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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 />

Owned and Published by,<br />

<strong>Florida</strong> <strong>Nurse</strong>s Association<br />

1235 E. Concord Street,<br />

Orlando, FL 32803-5403<br />

P.O. Box 536985, Orlando, FL 32853-6985<br />

Telephone: (407) 896-3261<br />

FAX: (407) 896-9042<br />

E-mail: info@floridanurse.org<br />

Website: http://www.floridanurse.org<br />

Office Hours: 8:30 a.m. to 4:30 p.m.,<br />

Monday thru Friday<br />

For advertising rates and information, please contact<br />

Arthur L. Davis Publishing Agency, Inc., 517 Washington<br />

Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081,<br />

sales@aldpub.com. FNA and the Arthur L. Davis Publishing<br />

Agency, Inc. reserve the right to reject any advertisement.<br />

Responsibility for errors in advertising is limited to corrections<br />

in the next issue or refund of price of advertisement.<br />

Acceptance of advertising does not imply endorsement<br />

or approval by the <strong>Florida</strong> <strong>Nurse</strong>s Association of products<br />

advertised, the advertisers, or the claims made. Rejection of an<br />

advertisement does not imply a product offered for advertising<br />

is without merit, or that the manufacturer lacks integrity, or<br />

that this association disapproves of the product or its use. FNA<br />

and the Arthur L. Davis Publishing Agency, Inc. shall not be<br />

held liable for any consequences resulting from purchase<br />

or use of an advertiser’s product. Articles appearing in this<br />

publication express the opinions of the authors; they do not<br />

necessarily reflect views of the staff, board, or membership of<br />

FNA or those of the national or local associations.<br />

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 />

of FNA receive the newspaper as a benefit of membership.<br />

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 />

Center, Gainesville<br />

• 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 />

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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 />

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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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