 8:30pm)<br />
South Region Legislative Policy Event<br />
Miami Dade College North Campus,<br />
Miami, FL<br />
October 17, <strong>2018</strong> (5:00pm - 7:00pm)<br />
New Grad Networking Night<br />
FNA Headquarters, Orlando, FL<br />
October 23, <strong>2018</strong> (6:00pm - 8:00pm)<br />
West Central Meeting: “Advocacy - Let<br />
Your Nursing Voice Be Heard”<br />
Banquet Masters, Clearwater, FL<br />
October 25 - 27, <strong>2018</strong><br />
<strong>Florida</strong> Nursing Students Association<br />
Annual Convention<br />
Hilton Daytona Beach Oceanfront Resort<br />
November 2, <strong>2018</strong> (8:00am - 12:00pm)<br />
NE Region Event - “Living Our Ethics:<br />
Civility and Self-Care”<br />
Mayo Clinic, Jacksonville, FL<br />
November 15, <strong>2018</strong> (6:00pm- 8:00pm)<br />
East Central Quarterly Meeting -<br />
Human Trafficking Course<br />
FNA Headquarters, Orlando, FL<br />
FNA CE Webinars Now Available<br />
on Demand!<br />
Email kscarbary@floridanurse.org for<br />
more information.<br />
We welcome all nursing students and<br />
Registered <strong>Nurse</strong>s regardless of membership<br />
status to all of our events unless otherwise<br />
noted. For more events and registration<br />
information, please go to www.floridanurse.<br />
org and click on the Conferences page.
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 7<br />
Thriving Your First Year as a Registered <strong>Nurse</strong><br />
Pamela Delano,<br />
MSN, MBA, RN<br />
Your scrubs are on. Standing in the hallway<br />
for your first shift as a newly licensed Registered<br />
<strong>Nurse</strong> and your heart is tachy from the adrenaline<br />
& a lingering sense of accomplishment—your shiny,<br />
new stethoscope hangs around your neck anxiously<br />
waiting for its first official patient to assess.<br />
Suddenly, it hits you: Panic.<br />
<strong>The</strong> rush of emotions accompanies a new reality<br />
that peoples’ lives are in your hands. Most of<br />
the people you’ll encounter will be at their most<br />
vulnerable as the uncertainty of their future looms<br />
throughout the hospital rooms. <strong>The</strong>y will look to you for safe, competent,<br />
quality care: Your decisions, judgement and actions will impact life, death<br />
and everything in between. You studied, attended clinical rotations, wrote<br />
endless care plans, passed your NCLEX…so why do you feel like you have<br />
no business caring for these people? Why do you find yourself wondering<br />
if the patients can somehow tell you have no idea what you are doing? Or<br />
worse, questioning yourself: Are you even really a nurse?<br />
Imposter Syndrome is the technical term for it. <strong>The</strong> transition from<br />
student to professional is one that no one is ever fully prepared for; this is<br />
especially true in the realm of healthcare.<br />
Don’t worry. <strong>The</strong>re are proven strategies to get you through this by<br />
transforming these frantic thoughts, into a vehicle for empowerment and<br />
professional growth. First, understand your goal is not to “survive” your<br />
first year, but thrive in it!<br />
Here’s how:<br />
Talk. This may sound basic, but actually discussing these feelings with<br />
someone you respect and trust can help frame your thinking. <strong>The</strong> right<br />
person will tell you that just because you are qualified for your role, doesn’t<br />
mean you are expected to have expert knowledge. Instead, use this fact to<br />
continually fuel your thirst for knowledge. Ask questions knowing this<br />
journey is a day by day (or night by night) learning experience.<br />
Seek out educational opportunities. During your orientation, there is a<br />
set schedule with your preceptor, however there is flexibility and with that<br />
comes your opportunity to branch out for further opportunities. If there is<br />
a procedure to be done at the bedside, ask to perform or shadow with an<br />
experienced nurse. Feel rusty starting intravenous (IV) access lines? Ask to<br />
spend a few hours in an outpatient procedural area and start IVs for half a<br />
shift. Don’t wait until educational opportunities show up, ask for them. This<br />
will not only strengthen your nursing skills, but also build your confidence<br />
and highlight you as a colleague who is willing to learn.<br />
Perfect the art of delegation. Your first year you will have the urge to<br />
do everything yourself: This results in longer shifts, mis-prioritization, no<br />
bathroom breaks and getting burned out before you even begin. Instead,<br />
learn the art of delegation. Be respectful, clear and flexible. Remember:<br />
Your nursing assistants are important parts of your team. Delegate tasks<br />
as appropriate by your institution’s policies and scope of practice with<br />
a sense of mutual appreciation (“please” and “thank you” go a long way!).<br />
Use bargaining to your advantage and always offer to help your nursing<br />
assistants when you can. You do not want to get a reputation as the nurse<br />
who doesn’t “do nursing assistant work”—that is a destructive way of<br />
thinking that will stunt teamwork as well as unit morale.<br />
At the end of your shift, take a breath and remember nursing requires<br />
life-long learning. Every patient is different, even if they are living with the<br />
same illness. <strong>The</strong>re is a reason you chose this profession to begin with and<br />
each shift you will become stronger in your practice. Now get out there! And<br />
welcome to the profession.
Page 8 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
Student Forum<br />
On behalf of the<br />
<strong>Florida</strong> Nursing Students<br />
Association (FNSA), I<br />
would like to congratulate<br />
all of our nursing students<br />
who have recently<br />
graduated from their<br />
respective schools. This<br />
is a great step forward<br />
to become leaders in the<br />
nursing discipline. Good<br />
job to those who passed<br />
the NCLEX and good luck<br />
to those studying and<br />
preparing for it. I’m so proud of you all and I can’t<br />
wait to hear about all your accomplishments in<br />
the coming years.<br />
<strong>The</strong> executive board of FNSA is continuing to<br />
plan our upcoming state convention. It will be<br />
held at the Hilton Daytona Beach from October<br />
26th to October 28th. I want to thank all of the<br />
nurses who reached out to serve on our specialty<br />
panel. We are currently still in need of a Pediatric<br />
nurse and an OB nurse. If you are a Pediatric<br />
or OB nurse or know of someone who is willing<br />
to serve on our panel on October 26th, <strong>2018</strong> in<br />
Daytona please email FNSA2ndVp@gmail.com for<br />
more details.<br />
Another opportunity I would like to present<br />
is to become a Sustaining Member of FNSA.<br />
Sustaining Membership is an opportunity to<br />
help students in need by donating to the <strong>Florida</strong><br />
<strong>Nurse</strong>s Foundation. <strong>The</strong>se funds are awarded<br />
annually as scholarships at the FNSA Annual<br />
Convention. Sustaining Members receive updates<br />
from FNSA monthly and are recognized in the<br />
Annual Convention Program and Website. We<br />
could not run a vibrant student organization of<br />
5000+ members without Sustaining Members like<br />
you. I’ve had the privilege of meeting tremendous<br />
nurses from all specialties of nursing and I’m<br />
continually inspired by their dedication and<br />
devotion to nursing. Nursing students are the<br />
future and your impact on them will be felt. From<br />
the smallest gesture to the grandest display, the<br />
work that you do with the students will shape the<br />
future of the field. If you would like to get more<br />
involved, learn more about the work FNSA is<br />
doing, or hear more information about Sustaining<br />
Membership, please email me at fnsapresident@<br />
gmail.com.<br />
We could not do everything we do without the<br />
support and guidance of all of you! Thank you<br />
all for setting the standard of excellence. Thank<br />
you all for continuing to mentor us and welcome<br />
us into this valued calling that is nursing. Thank<br />
you for allowing me<br />
the opportunity to share<br />
our incredible and vibrant<br />
student organization. We look<br />
forward to partnering alongside all of you in the<br />
future!<br />
Ms. Sarah Thurlow is a rising nursing<br />
leader who is devoted to providing quality and<br />
compassionate healthcare to her future clients.<br />
She is enrolled at <strong>Florida</strong> Atlantic University and<br />
is pursuing a dual degree in Nursing (BSN) from<br />
the College of Nursing and Health Administration<br />
from the College of Business.<br />
She is also enrolled in the Honors in the Major<br />
for Nursing at FAU and is currently undergoing<br />
undergraduate research related to nursing<br />
leadership in long-term care facilities. She is<br />
currently president of the <strong>Florida</strong> Nursing Student<br />
Association, which is the largest professional<br />
organization for nursing students in the state<br />
of <strong>Florida</strong> and serves on the Council of State<br />
Presidents Committee on the national level. After<br />
graduating in May 2019, she plans on working as a<br />
