Florida - 2018 FNA Book of Reports

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2018 Florida Nurses Association

Table of Contents

Message from the Leadership. ............................................................. 3

Focus on the FNA Regions ............................................................... 11

The 2017-2019 FNA Board. ............................................................... 25

2017 Summary of Action. ................................................................ 27

FNA Bylaws 2017-2019. .................................................................. 34

The FNA Staff. ......................................................................... 46

Special Interest Groups (SIGs). ............................................................ 47

2018 FNA Legislative and Regulatory Policy Platform. ........................................ 50

Florida Nurses Foundation ............................................................... 52

Florida Nurses Political Action Committee (FN-PAC). ......................................... 54

Labor and Employee Relations Council (LERC). .............................................. 56

Nurses on Boards Coalition (NOBC). ....................................................... 58

Intervention Project for Nurses (IPN). ...................................................... 59

QUIN Council (Quality and Unity in Nursing) ............................................... 60

Florida Coalition of Advanced Practice Nurses. .............................................. 61

Nightingale Pledge. ..................................................................... 63

http://www.floridanurse.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

Published and Printed for the Florida Nurses Association by:

Arthur L. Davis Publishing Agency

517 Washington St. PO Box 216

Cedar Falls, IA 50613

319-277-2414

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2018 Florida Nurses Association

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2018 Florida Nurses Association

Message from the Leadership

Since the current board took office in 2017, much has been

accomplished. Here are some highlights of the year:

• Began office with a comprehensive orientation and first

meeting by Bob Harris, CAE and international association

consultant. This assures that our Board of Directors

understand association operations as well as their

fiduciary responsibilities.

Janegale Boyd,

President

Willa Fuller,

Executive Director

• We enhanced our communication and education program

with videoconferencing technology, not only conducting

meetings through this medium but also holding webinars

and continuing education programs.

• This past year we experienced several board vacancies due to relocations and personal

circumstances. We have been able to replace all but one position.

• We initiated a robust strategic planning effort, which was supported by YOU, the membership

with your participation in our membership survey. The data collected was quite valuable in the

work, which continues today. Please stay tuned as we continue to do this valuable work in moving

the association forward. We thank Ken Peach for his work with us on this worthwhile endeavor.

• Through early mobilization of the Nominating Committee, we conducted a special election for

President-Elect after Theresa Morrison took a position outside of the United States. Welcome

to George Byron Peraza-Smith as the current President-Elect.

• We are pleased to say that in spite of the above changes, there have been multiple meetings,

conferences and events in EVERY Region of the FNA.

• The engagement of a new award winning lobbying firm and a successful legislative session

resulted in important legislation passed for CNSes in Florida. This milestone was accomplished

with partnerships and coalitions. It is important to note that it began with the FNA CNS leaders by

way of the formation of a Special Interest Group and the submission of a Reference Proposal at a

prior Membership Assembly. The process works!

• We once again hosted a successful, well-attended Advocacy Days in Tallahassee, which was

highly rated by attendees. We utilized this time to address two of the issues passed at the 2017

Membership Assembly by holding education sessions on Human Trafficking and the Opioid Crisis.

• We brokered continued engagement in the nursing community through our presence at QUIN

Council, Florida Association of Colleges of Nursing (FACN) and Florida Council of Nurse

Education Administrators (FCNEA), Florida Coalition of Advanced Practice Nurses (FLCAPN) and

QUIN Council (Quality and Unity in Nursing) and various others, including Schools of Nursing.

• We are also very proud to have several young professionals on our Board of Directors. At the time

of this publication, we are engaged in a survey of our recent graduate members and there are plans

for an event in October. Recent graduates are prominent in our strategic plan.

• We held our third successful (and largest) Research and Evidence Based Practice Conference at

Leu Gardens in Orlando. Our goal is to continue to grow this event.

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2018 Florida Nurses Association

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2018 Florida Nurses Association

• We have worked hard to enhance our social media presence with regular posting and boosting of

posts. Please like us at http://www.facebook.com/FloridanursesAssociation. Our Facebook posts

are also linked to Twitter which increases our Twitter presence as well.

• We are close to the launch of a new FNA Branded CE Platform. Kaitlin Scarbary, Associate

Director of Programs, Technology and Member Marketing has been working with a company to

make this reality. This will be launched by the time of this publication.

• We have several exciting programs planned for the rest of the year, including the BLI Institute:

Advocacy Bootcamp in Orlando on September 22. This event will include a tribute to former FNA

Lobbyist, Barbara Lumpkin who passed away recently.

As we move forward to 2019, we are excited about the anticipation of mobilizing all the components

of our strategic plan. The plan is to develop programs, products and services that will engage nurses,

increase membership and enhance the membership experience of our loyal existing members.

If you have not already, we invite you to take a deeper dive into the FNA experience by volunteering for

committees, serving on task forces, or participating in Special Interest Groups and Regional activities.

If you are unable to participate at this time, please know that your membership is a most valued form

of participation since it allows us to do the work of advocacy for the profession. We thank you for your

service to the profession.

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2018 Florida Nurses Association

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2018 Florida Nurses Association

Message from the Vice-President

Anne Peach

Vice-President

It has been a pleasure an honor to serve as a member of the FNA Board of Directors. It has been a busy

year for the association.

I have attended the board meetings, except July because I was out of the country. This past year I have

served as the chair of the FNA Strategic Planning Committee. The FNA strategic planning process is

known as FNA Vision 2020. The board committee members include Janegale Boyd, Barbara Russell,

Susan Torres, Marsha Martin and George Byron- Smith. We secured the expertise of Ken Peach,

President of Future Vision Group II who volunteered his services to the board. Mr. Peach has conducted

strategic planning session with boards for over thirty years. Willa has worked directly with Ken and

me on gathering data, developing a membership survey for the association and next steps post the July

board meeting. Several conference calls were held with the committee throughout the year. The board

continues to work on the strategic plan with a final plan anticipated by the fall 2018. The plan will

include specific goals, objectives and key performance indicators for the next five years.

I continue to serve as a member of the FNA Legislative Rapid Response Team working on the revised

legislative platform for FNA. Most of the work of the team occurred by e-mail or conference call. I

attended the FNA Advocacy Days in Tallahassee on January 17-18, 2018.

Message from the President-Elect

George Byron Peraza-Smith

President-Elect

I represented FNA with the QIUN councils first strategic planning meeting. The Center for Nursing

provided data on the 2017 annual report for Registered Nurses and APRNs in Florida. Major areas of

interest were identified and goals determined.

I represented FNA as president-elect at the assembly proceedings. The membership assembly conducted

business and discussed major current issues including the opioid crisis, second hand exposure to

opioids/drugs, ethics of assisting with life ending measures, endorsing a US Presidential candidate,

and the separation of border refugee children from their parents. Voted and elected the first ANA male

president. Voted on new board of directors and nominations committee members.

I reviewed the current slides for the Strategic Planning process and confirmed the timeline.

I attended the national annual conference for APNs and the Florida Nurse Practitioner Network

Conference in August.

I do not represent FNA with the Coaltion of Advanced Practice Nurses but as a past chair and leader I am

an active member with this group. The focus of the upcoming year is on supporting candidates both in

money and working on campaigns who have been supporters and sponsors of our legislative agenda.

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2018 Florida Nurses Association

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2018 Florida Nurses Association

Message from the Secretary

Barbara Russell, RN

Secretary

I am pleased and honored to serve as the FNA Secretary. Other than my other secretarial duties, I was

also appointed as a Board representative to the PAC and serve as Secretary there. I have attended all board

meetings and recorded and submitted the minutes as required. I continue to be involved in the leadership of

the South Region.

I am also happy to provide education via presentations, webinars and articles as a contribution to my

professional organization.

I thank you for the opportunity to serve.

Message from the Treasurer

Ann-Lynn Denker

Treasurer

Our major source of revenue is from Membership and it is true that membership organizations in the U.S.

are struggling with retention and acquisition of new members. We have sought several non-dues revenue

streams in the past, which you can see, in our Partners section of the FNA Website. Currently, we do receive

royalties from the Commerce Bank Credit Card, One Main Financial Loan Company, YourMembership Career

Center, and Mercer Consumer (Formerly Marsh) Liability insurance. Other sources of revenue are continuing

education programs and publications. These sources of revenue have diminished over time due to changes in

the market as well as laws and rules restricting marketing of these programs. Changes in credit acquisition

also decreased the revenues we were receiving from these sources. Development funds once available from

ANA are no longer offered so we are challenged to find new sources of revenue to avoid increasing dues.

The FNA Strategic Plan you are hearing so much about, is addressing revenue streams as part of the future

work of the association. It is important to stress that we will need the help and support of the members to

create successful programming and to recruit new members. We will be developing tools and talking points

to support members in strengthening the association.

There are discussions at ANA around a Dues Pricing Pilot they are conducting which consists of a level of

membership that is less costly. This pilot has been successful in several states and the FNA Board will be

weighing the possibility of signing on this model if it passed at the 2019 ANA Membership Assembly. The

success of this plan hinges on a level of premier membership that provides greater services and the current

rate and then an “associate” rate, which will provide fewer benefits. This is being explored through several

task forces at the ANA level. FNA Executive Director Willa Fuller serves on the Task Force and several

subgroups to make sure FNA’s interests are being addressed.