BSN prepared nurse in <strong>Florida</strong> striving to provide<br />
holistic, compassionate and competent care to her<br />
future patients.<br />
Focus on New Grads<br />
I look forward to seeing all of my new graduate colleagues on October 17th, <strong>2018</strong> at FNA headquarters in Orlando for<br />
our 1st annual new graduate networking event. We will be discussing the transition from student to RN. I will keep you<br />
updated on the planning of this meeting. Please take the time to fill out our quick New Grad Survey so we can discuss the<br />
topics that are most important to you. See below.<br />
Attention all recent nurse graduates!<br />
You are invited to participate in<br />
the <strong>Florida</strong> <strong>Nurse</strong>’s Association New Grad Networking Event!<br />
Wednesday, October 17th<br />
5:00 pm – 7:00 pm<br />
FNA Headquarters | 1235 E. Concord St. Orlando, FL 32803<br />
Hannah McRoberts<br />
We want to hear from you! We welcome all recent graduates (members and non-members) from the<br />
last 5 years to take a part of our New Grad Survey. Your responses will help us craft our association<br />
to better serve the new generation of nurses. Please take a few moments to complete our brief survey at<br />
https://www.surveymonkey.com/r/XCMP87S
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 9<br />
Student Forum<br />
Strategies for Polypharmacy Reduction in Older Adults<br />
Samantha Page and Andrea Butler<br />
For many patients 65 years and older, the<br />
troublesome effects of complex medication<br />
regimens are routinely overlooked. Many<br />
preventable and potentially harmful drug-drug<br />
interactions or adverse effects are not recognized<br />
in the older adult until routine checkups or<br />
acute hospitalizations occur. Older adults<br />
often experience multiple comorbidities which<br />
further complicates assessment and treatment<br />
of medication regimens in this population.<br />
<strong>The</strong> concept of polypharmacy was previously<br />
understood as the number of drugs that a patient<br />
takes each day, however recent research has<br />
determined that appropriateness, effectiveness,<br />
and necessity of each medication are additional<br />
components which need assessment in order<br />
to ensure that the older adult is receiving the<br />
best possible care. Fragmented health care<br />
systems have contributed immensely to the<br />
discontinuity, high cost, and continued prevalence<br />
of polypharmacy in the older adult despite<br />
existence of several evidence-based polypharmacy<br />
screening tools. As aging leads to an increasingly<br />
heterogenous population, nurses play a key role<br />
in assessing the holistic needs of older adults<br />
and considering the best available practice<br />
in reduction of polypharmacy. Additionally,<br />
polypharmacy is largely ameliorable to<br />
interventions within the scope of nursing practice,<br />
such as conducting comprehensive physical<br />
and social assessments as well as medication<br />
reconciliation. Furthermore, medication nonadherence<br />
is multifaceted, usually unintentional,<br />
and encompassed in the phenomenon of<br />
polypharmacy. Including the patient’s input is<br />
essential when working to find the most effective<br />
drug regimen for the older adult. Current research<br />
has introduced various modalities designed for<br />
reduction of this phenomenon in addition to<br />
use of standardized screening tools, including<br />
educational campaigns, development of more<br />
comprehensive screening tools, and use of<br />
interdisciplinary healthcare professional teams.<br />
Tools such as the Beers Criteria and the STOPP/<br />
START criteria have been used in the clinical<br />
setting for many years, however many new<br />
approaches such as educational campaigns and<br />
use of pharmacists and nurses for polypharmacy<br />
screening reduction have demonstrated<br />
efficacy in reducing polypharmacy in the older<br />
adult. Because the issue of polypharmacy is<br />
multifaceted, research has shown that the most<br />
effective approaches to addressing its frequency<br />
is uses numerous interventions and considers<br />
the individuality of each patient. Specifically,<br />
Pasina et al. (2014) found interventions by<br />
healthcare professionals including “involving<br />
the patient in the treatment goals, simplifying<br />
the treatment regimen, tailoring it (medication<br />
regimen) to the patient’s life style, sending<br />
reminders, encouraging family support, educating<br />
about side effects, and monitoring adherence”<br />
(Pasina et al., 2014, p. 287) helped patients<br />
to enhance adherence. <strong>The</strong> key discrepancy<br />
between modality effectiveness is trying to<br />
tailor all heterogenous patient assessments to<br />
a standardized list without consideration of<br />
existing comorbidities or necessity of medications.<br />
Both research and non-research literature<br />
items published on this topic recognized that<br />
a team-based, with or without combined use of<br />
standardized tools, patient questionnaires, or<br />
educational initiatives, were effective in detecting<br />
and addressing polypharmacy in the older adult.<br />
Although medication prescription is beyond the<br />
scope of basic nursing practice, ensuring the<br />
comprehensive care of each older adult patient is<br />
not only necessary, but a valuable step in reducing<br />
this continuously present phenomenon.<br />
Samantha Page is a senior nursing student<br />
in <strong>Florida</strong> Gulf Coast University’s BSN program<br />
with expected graduation in Spring of 2019. She<br />
is an active member of FGCU’s Nursing Student<br />
Association. Samantha is a hopeful labor and<br />
delivery nurse with dreams of continuing on to<br />
become a midwife.<br />
Andrea Butler is a senior nursing student in<br />
<strong>Florida</strong> Gulf Coast University’s BSN program with<br />
expected graduation in Spring of 2019. Andrea is a<br />
hopeful cardiac intensive care nurse with dreams<br />
of continuing on to become a CRNA.<br />
Works Cited<br />
Pasina, L., Brucato, A., Falcone, C., Cucchi, E., Bresciani,<br />
A., Sottocorno, M., . . . Nobili, A. (2014). Medication<br />
non-adherence among elderly patients newly<br />
discharged and receiving polypharmacy. Drugs &<br />
Aging, 31(4), 283-289. doi: 10.1007/s40266-014-0163-7<br />
Multidisciplinary Discharge Team Impact on<br />
30-Day Readmissions Rates<br />
Deborah Wyckoff and Rachel Rudd<br />
30-day readmissions are a problem that<br />
plague hospitals nationwide. Not only do these<br />
readmissions lead to additional and avoidable<br />
costs to our hospitals, but they also suggest a<br />
lack of patient-centered care in various health<br />
care facilities. <strong>The</strong> Affordable Health Care Act<br />
already enforces penalties to hospitals with<br />
heightened readmission rates (Siaki and Thomas,<br />
2017), but with one in five Medicare patients<br />
being readmitted within 30 days, and a reported<br />
$25 billion in readmission costs occurring each<br />
year, something must change (Siaki and Thomas,<br />
2017). It brings to question whether or not there<br />
is a systemic approach that could halt or lessen<br />
these readmissions. Patients have reported that<br />
unsuccessful discharges have led them back into<br />
the hospital, and suggest that a lack of cohesion in<br />
care and communication between advanced care<br />
providers, hospital staff, families, and patients<br />
To read more abstract submissions from<br />
BSN students, please visit<br />
http://www.floridanurse.org/resources/.<br />
could be to blame (Jeffs, Dhalla,<br />
Cardoso, & Bell, 2014). Success<br />
was heightened when interprofessional<br />
teams armed with<br />
experts in medicine, nursing,<br />
physical therapy, occupational<br />
therapy, case management, and<br />
specified discharge planners<br />
were included in the discharge<br />
of patients (Jeffs et al., 2014).<br />
Effective education, timeliness,<br />
and communication from each<br />
of these teams to their patients<br />
enhances readiness, and lessens<br />
readmissions due to patients<br />
being better able to manage their<br />
own care outside of the hospital<br />
setting (Jeffs et al., 2014). With<br />
76% of hospital readmissions<br />
viewed as preventable (Siaki and Thomas, 2017), it<br />
is time for change in the discharge process.<br />
Rachel Ruff and Deborah Wyckoff are nursing<br />
students at <strong>Florida</strong> Gulf Coast University in Fort<br />
Myers, FL. Deborah is interested in oncology,<br />
We’re Looking for<br />
a Few Good <strong>Nurse</strong>s<br />
Lake Wales Medical Center is seeking compassionate, caring nurses to join<br />
our growing team! We want candidates looking to make a real difference in<br />
their patients’ lives, and bring their own beneficial enthusiasm and skills to a<br />
talented team of like-minded professionals.<br />
Receive Your $5,000 Sign-On Bonus when Selected for a<br />
Full-Time Position with Lake Wales Medical!<br />
Take the next step in your professional nursing career!<br />
Be a part of the Lake Wales Medical nursing staff!<br />
Lake Wales Medical Center | 410 South 11th St | Lake Wales, FL 33853<br />
http://www.lakewalesmedicalcenter.com<br />
Photo Credit: Michael Helfenbein, Yale University<br />
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Page 10 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
FNA Research Conference Highlights<br />
On July 28, <strong>2018</strong> over 70 RNs, ARNPs, and<br />
nursing students attended the <strong>2018</strong> 4th Annual<br />
Evidence-Based Practice and Nursing Research<br />
Conference at Harry P. Leu Gardens in Orlando,<br />
FL. This year’s keynote address, Bullying in<br />
Nursing: A Research Perspective was presented<br />
by FNA Member, Dr. Latoya Lewis-Pierre of<br />
the University of Miami School of Nursing and<br />
Health Studies.<br />
<strong>The</strong> research planning committee reviewed<br />
over 40 abstract submissions and using<br />
stringent protocols selected three abstracts<br />
to be presented at the podium. <strong>The</strong> podium<br />
presentations were:<br />
• <strong>The</strong> CREATION Health Assessment Tool<br />
for Patients (CHAT-P): Development,<br />
Psychometric Properties, Norms, and<br />
Inquiry presented by Hong Tao, PhD, RN;<br />
Ashley Kohrt, MBA; Patricia Robinson,<br />
PhD, ARNP; and Julie Pepe, PhD<br />
• Targeted Approach to Eliminate<br />
Clostridium Difficile Infections in an<br />
Orthopedic Unit presented by Natalie<br />
Harper, BSN, RN, PCCN<br />
• <strong>The</strong> Mentoring Experiences of Adjunct<br />
Nursing Faculty: A Phenomenological<br />
Inquiry presented by Sharon Ramjohn,<br />
PhD, RN, CNE<br />
In addition to the keynote and three podium<br />
presentations, the conference held two poster<br />
sessions with a total of 28 abstracts presented<br />
during those sessions. <strong>The</strong> poster presenters<br />
were:<br />
• Claudette Allen, MSN, RN, PCCN<br />
• Ryann Basiliere, MSN, RN, NE-BC<br />
• Arlene Cameron, RN, BSN<br />
• Maxwell Corrigan, MS, MT-BC<br />
• Paula Davis-Huffman, DNP, ANP, PPCNP-BC,<br />
Alumnus CCRN<br />
• Susan Fowler, PhD, RN, CNRN, FAHA<br />
• C. Victoria Framil, DNP, ARNP, ANP-BC<br />
• Patricia Geddie, PhD, CNS, AOCNS<br />
• Kassandra Greci, MSN, ARNP, WHNP-BC<br />
• Connie Grim, MSN-Ed, RN, CNE<br />
• Natalie Harper, BSN, RN, PCCN<br />
• Sharon Harrison, BSN, RN<br />
• Jason Keeler, MM, MT-BC<br />
• Joanne Laframboise-Otto, PhD, RN<br />
• Adrienne Lyons, DNP, RN<br />
• Cara Markham, BSN, RN-BC<br />
• Tina Mason, MSN, ARNP, AOCN,<br />
AOCNS<br />
• Harriet Miller, PhD, ARNP, CPN, CCRP<br />
• Rose Nieves, PhD, ARNP, FNP-c, CNE<br />
• Kathy Noffsinger, DNP, MSN, APRN,<br />
PPNP-BC, PMHS-BC<br />
• Monica Paz Cruz, MSN, CRNA<br />
• Virginia Pesata, DNP, ARNP, NEA-BC,<br />
FNP-BC, FNAP<br />
• Ellen Reising, MSN, CNS, RN-BC,<br />
ACCNS-AG<br />
• Violet Rhagnanan-Kramer, MSN, RN,<br />
NE-BC<br />
• Kristen Romano, BSN, RN, PCCN<br />
• Andrea Rose, DNP, FNP, CCM<br />
• Deirdre Shoemake, DNP, RN, ACNS-BC<br />
• Carmen Sierra, DNP, RN, CNOR, CCTN<br />
• Marie Smith-East, DNP, PMHNP-BC, EMT-B<br />
• Amanda Terry-Sawyer, PhD<br />
• Laura Wilkinson, MSN, RN, CCRN<br />
• Jo Wheeler, RN, CCRP<br />
• Jenna Wheeler, BSN, RN, OBC<br />
We want to say a huge thank you to the<br />
members of the Research SIG who reviewed<br />
abstracts and helped coordinate the conference.<br />
Thank you as well to everyone who submitted<br />
an abstract and to those of you who attended<br />
and presented at the conference. ALL of you<br />
helped make this one of our best research<br />
conferences yet. We look forward to seeing you<br />
again next year!<br />
<strong>Florida</strong> <strong>Nurse</strong>s<br />
Foundation Vice-<br />
President, Daleen<br />
Penoyer, welcomes<br />
everyone to the<br />
conference<br />
Keynote Speaker<br />
LaToya Lewis-Pierre,<br />
Ed.D-CI, MSN, RN<br />
presented on Bullying<br />
in Nursing: A Research<br />
Perspective<br />
Participants enjoyed lively and engaging discussions during our two poster sessions<br />
Over 70 nurses from <strong>Florida</strong> and Georgia attended the conference this year
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 11<br />
Legislative Update<br />
<strong>2018</strong> FNA Legislative and Regulatory Policy Platform<br />
John Berry, Director<br />
of Labor Relations &<br />
Governmental Affairs<br />
<strong>The</strong> FNA Supports efforts<br />
to protect and enhance the<br />
ability of Registered <strong>Nurse</strong>s<br />
(RNs), Clinical <strong>Nurse</strong><br />
Specialists (CNSs) and<br />
Advanced Registered <strong>Nurse</strong><br />
Practitioners (ARNPs) to<br />
practice to the full extent<br />
of their education and<br />
experience.<br />
• <strong>The</strong> FNA supports the efforts of the National<br />
Council of State Boards of Nursing and<br />
the <strong>Florida</strong> Coalition of Advanced Practice<br />
<strong>Nurse</strong>s to implement the consensus model<br />
vision for the regulation of advanced nursing<br />
practice in <strong>Florida</strong>.<br />
• <strong>The</strong> FNA supports legislation which will<br />
allow all nurses to practice to the full extent<br />
of their education and training in all practice<br />
environments, including telehealth.<br />
• <strong>The</strong> FNA supports legislation that removes<br />
unnecessary nurse practitioner collaborative<br />
practice agreements and removes physiciannurse<br />
practitioner supervisory language from<br />
the <strong>Nurse</strong> Practice Act.<br />
• <strong>The</strong> FNA supports legislation that would<br />
provide universal signature authority for all<br />
advanced practice nurses.<br />
<strong>The</strong> FNA supports efforts to protect the rights,<br />
jobs, wages, pensions, health care coverage, and<br />
other benefits of our state-employed health care<br />
professionals.<br />
<strong>The</strong> FNA supports safe practice environments<br />
for all nurses and our patients.<br />
• <strong>The</strong> FNA supports legislation that provides<br />
meaningful information to users of health<br />
care about staffing and nursing resources in<br />
health care facilities.<br />
• Promote legislation that protects healthcare<br />
workers against workplace violence,<br />
including efforts to rigorously prosecute<br />
those who commit such crimes.<br />
<strong>The</strong> FNA supports efforts to protect and<br />
promote health-related initiatives that protect the<br />
physical and mental health of <strong>Florida</strong>’s residents.<br />
• <strong>The</strong> FNA supports legislation that allows<br />
draw down federal funding to make<br />
healthcare available to more Floridians.<br />
• <strong>The</strong> FNA supports sustained funding and<br />
utilization of the controlled substances<br />
prescription monitoring database.<br />
• <strong>The</strong> FNA supports legislative efforts and<br />
promote adequate funding to strengthen<br />
the public health system, improve<br />
access to care or promote healthy<br />
lifestyles.<br />
• <strong>The</strong> FNA supports legislation that helps<br />
to create a multi-disciplinary, patientcentered<br />
model of healthcare delivery.<br />
• <strong>The</strong> FNA supports legislation that<br />
provides comprehensive end-of-life<br />
planning and care.<br />
• Pursue a pilot study to evaluate<br />
innovative and comprehensive school<br />
health services that include access to<br />
health care provided by an RN.<br />
• Pursue legislation that would require as<br />
mandatory education at least a 2.0 hour<br />
CEU education in infection prevention<br />
and emerging diseases training. This<br />
will be required each biennium for all<br />
nurses.<br />
• <strong>The</strong> FNA supports meaningful<br />
legislation for gun control.<br />
• <strong>The</strong> FNA supports efforts to ensure<br />
humane care for incarcerated<br />
individuals in the <strong>Florida</strong> prison system<br />
as required by the Constitution.<br />
LERC State News<br />
For professional state employees: If you are assigned to serve in a<br />
Special Needs Shelter, now is an important time to prepare. Work with<br />
your agency to offer educational programs to prepare its staff for working<br />
in the shelter or agency. Ask your Administration to set up Preparedness<br />
Updates, so that the staff is aware of what is required of them. Contact<br />
your FNA HCP Union through John Berry (jberry@floridanurse.org) if<br />
you have concerns that your needs are not being met. Also, be aware of<br />
the need for precise documentation of time worked, if you are called to<br />
work in a Shelter. It is essential that you keep detailed records of the time<br />
and copies of your time sheets, so that if there is a question about your<br />
reimbursement, we at FNA can help you based on those records.<br />
Here’s to a safe and pleasant upcoming season, even as we prepare for<br />
other possibilities!<br />
Deborah Hogan, MPH, BSN, RN,<br />
FNA State Unit President,<br />
LERC Liaison Chair<br />
<strong>September</strong> brings so many pleasant activities<br />
- vacations and travel, cookouts with family and<br />
friends, and cooler weather… so much to look<br />
forward to! We must also prepare ourselves for other<br />
possible events, especially here in <strong>Florida</strong> – storms<br />
and possible hurricanes. Now is the time to prepare<br />
to keep ourselves, our families and our patients safe.<br />
Start with a kit of emergency supplies, hopefully<br />
to last for at least three days. You’ll need a gallon of<br />
water per person per day for drinking and sanitation,<br />
as well as non-perishable foods such as protein bars, dried fruit or canned<br />
foods. You’ll also need clothes to wear based on the climate, in case power is<br />
lost. Other supplies include battery-powered radio and flashlights with extra<br />
batteries, first aid kit, whistle to signal for help, filter masks for all family<br />
members, moist towelettes, wrench/pliers, manual can openers, plastic<br />
sheeting/garbage bags and duct tape. Lastly, include items that are specific<br />
for your family’s needs (medicines, infant formula, diapers, coloring books<br />
and important papers). Think about your pets also, and their supplies.<br />
You may want to consider having a second “Go Kit” – a smaller version of<br />
your emergency kit that you can take with you if you have to evacuate. Also,<br />
be prepared with a plan for what you will do and where you will go in an<br />
emergency. This includes your job responsibilities. Talk with your employer<br />
about their expectations so that you and your family can build that in to your<br />
plan. For more information and resources on Preparedness, go to www.ready.gov.<br />
If you want to become involved with your community’s preparedness<br />
activities, you can join your local “Citizen Corps.” <strong>The</strong> Corps works to<br />
help people prepare, train and volunteer in their communities. For more<br />
information go to www.citizencorps.gov.<br />
We have opportunities for nurse educators<br />
at our <strong>Florida</strong> campuses.<br />
Family <strong>Nurse</strong> Practitioner Program Director<br />
Orlando & West Palm Beach<br />
Graduate Nursing Program<br />
PhD in Nursing/Nursing Science or DNP; FNP-C required<br />
Full-Time Faculty – Tampa & West Palm Beach<br />
Undergraduate Nursing Program, Terminal Degree in Nursing required<br />
Family <strong>Nurse</strong> Practitioner Faculty<br />
Tampa & West Palm Beach<br />
Graduate Nursing Program<br />
PhD in Nursing/Nursing Science or DNP; FNP-C required<br />
Experience pristine, well-equipped facilities and the unparalleled support of a<br />
system dedicated to producing top performers in the healthcare industry.<br />
To apply for Orlando and Tampa opportunities, send your CV to<br />
scrobinson@southuniversity.edu and to apply for West Palm Beach opportunities,<br />
send your CV to kferreri@southuniversity.edu
Page 12 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
Region News<br />
East Central Region Update<br />
East Central Region Director Marti Hanuschik<br />
represented FNA at the Child Rescue Network<br />
breakfast April 24, <strong>2018</strong>. Speaker Andrea Vaughan<br />
presented on the behavior of child predators and<br />
shared her personal story about a predator that<br />
was her middle school teacher, a trusted member<br />
of society. I was able to engage in conversation<br />
with therapist Tenisa Montgomery as well as<br />
concerned citizens Cynthia Harris and Ashley<br />
Jones (see photo).<br />
can be obtained by e-mail at CHD35MRC@<br />
flhealth.gov or by calling 352-396-3520.<br />
<strong>The</strong> East Central Region had the opportunity<br />
to work with Cirque Du Soleil CRYSTAL August<br />
1-5, <strong>2018</strong> for discounted tickets at the Amway<br />
Center. Hope you were able to attend. Jessica Daly,<br />
Consumer Health Librarian for Orlando Health<br />
Hospital System, presented on Health Literacy at<br />
our third quarter meeting held on August 23rd at<br />
FNA Headquarters.<br />
Save the date of November 15th for our fourth<br />
quarter meeting in which we’ll present the<br />
mandatory CE course on Human Trafficking. We<br />
will be offering additional mandatory CE courses<br />
at future meetings. Check the FNA website for<br />
additional information.<br />
As Region Director, please let me hear from you<br />
for program suggestions as I schedule speakers<br />
and arrange the evening program along with<br />
tasty snacks. Your input would be appreciated.<br />
Please let me know about your professional<br />
accomplishments so you can be highlighted in a<br />
future TFN article.<br />
Marti Hanuschik, MSN, RN, CCM<br />
FNA East Central Region Director<br />
E-mail: marti4edu@yahoo.com<br />
Cell phone: 407-484-9298 best by text<br />
As the First Coast’s only locally-based wish<br />
granting organization, Dreams Come True is<br />
dedicated to using the power of a dream to bring<br />
hope and joy to EVERY First Coast child battling a<br />
life-threatening illness.<br />
<strong>The</strong>re is wonderful news brewing for our NE<br />
FL Chapter: This season we will be hosting a<br />
continuing education course titled: Living our<br />
Ethics: Civility and Self-care. Be on the lookout<br />
for this premiere nursing event open to all NE<br />
FL <strong>Nurse</strong>s and nursing students! Location: Mayo<br />
Clinic Simulation Center, Jacksonville, FL.<br />
A warm welcome to some of our newest NE<br />
FL FNA members: Hagy Terry, Pace John, Pollard<br />
Tambara, & Dawn Smith!<br />
Our May 10, <strong>2018</strong> Quarterly Meeting, at which<br />
Executive Director Willa Fuller was scheduled to<br />
present on Horizontal Violence and Bullying in<br />
Nursing, was cancelled due to low registration.<br />
Registration must be at least five for the meeting<br />
to be held. Don’t forget that if you aren’t able to<br />
attend in person, all EC meetings are available<br />
online. Traditionally, the late May month meeting<br />
has a low turnout and therefore the meeting was<br />
moved to earlier in the month to celebrate <strong>Nurse</strong>s<br />
Week. Feedback on meeting dates and location<br />
are discussed at the annual meeting. Please share<br />
your thoughts to make these meetings a success.<br />
Please e-mail Region Director Marti Hanuschik<br />
if you would like to coordinate a meeting in your<br />
county.<br />
Lake County Medical Reserve Corps Director<br />
William Ritten requested volunteers for shelter<br />
work during an emergency. Further information<br />
Open for<br />
opportunity<br />
<strong>The</strong> relationship between the clinician and<br />
the patient is at the heart of everything<br />
we do. So you are not part of a system.<br />
You’re part of a family.<br />
Registered <strong>Nurse</strong><br />
• Patient and family teaching/education<br />
• Patient-centered care<br />
• Partnering with skilled clinicians<br />
Call us today at<br />
855-KND-AT-HOME (855.563.2846) or visit<br />
www.kindredathome.com/careers<br />
EEO<br />
© 2016 Kindred at Home CSR 188925-08<br />
North Central Region Update<br />
TAKE A MINUTE<br />
Hello <strong>Florida</strong> <strong>Nurse</strong>s! I recently had a patient<br />
that passed away and when I asked his mother<br />
what I could do for her, she told me to enjoy<br />
every minute of my life and to take a trip to the<br />
beach for her son as it was the last thing he told<br />
his mom he was looking forward to doing before<br />
he was hospitalized. Often, as nurses, we care so<br />
deeply for others that we often forget to take care<br />
of ourselves. Our work reminds us that our lives<br />
are fragile and our moments in this life a precious<br />
gift. Regardless of your choice, take the time to<br />
read a few chapters in a book, have a dinner party<br />
with friends, take that trip you have long talked<br />
about taking, or go for a walk down the beach. I<br />
hope that you can find the time, in whatever way<br />
is meaningful to you, to take a minute and relax<br />
with your friends and family. To effectively care<br />
for others, we must effectively care for ourselves.<br />
I took that trip to the beach for my patient and<br />
his mother. I hope I enjoyed it just as much as he<br />
would have. Savor all the precious moments and<br />
enjoy every minute of your life. As always, it is an<br />
honor to serve the nurses of our beautiful state.<br />
Please do not hesitate to contact me if I can ever be<br />
of assistance.<br />
Northeast Region Update<br />
Happy Fall! How time has passed. Over the<br />
summer the Northeast <strong>Florida</strong> FNA Chapter was<br />
able to sponsor a child for the Kyd’s & Jaffi’s<br />
Annual Fashion Show with Dreams Come True.<br />
Northwest Region Update<br />
Hello Northwest Region,<br />
<strong>The</strong> Northwest Region Summer Collaboration<br />
for Community Mental Health went off with a<br />
bang at the Blue Wahoos baseball game. Local<br />
undergraduate and graduate nursing students from<br />
three schools advocated with FNA members for<br />
mental well-being in our community along with<br />
Northwest <strong>Florida</strong> Guardian ad Litem Foundation,<br />
Inc. We are proud to say that over 250 supporters<br />
attended the game with Guardian ad Litem<br />
children and their State appointed volunteers.<br />
A former Guardian ad Litem child was honored<br />
to throw the game’s first pitch with local news<br />
covering the event. Community engagement will<br />
continue via social media with a video stating our<br />
support that “We are for the child.”
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 13<br />
Region News<br />
South Region Update<br />
Upcoming events in South Region:<br />
Monday, October 8, <strong>2018</strong> – South Region Health<br />
Policy Event at Miami Dade College. This event<br />
will be an opportunity to hear from and meet<br />
candidates for the upcoming election.<br />
Saturday, April 13, 2019 – Annual South Region<br />
Symposium at the Gulfstream Park, Hallandale, FL.<br />
Southeast Region Update<br />
Thanks to everyone who participated in our<br />
program on Human Trafficking on July 20, <strong>2018</strong>.<br />
We send a special thanks to Linda Allen and Kelly<br />
White at Keiser University for supporting the<br />
program and helping to make it so successful. We’d<br />
also like to thank our speakers Tanya Meade, Crime<br />
Victim Practitioner, Coalition for Independent<br />
Living Options; Sherry Britton-Susino, SANE <strong>Nurse</strong><br />
Coordinator, Palm Beach County Victim Services;<br />
T. Smith, Victim Specialist, FBI; and Liisa Spinello,<br />
Sexual Assault Care Coordinator, Palm Beach<br />
County Victim Services.<br />
<strong>The</strong> Southeast Region is currently working<br />
on plans to present a webinar on the “Nursing<br />
Compact” with the <strong>Florida</strong> Board of Nursing that<br />
will be available for all our <strong>Florida</strong> nurses to join.<br />
Look for more information coming very soon.<br />
FNA would like to thank Debbie Hogan for<br />
continuing to drive member activities and<br />
engagement in the Southeast region in the absence<br />
of a region director.<br />
Southwest Region Update<br />
Region Activities<br />
“Lessons Learned from Irma” was held April<br />
18, <strong>2018</strong> at Avow Naples, <strong>Florida</strong>, co-sponsored by<br />
Avow and Barrington Terrace, Naples FL. This was<br />
a panel discussion from the community leaders<br />
including: Tammy Decaro, Executive Director<br />
Barrington Terrace ALF and President <strong>Florida</strong><br />
Assisted Living Association- SW <strong>Florida</strong> Chapter;<br />
Kathleen Marr, RN, Collier County Health<br />
Department; Tabatha Butcher, Chief, Collier<br />
County Emergency Medical Services (EMS).<br />
Listening to events that occurred before,<br />
during, and after Irma was truly eye-opening. <strong>The</strong><br />
community leaders, employees, and volunteers are<br />
the unsung heroes who put their own safety and<br />
personal needs aside to provide the community<br />
a safe harbor during Irma. But it didn’t stop<br />
after Irma passed; the needs of the community<br />
became greater with more people seeking refuge<br />
from being displaced. <strong>The</strong> lessons learned have<br />
changed policies, area shelter setups, better<br />
communication systems, and a formal volunteer<br />
signup. Better prepared fosters better services.<br />
Upcoming Activities<br />
“Protected Status and Immigration Issues for<br />
Employers” Webinar: Yemisi Oloruntola-Coates,<br />
Lee Health System Director of Diversity and<br />
Patient Care Civil Rights, and Indera DeMine,<br />
Immigration Attorney who presented at the<br />
February <strong>2018</strong> SW Region Meeting on the current<br />
protected status issues and other immigration<br />
issues employers and their employees are<br />
facing, would like to provide a webinar to the<br />
FNA members regarding the issues as they are<br />
today. Check the FNA website for date, time, and<br />
registration information.<br />
Francine Gomberg 9th Nursing Research and<br />
Evidence-based Practice Conference: scheduled<br />
Oct 24-25 at <strong>Florida</strong> SouthWestern State College.<br />
Conference <strong>The</strong>me: “Meeting Today’s Practice<br />
Challenges Head-On through Education, Research<br />
and Evidence-based Practice”<br />
• In collaboration with <strong>Florida</strong> SouthWestern<br />
State College, Nova Southeastern University,<br />
<strong>Florida</strong> Gulf Coast University, STTI Honor<br />
ONLINE convenience,<br />
QUALITY education<br />
Society of Nursing Tau Zeta Chapter, and<br />
<strong>Florida</strong> <strong>Nurse</strong>s Association (FNA)<br />
• Oct 24 – 8a-11a: 3 pre-conference workshops<br />
1) Cultural Diversity in Healthcare; 2)<br />
Mental Health, Substance Abuse and other<br />
Underserved Populations; 3) Scholarly and<br />
Creative Writing<br />
• Oct 24 – 1p-4:30p: Conference Opens: Podium<br />
and Poster presentations<br />
• Oct 25 – 8a-4:30p: Keynote speakers; podium<br />
and poster presentations<br />
Watch for registration announcements in<br />
August.<br />
West Central Region Update<br />
<strong>The</strong> WCEN Summer meeting was held on July<br />
19, <strong>2018</strong> at Keiser University, Tampa Campus<br />
located at 5002 W Waters Ave, Tampa, FL 33634.<br />
<strong>The</strong> topic “Legal Issues in Nursing” was presented<br />
by Kathy Hill, RN, JD.<br />
WCEN is planning our fall meeting for October<br />
24th. <strong>The</strong> topic is “Advocacy: Let Your Nursing<br />
Voice be Heard.” More to follow as we continue<br />
to plan this important event. Our guest speaker<br />
is Edward Briggs, MS, DNP, ARNP-BC, Co-Chair<br />
<strong>Florida</strong> Coalition of Advanced Practice <strong>Nurse</strong>s.<br />
WCEN also plans a Community Day in early<br />
2019. This event will involve bringing the WCEN<br />
members and students together to participate in a<br />
community project. More details to follow.<br />
<strong>The</strong> WCEN Region Leadership Council is<br />
looking for those interested in joining our team.<br />
If interested please contact the Regional Director,<br />
Jan Adams, DNP, MPA, RN.<br />
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Page 14 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
Nursing Community<br />
<strong>2018</strong> QSEN International Forum in Bonita Springs a Success<br />
Drs. Teri Chenot and Roberta<br />
Christopher, Co-Directors of the QSEN<br />
Institute Regional Center at Jacksonville<br />
University, hosted the successful <strong>2018</strong><br />
QSEN International Forum at the Hyatt<br />
Regency Coconut Point Resort and Spa<br />
in Bonita Springs on May 30 – June 1,<br />
<strong>2018</strong>. Dr. Mary Dolansky, Director of<br />
the QSEN Institute at Case Western<br />
Reserve University, served as the chair<br />
of the event. Dr. Cheryl Bergman,<br />
Interim Dean of the Brooks College of<br />
Healthcare Sciences at Jacksonville<br />
University, and Willa Fuller, Executive Director<br />
of the <strong>Florida</strong> <strong>Nurse</strong>s Association, provided the<br />
welcome address to more than 300 nurses (including<br />
globally from Brazil, Canada, China, England,<br />
Puerto Rico, and Sweden). Attendees participated<br />
in pre-conference workshops, a poster reception<br />
and presentations, and breakout sessions with<br />
the conference theme of Oceans of Opportunity:<br />
Evidence-based Practice to Improve Quality and<br />
Safety in Education and Practice.<br />
Dr. Bernadette Melnyk, Chief Wellness Officer<br />
at <strong>The</strong> Ohio State University, was the keynote<br />
presenter on Evidence-Based Practice. Dr. Rose<br />
Sherman, Professor and Program Director of the<br />
Nursing Administration and Financial Leadership<br />
track at the Christine E. Lynn College of Nursing,<br />
<strong>Florida</strong> Atlantic University, was the plenary<br />
presenter with a session on <strong>The</strong> Role of <strong>Nurse</strong><br />
Leaders in Promoting a Spirit of Inquiry and an<br />
Evidence-Based Culture.<br />
Other presentations included Drs.<br />
Chenot, Christopher and Dolansky<br />
with a session on Taking QSEN on<br />
the Road to Build Academic-Clinical<br />
Partnerships. Seth Osenkarski,<br />
MSN, RN, ONC, CURN, LSSGB, UF<br />
Health – Jacksonville, presented on<br />
Implementing a New Accountability<br />
Process to Reestablish and Maintain<br />
the Practice of Bedside Shift Report.<br />
Mary Lou Brunell, Executive<br />
Director of the <strong>Florida</strong> Center for<br />
Nursing, facilitated a Think Tank<br />
session at the conference for approximately 50<br />
nursing thought leaders to examine strategies to<br />
infuse the QSEN competencies into the nursing<br />
workforce.<br />
<strong>The</strong> 2019 QSEN International Forum is<br />
scheduled in Cleveland, OH with the theme<br />
of QSEN Rocks: Informatics and Simulation<br />
to Improve Quality and Safety Education and<br />
Practice. For more Information visit http://qsen.<br />
org/conferences/2019-qsen-forum/.<br />
Members in<br />
the News<br />
On May 4, <strong>2018</strong>, <strong>The</strong><br />
University of Tampa,<br />
Department of Nu r si ng,<br />
provided special recognition<br />
to Linda LaComb-Williams,<br />
RN, MPH, BSN “in recognition<br />
of outstanding service for your<br />
exemplary dedication to the<br />
BSN Students at the University<br />
of Tampa, <strong>2018</strong>.”<br />
<strong>The</strong> recognition was<br />
provided during the Nursing Pinning Ceremony at<br />
the Falk <strong>The</strong>atre in Tampa, <strong>Florida</strong>.<br />
Linda Washington-Brown,<br />
PhD, EJD, MSN, CNS, ARNP-C,<br />
FAANP, was recently inducted<br />
into American Association of<br />
<strong>Nurse</strong> Practitioners (AANP),<br />
among 64 other nurse<br />
practitioner (NP) leaders,<br />
on June 28, <strong>2018</strong>, during<br />
the AANP <strong>2018</strong> National<br />
Conference at the Colorado<br />
Convention Center in Denver.<br />
As a new FAANP member, Linda will continue<br />
the tradition of impacting national and global<br />
health through her contributions to the nursing<br />
profession.<br />
<strong>The</strong> FAANP program was established in 2000<br />
to recognize nurse practitioner leaders who have<br />
made outstanding contributions to health care<br />
through clinical practice, research, education<br />
or policy. Fellows of AANP are visionaries and,<br />
as such, hold an annual think tank to strategize<br />
about the future of nurse practitioners and<br />
health care. <strong>The</strong> new Fellows will continue to<br />
demonstrate leadership and contribute to the<br />
mission of AANP.<br />
<strong>The</strong> AANP is the largest professional<br />
membership organization for nurse practitioners<br />
(NPs) of all specialties. It represents the interests<br />
of the more than 248,000 licensed NPs in the<br />
U.S. AANP provides legislative leadership at<br />
the local, state and national levels, advancing<br />
health policy; promoting excellence in practice,<br />
education and research; and establishing<br />
standards that best serve NP patients and other<br />
health care consumers. As <strong>The</strong> Voice of the <strong>Nurse</strong><br />
Practitioner®, AANP represents the interests of<br />
NPs as providers of high-quality, cost-effective,<br />
comprehensive, patient-centered health care.<br />
www.aanp.org
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 15<br />
Nursing Community<br />
<strong>The</strong> <strong>Florida</strong> Center for Nursing had some<br />
significant recommendations for the State in<br />
the Statewide Strategic Plan published online at<br />
flcenterfornursing.org. <strong>The</strong> plan is unique in its<br />
ability to provide policy recommendations as a<br />
state mandate, but also provide action areas for all<br />
nurses in academic and health industry settings.<br />
<strong>The</strong> <strong>Florida</strong> Center for Nursing’s Strategic plan can<br />
be used to help garner support for local initiatives<br />
among government agencies, healthcare providers,<br />
work environments, community organizations,<br />
policy makers, and community leaders. We hope<br />
that you will download it and use it to help you<br />
identify key areas and solutions in the places you<br />
live and work.<br />
MOVING DATA INTO ACTION<br />
As of <strong>2018</strong> the <strong>Florida</strong> Action Coalition (FL-<br />
AC) adopted the <strong>Florida</strong> Center of Nursing’s<br />
(FCN) Statewide Strategic Plan as part of the FL-<br />
AC Strategic Plan, in an effort to take ACTION<br />
in the following key areas: Education, Work<br />
Environment, Research, and Policy. <strong>The</strong> FCN<br />
strategic plan helps nurses and policy makers<br />
to look at relevant current and future issues that<br />
must be addressed. Our coalition members invite<br />
you to join together to take action in any of the<br />
four key action areas. <strong>The</strong> FCN plan outlines<br />
specific issues, and offers informed solutions and<br />
action steps for each area. Working in a healthcare<br />
center? Share the solutions with colleagues<br />
and create partnerships to improve your work<br />
environment. Want to see a change in nursing?<br />
Support nursing research by participating in<br />
surveys from the <strong>Florida</strong> Center for Nursing and<br />
other research organizations designing healthcare<br />
policies, so your voice will count! If you are an<br />
educator, share the plan with your students.<br />
<strong>The</strong> Coalition will help…reach out to us if you<br />
have a policy class and would like us to share<br />
how students can make a difference. (Andrea.<br />
uitti@ucf.edu) Finally, educate policy makers<br />
and stakeholders about the current and future<br />
healthcare workforce. We know you want to make<br />
a difference, and can’t do it all. Pick one thing<br />
you will act on and share it with us. We want<br />
to showcase your efforts, shaping the future<br />
of healthcare through Nursing. https://www.<br />
flcenterfornursing.org/FL-ActionCoalition.aspx<br />
NEW NURSE EDUCATION REPORTS<br />
PUBLISHED<br />
Analysis of information collected from<br />
<strong>Florida</strong>’s nurse education programs for Academic<br />
Year 2016-2017 has been completed and reports<br />
are available on the Center’s website: https://<br />
www.flcenterfornursing.org/StatewideData/<br />
FCN<strong>Nurse</strong>EducationReports.aspx. <strong>The</strong>re were 143<br />
LPN, 143 Associate degree and 70 Baccalaureate<br />
degree programs surveyed with a response rate<br />
of 77.6%. A few key findings as reported by<br />
responding programs:<br />
Nursing Community continued on page 16
Page 16 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
<strong>Florida</strong> Intervention for Project<br />
Welcomes New Chief Executive Officer<br />
Dr. Shannon Large, DNP, ARNP, ANP-BC,<br />
CARN-AP, recently joined the Intervention<br />
Project for <strong>Nurse</strong>s (IPN) as its new Chief<br />
Executive Officer. Dr. Large was formerly<br />
with the UF Health <strong>Florida</strong> Recovery Center,<br />
Gainesville, providing primary care services to<br />
patients with substance use disorders, and UF<br />
Health Shands Psychiatric Hospital providing<br />
leadership and care for dual diagnosis patients.<br />
Her areas of expertise include alcohol and<br />
substance use related medical conditions,<br />
internal medicine, and the assessment of<br />
impaired professionals.<br />
Dr. Large received her Doctor of Nursing<br />
Practice in 2013 from University of <strong>Florida</strong> and<br />
is a Board Certified Adult <strong>Nurse</strong> Practitioner.<br />
She also is certified by the Addictions Nursing<br />
Certification Board as a Certified Addictions<br />
Registered <strong>Nurse</strong> in Advanced Practice.<br />
Linda L. Smith, IPN/DOH Consultant (former<br />
Chief Executive officer) introduced Dr. Large at<br />
the IPN/FNA Annual Conference stating, “IPN<br />
is very pleased to have someone with Shannon’s<br />
excellent skills and broad expertise as a key<br />
part of IPN’s leadership team to lead into<br />
Pictured from left to right: Myrtle Greene,<br />
Chief Operations Officer; Shannon O. Large,<br />
Chief Executive Officer; Linda L. Smith,<br />
IPN/DOH Consultant<br />
the future. Shannon has worked with health<br />
practitioners with impairing conditions for<br />
several years doing comprehensive evaluations<br />
and interfacing with healthcare monitoring<br />
programs across the country.”<br />
Nursing Community continued from page 15<br />
• 187 faculty vacancies as of 9/30/2017.<br />
• Lack of qualified student applicants and<br />
limited clinical sites were the greatest<br />
barriers to maximizing capacity for all<br />
program types (LPN; ADN; BSN).<br />
• <strong>The</strong> ratio of enrolled students to fulltime<br />
faculty continues to increase in all<br />
program types.<br />
• New graduate ADN nurses decreased by<br />
865 while pre-licensure BSN graduates<br />
increased by 35.<br />
• Even with an increase in the number<br />
of LPN programs, the number of new<br />
graduates continues to decline.<br />
Please read the 2017 <strong>Florida</strong> Nursing<br />
Statewide Strategic Plan: Strategies to<br />
Successfully Provide Floridians an Adequate,<br />
Qualified <strong>Nurse</strong> Workforce and consider<br />
how you can make a difference. Essential<br />
to meeting the needs of all Floridians are<br />
continued commitment to nursing and<br />
purposeful interventions to strengthen<br />
the nurse workforce by key stakeholders.<br />
You are a stakeholder! You can influence<br />
other stakeholders! Be a part of the solution.<br />
THANK YOU!<br />
Silver Spring, MD – <strong>The</strong><br />
American <strong>Nurse</strong>s Association (ANA)<br />
Membership Assembly elected<br />
Ernest Grant, PhD, RN, FAAN, of the<br />
North Carolina <strong>Nurse</strong>s Association<br />
as the association’s next president to<br />
represent the interests of the nation’s<br />
four million registered nurses. <strong>The</strong><br />
term of service for Dr. Grant and<br />
other newly elected leaders will begin<br />
January 1, 2019.<br />
Dr. Grant, the current ANA vice<br />
president, is an internationally<br />
recognized burn care and fire safety<br />
expert and oversees the nationally<br />
acclaimed North Carolina Jaycee Burn Center at<br />
the University of North Carolina (UNC) Hospitals<br />
in Chapel Hill. He also serves as adjunct faculty<br />
for the UNC-Chapel Hill School of Nursing,<br />
where he works with undergraduate and graduate<br />
nursing students in the classroom and clinical<br />
settings.<br />
ANA’s Membership Assembly also elected four<br />
other members to serve on the nine-member board<br />
of directors. <strong>The</strong> newly-elected board members<br />
ANA Update<br />
American <strong>Nurse</strong>s Association Elects<br />
Ernest Grant as Next President<br />
are: Secretary Stephanie Pierce, PhD,<br />
RN, CNE, of the Louisiana State<br />
<strong>Nurse</strong>s Association; Director-at-Large<br />
Tonisha Melvin, DNP, CRRN, NP-C,<br />
of the Georgia <strong>Nurse</strong>s Association;<br />
Director-at-Large Varsha Singh, MSN,<br />
APN, of the New Jersey State <strong>Nurse</strong>s<br />
Association; Director-at-Large Staff<br />
<strong>Nurse</strong> Jennifer Gil, BSN, RN, of ANA<br />
Massachusetts.<br />
<strong>The</strong> following ANA board<br />
members will continue their term in<br />
2019: Treasurer Jennifer Mensik, PhD,<br />
RN, NEA-BC, FAAN, of the Oregon<br />
<strong>Nurse</strong>s Association; Director-at-Large<br />
MaryLee Pakieser, MSN, RN, BC-FNP, of ANA<br />
Michigan; Director-at-Large, Recent Graduate,<br />
Amanda Buechel, BSN, RN, of ANA-Illinois.<br />
Elected to serve on the Nominations and<br />
Elections Committee are: Bonita Ball, MSN,<br />
RN, CCRN-K, NE-BC, of the Delaware <strong>Nurse</strong>s<br />
Association; Rebecca Huie, DNP, RN, ACNP, of<br />
the Alabama State <strong>Nurse</strong>s Association; Heidi<br />
Sanborn, MSN, RN, CNE, of the Arizona <strong>Nurse</strong>s<br />
Association.<br />
Membership:<br />
What's it Worth?<br />
One of the common comparisons of the<br />
cost of membership dues is related to the<br />
cost of a cup of coffee. According to a<br />
CBS news report, assuming the LOWEST<br />
consumption the average cost per year to a<br />
national recognized coffee house is $65 a<br />
month or $780 a year.*<br />
For full membership in both the national<br />
and state level of your professional<br />
association, the cost is: $25.26 a month.*<br />
*Select discount rates apply.<br />
Join us at http://members.floridanurse.org<br />
and have your say!<br />
*http://www.cbsnews.com/htdocs/<br />
pdf/012909_coffee.pdf<br />
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<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 17<br />
QUIN Council<br />
QUIN Council: An Invitation<br />
Since 1989, nursing organizations have been<br />
joined together to work as QUIN Council to create<br />
a unified voice within the profession. <strong>The</strong> <strong>Florida</strong><br />
<strong>Nurse</strong>s Association (FNA) is a founding member of<br />
the QUIN Council, which consists of 21 state level<br />
nursing organizations. <strong>The</strong> original members of<br />
the council were:<br />
• <strong>Florida</strong> <strong>Nurse</strong>s Association<br />
• Deans and Directors of Nursing Education<br />
Programs<br />
• <strong>Florida</strong> Hospital Association Center for the<br />
Promotion of Nursing<br />
• <strong>Florida</strong> League of Nursing<br />
• <strong>Florida</strong> Organization of <strong>Nurse</strong> Executives<br />
• <strong>Florida</strong> Board of Nursing<br />
In a recent initiative in 2016, with the<br />
proliferation of nursing schools, significant<br />
attrition rates, and plummeting NCLEX scores,<br />
QUIN created a website which contains valuable<br />
information for those seeking information<br />
regarding nursing education. <strong>The</strong> website http://<br />
www.choosewithcare.education continues to be a<br />
resource for potential nursing students today. QUIN<br />
Council representatives have attended the <strong>Florida</strong><br />
Association of School Counselors’ Conference<br />
as an exhibitor to disseminate informational<br />
brochures for counselors to share with students<br />
who are interested in the nursing profession. This<br />
is an example of some of the collaborative work that<br />
QUIN has contributed to the nursing community.<br />
With every project, each organization is<br />
encouraged to take the ideas back to their<br />
organizations for inclusion in their programs<br />
and initiatives. <strong>The</strong> education website remains<br />
as a valuable resource to the nursing community<br />
and we continue to share with potential nursing<br />
students and/or their significant others who are<br />
enquiring about the best way to select a nursing<br />
program.<br />
For the past several years, QUIN has taken on<br />
issues of importance such as career transitions,<br />
role of the LPN, role of the seasoned nurse and<br />
shared information through publication in <strong>The</strong><br />
<strong>Florida</strong> <strong>Nurse</strong>.<br />
This past May, QUIN Council along with other<br />
invited stakeholders, met to embark on a Strategic<br />
Plan to determine the future direction of QUIN<br />
activities. <strong>The</strong> members of QUIN believe that it<br />
is critical for nursing organizations to network<br />
and collaborate to not only work on common<br />
issues of importance to the profession, but so all<br />
organizations are knowledgeable about what other<br />
groups in the nursing community are working on.<br />
<strong>The</strong> strategic planning process was vibrant and<br />
the group determined there were four main areas<br />
of concern they wanted to address. <strong>The</strong>se were:<br />
Education, Work Environment, Research and<br />
Policy. Other miscellaneous issues emerged with<br />
the most important being the absence of valuing<br />
nurses; contribution to the healthcare industry.<br />
This issue was related to community, employment<br />
setting, legislative arena, academia and also<br />
within the profession and between organizations.<br />
After this initial strategic planning session,<br />
a work session was held to create an action<br />
plan related to the issues that emerged. One<br />
strategy identified was to continue to expand<br />
the membership of QUIN to other specialty<br />
organizations so that their concerns and issues are<br />
a part of the conversation.<br />
<strong>The</strong> representatives of QUIN invites those who<br />
are members of these organizations to reach out to<br />
us so that they are represented on QUIN Council.<br />
We find that our differences and similarities<br />
coalesce to create synergistic interactions that lead<br />
to positive changes in nursing relationships. It is<br />
not always about agreeing, but about remaining<br />
unified in addressing the needs of our profession<br />
and the communities we serve. To inform us<br />
of your interest, please email Willa Fuller at<br />
wfuller@floridanurse.org or call (407)896-3261 and<br />
ask how your nursing specialty organization can<br />
become involved with QUIN Council.
Page 18 <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> <strong>September</strong> <strong>2018</strong><br />
In Memoriam<br />
Barbara Lumpkin<br />
Lumpkin speaks at<br />
Advocacy Days in 2015<br />
Lumpkin with then President<br />
Mary Tittle for the Hall of Fame<br />
presentation<br />
Lumpkin with member Michael<br />
Nillson and the Clintons<br />
Lumpkin with Governor<br />
Jeb Bush<br />
We are saddened to announce the death of<br />
long-time FNA leader, Barbara Lumpkin. She<br />
served the FNA and the nurses of <strong>Florida</strong> in<br />
several capacities, most notably as the FNA<br />
Lobbyist for many years. She was tasked<br />
with creating the legislative program by then<br />
Executive Director Paula Massey and through<br />
working with mentors like Barbara Thoman-<br />
Curtis and hard-working members, the<br />
program was born. Barbara was instrumental<br />
in the formation of the <strong>Florida</strong> <strong>Nurse</strong>s Political<br />
Action Committee (FN-PAC), Legislative<br />
District Coordinator (LDC) Program and<br />
Political Action Days (Now Advocacy Days).<br />
<strong>The</strong>re is also an FNA award in her<br />
honor which recognizes FNA<br />
members who have demonstrated<br />
extraordinary contributions to<br />
the association’s activities in the<br />
health policy arena.<br />
At her retirement, <strong>The</strong><br />
Barbara Lumpkin Institute was<br />
formed within the <strong>Florida</strong><br />
<strong>Nurse</strong>s’ Foundation and each<br />
year members are awarded<br />
Lumpkin with Senator Bill Nelson<br />
scholarships to support them in attending<br />
Advocacy Days in Tallahassee or the American<br />
<strong>Nurse</strong>s Advocacy Institute at the American <strong>Nurse</strong>s<br />
Association in Washington, D.C. Several FNA<br />
members and students have received this award.<br />
In 2007, Barbara was inducted into the <strong>Florida</strong><br />
<strong>Nurse</strong>s Association Hall of Fame for her lifetime<br />
contribution to the profession of nursing. As<br />
she and then Executive Director Paula Massey<br />
worked together, several iconic programs<br />
were developed. Political Action Days was<br />
an educational program aimed at educating<br />
nurses about the political process and how<br />
political impacts both nurses and the patients<br />
they serve. Political Action Days was re-named<br />
Lobby Days for several years and currently<br />
lives on as Advocacy Days.<br />
<strong>The</strong>y also created the Legislative District<br />
Coordinator (LDC) Program where nurses were<br />
matched with legislators in their districts to<br />
create relationships that allowed us to make<br />
sure that nurses’ voices were a part of the<br />
dialogue relating to health-policy issues.<br />
Barbara worked with our members from<br />
both parties to forge relationships that allowed<br />
us to be a strong force in <strong>Florida</strong> politics.<br />
Barbara worked tirelessly for nursing issues,<br />
including over 20 years on advanced practice<br />
issues. Several years after her retirement from<br />
FNA, the Barbara Lumpkin Prescribing Act<br />
was passed in 2016 to honor the legacy of her<br />
work on that issue. This is one of many honors<br />
she has received. She will be missed but never<br />
forgotten.<br />
What is FNA?<br />
For over 100 years, the <strong>Florida</strong> <strong>Nurse</strong>s Association has been the voice of nursing, representing caregivers in all aspects of<br />
nursing and in various arenas. We are a membership driven organization comprised of nurses from diverse practice settings<br />
and nursing specialties. We are dedicated to quality care for the citizens of <strong>Florida</strong> and a safe work environment for all nurses.<br />
In the Work Place…<br />
FNA’s work force advocacy programs put the strength of our expert staff at our member’s fingertips. Consult with a specialist<br />
about your work place issues and receive timely, accurate information to help you in your decision making. <strong>Florida</strong> <strong>Nurse</strong>s<br />
Association also advocates for nurses in the workplace through collective action and empowerment.<br />
In the Legislature<br />
FNA has a strong presence in Tallahassee and is the political watchdog for political issues that have an impact on<br />
nursing and on the care of the public. It is essential that the voice of nursing is clear and present when these critical<br />
issues arise. FNA enhances the political knowledge and power of its members by providing up-to-date legislative<br />
information via its network of Legislative District Coordinators and two lobbyists at the capital.<br />
For Your Future…<br />
FNA develops publications with the purpose of helping and supporting nurses in their career<br />
progression. Continuing education credits and study preparation courses are available to nurses at a<br />
discounted rate. By fostering professional development and enhancing the concept of teamwork, FNA<br />
strives to create one powerful voice for nurses. As constituent members of the American <strong>Nurse</strong>s<br />
Association FNA members have access to standards of practice that can serve as a guideline for<br />
nursing in several specialty areas.<br />
For the Future of Nursing…<br />
<strong>Nurse</strong>s are a vital part of <strong>Florida</strong>’s health care community. <strong>Florida</strong> <strong>Nurse</strong>s Association works<br />
to improve the nursing profession through legislative action, public awareness, professional<br />
development, and academic research.<br />
Join the <strong>Florida</strong> <strong>Nurse</strong>s Association.<br />
Make a difference in your life, in the lives of nurses, and in the <strong>Florida</strong> community.<br />
Complete and return the application on page 19 or visit our website <strong>Florida</strong><strong>Nurse</strong>.org.
<strong>September</strong> <strong>2018</strong> <strong>The</strong> <strong>Florida</strong> <strong>Nurse</strong> Page 19<br />
Welcome New FNA Members!<br />
East Central<br />
Arthuro Abbido<br />
Bebe Alinur<br />
Claudette Allen<br />
Rachel Appoo<br />
Adam Arias<br />
John Aziz<br />
Jennifer Ball<br />
Joshua Beard<br />
Rosa Best-Billington<br />
Rasha Botros<br />
Laura Brown<br />
Chelsea Capers<br />
Christina Carosella<br />
Blake Churchman<br />
Mary Cisco<br />
Brooke Cline<br />
Jonah Corrion<br />
Amanda Cribbs<br />
Darcia Evans<br />
Jane Gambino<br />
Tina Garrett-Langan<br />
Santreuis Graham<br />
Ann Hales<br />
Verona Haughton<br />
Kelsey Hickson<br />
Hannah Hodges<br />
Karla Howard<br />
Dilan Ipek<br />
Mosammat Jahan<br />
Rebecca Jean<br />
Melissa Jusino<br />
Bethany Keenan<br />
Mohamad Khan<br />
Brian Langston<br />
Lisa Levkulich<br />
Carrie Lucas<br />
Leslie McRae-Matthews<br />
Sheryl Meeuwsen<br />
Jenelyse Mendola<br />
Donna Murray<br />
Valeria Nunez<br />
Naiele Olivas<br />
Tina Pagan<br />
Kwang Park<br />
Brittany Perykasz<br />
Nicole Perykasz<br />
Amanda Phillips<br />
Tracey Pounds<br />
Savannah Pruden<br />
Britney Regis<br />
Nicole Ritter<br />
Elaine Robertson<br />
Amanda Salmon<br />
Donna Sampson<br />
Steven Shirah<br />
Thandiwe Siwendu<br />
Laura Spivey<br />
Graham Steele<br />
Jacqueline Strom<br />
Reshma Syed<br />
Sandi <strong>The</strong>iler<br />
Cheryl Thomas<br />
Tiffany Thompson<br />
Idalia Viard<br />
David Weiss<br />
James Taylor Williams<br />
Simone Williams<br />
Karen Winfough<br />
Lavanna Zaman<br />
Rosa Zepeda<br />
North Central<br />
Susan Baker<br />
Debra Bryant-Wetherell<br />
Ralph Crowther<br />
Kathryn Deal<br />
Jennifer Drake<br />
Jessica Holloway<br />
NaQuita Manning<br />
Hayley Merrill<br />
Julia Peach<br />
Meghann Rogers<br />
Stacey Williams<br />
Northeast<br />
Melanie Haley<br />
Shannon Large<br />
Tiffany McClees<br />
Jessica Stevenson<br />
Heather Tadlock<br />
Northwest<br />
Joseph Blackstone<br />
South<br />
Crystal Allen<br />
Leslie Almora<br />
Bianca Armand<br />
Olivia Banks<br />
Melissa Barrera<br />
Marietta Basnueva<br />
Donna Blackburn<br />
Demy Blake<br />
Dianelis Bouza<br />
Kristiana Breijo<br />
Sharee Broaddus<br />
Maxine Bryson<br />
Legna Castaneda<br />
Sonia Choute<br />
Fran Civilette-Downs<br />
Lea Crestodina<br />
Roodolphe Desvarieux<br />
Anita Donatien<br />
Sherline Dormevil<br />
Daniela Dussan<br />
June Ellis<br />
Rosa Espinosa<br />
Karl Etienne<br />
Nadege Francois<br />
Maria Garzon<br />
Tamiko Gibson<br />
Monica Gomez<br />
Carolyn Griffin<br />
Tania Guerrier Castor<br />
Kristina Gunnlaugsson<br />
Julia Hagstedt<br />
Deborah Hoeltzell<br />
Melinda Hoskins<br />
Stacy Jean<br />
Oluwakemi Kalejaiye<br />
Jennifer Kauffman<br />
Jessica Keville<br />
Estella King-Bryant<br />
Esha Lestrade<br />
Heydis Martin<br />
Gabriel Martinez<br />
Naily Martinez<br />
Aleta Merritt<br />
Shenasi Milord<br />
Carina Moraes Zalpa de<br />
Oliveira<br />
Maria Nasiff<br />
Bryan Osborne<br />
Sonam Patel<br />
Beatriz Pedraza Leon<br />
Maria Pimentel<br />
Veridiana Pinheiro<br />
Sookbassie Ramoutar<br />
Lucienne Reese<br />
Neashia Rhoden<br />
Jacqueling Rios<br />
Jesslyn Rivet<br />
Valerie Rodriguez<br />
Omar Rodriguez Perez<br />
Manju Sathyapalan<br />
Joanna Sheldon<br />
Diana Stevens<br />
Daby Sully<br />
Bainy Thomas<br />
Janis Walsh<br />
Southeast<br />
Guerdith Alcenat-<br />
Prochette<br />
Cindie Calise<br />
Nympha Charles<br />
Emily Collins<br />
Daphne Delimon<br />
Cristina Garcia<br />
Daniella Hylton<br />
Courtney LaRue<br />
Marie Louis<br />
Erica Lue<br />
Belinda Merrin<br />
Bradley Newman<br />
Nancy Rivet<br />
Victoria Ryabova<br />
Donald Sloat<br />
Cecily Strang<br />
Christine Szpondowski<br />
Southwest<br />
Doreen DeStefano<br />
Stephanie Esquivel<br />
Ruchia Handy<br />
Yusely Hernandez-<br />
Iglesias<br />
Sandra Osgood<br />
Kathleen Parks<br />
Jennifer Smith<br />
Tina Sohigian<br />
Maria Suarez<br />
Solange Titus<br />
West Central<br />
Teri Baird<br />
Ryann Basiliere<br />
Andrea Berndt<br />
Hailey Checkinson<br />
Amanda Cona<br />
Sabrina Decker<br />
Richard Evans<br />
Julio Gandarillas<br />
Angela Green<br />
Amy Hamm<br />
Dennis Mejia<br />
Hilda Obi-Anadiume<br />
Kristin Olivenbaum<br />
Hector Ramirez<br />
Laura Rojas<br />
Ingri Royster<br />
Wade Smith<br />
Julie Stark<br />
Jessica Sturgill<br />
Joel Taguba<br />
Patricia Thomas-Bolden<br />
Jose Torres<br />
Rodine Walker<br />
Julie Werner<br />
Robin White<br />
Rachel Willis<br />
Paula Wood-Westberry<br />
Carol Zacharias<br />
Other<br />
Constance Amfo<br />
Laura Broerman<br />
Deirdre Enzor<br />
Lovely Pottenger<br />
Danielle Walters<br />
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