The Board has laid the Foundation for creating other revenue generating strategies including upgrading our

membership platform to create and easier join, greater engagement and involvement by members.

Financially, we have used our financial reserves in the past few years to meet expenses but have come to a

place where we feel it is time to take further action. We are also addressing this via the Strategic Plan as well

as an organizational assessment by a consulting firm. We did manage to balance the budget in 2017 by using

funds that were unused by the Regions and Special Interest Groups. We have decreased expenses through a

staff reduction and other budget cuts for this year. As an FNA member, you may request an audited financial

statement for this year by emailing FNA Executive Director Willa Fuller who will be happy to email it to you.

We look forward to your support in our future endeavors for FNA’s continued success.

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2018 Florida Nurses Association

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2018 Florida Nurses Association

Focus on the FNA Regions

FNA was restructured in 2009 from thirty local districts

into eight regions, led by region directors. One of the

initial actions of FNA Board in November 2015 was to

focus on region development to address Goals #1 and

#6. Each elected region director has the authority to

identify needs and create services that fit the region’s

geographical uniqueness.

The commonality across regions is the desire to build

membership through face-to-face networking and

continuing education. Nurses submit abstracts and

present poster presentations and research/evidencebased

practice projects at the regional gatherings. In

this way, FNA is offering a local and convenient venue

for organizations that are on the journey to Magnet®

designation.

Some regions are offering legislative candidate forums,

whereby nurses see firsthand what the issues are and the

positions held by those running for state office. Nurses

are encouraged to attend local delegation meetings and

legislative events close to home.

Some regions offer special events during Nurses Week (May 6-12 each year). It is not unusual to have sold

out social and promotional events with professional ball teams, such as the Tampa Bay Rays, Orlando

City Soccer Club, and Miami Marlins. This year the Northwest Region added an event in conjunction

with the Blue Wahoos in Pensacola. While FNA’s core mission is advocacy and education, it is also

important to provide a well-rounded offering of activities that contribute to the well-being and self-care

of nurses.

An on-going activity direction in each region is identifying and supporting nurses who have the

potential to become leaders within FNA as well as within their healthcare communities. Each region

welcomes the involvement of new members.

Regions

Northwest Region

Jill Vanderlike, Director

2018 Advocacy Days at the Florida State

Capitol: attended with eight Student

Nurses Association (SNA) members as SNA

Advisor from the University of West Florida

(UWF)

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2018 Florida Nurses Association

History, Mission and Roles

National Facts:

Up to 20% of nurses in the U.S.

are dependent on addictive

substances (Monroe, 2009; Boulton

& O’Connell, 2017).

A 2011 study demonstrated that

at least half of the nurses who

attempt recovery succeed and

some state monitoring programs

report success rates upwards of

90% (Monroe et al. 2011)

Current IPN Statistics:

As of June 2018, IPN had a total of

1,096 current participants;

76% female, 24% male

• 80% (866) are Registered

Nurses (RNs)

• 10% (104) are LPNS

• 6.7% (73) are ARNPs

• CNAs, students, prospective

licensees and clinical nurse

specialists round out the rest of

current IPN participants (53).

• Over 80% of current

participants carry a Substance

Use Disorder diagnosis while

others have other primary or

dual psychiatric diagnoses

FACT SHEET

Benefits of IPN:

• Protection of Public Safety

• Alternative to Discipline:

IPN vs DOH process

• State-wide access to nurse

support groups, evaluations and

quality treatment

• Multiple supportive resources to

assist in successful monitoring and

safety to practice

The Intervention Project for

Nurses (IPN) functions under

a service contract with the

Department of Health (DOH)

and provides monitoring for all

nursing professions as well as

students. IPN was established in

1983 through state legislation.

IPN’s Mission is to ensure public

health and safety by providing

education, monitoring and support

to nurses in the State of Florida.

IPN’s objectives include:

• To protect health, safety and

welfare of the public

• To retain nurses in the nursing

profession

• To provide support and

monitoring to nurses

appropriate for IPN

IPN Staff consists of masters and

baccalaureate-prepared case

managers. The IPN team is a

multidisciplinary team including

a part-time Medical Director/

Certified MRO.

IPN is audited through the DOH

for adherence with Performance

Measures, program policies,

and must comply with state and

federal regulations.

IPN is funded by license renewal

fees and is a line item in the FBON

budget.

Nurses may be appropriate

for IPN services as a result of

mental, cognitive, behavioral or

physical impairment, not solely

as a result of substance abuse.

More Resources: Contact IPN: 1-800-840-2720

IPN: https://ipnfl.org | FBON: http://www.floridasnursing.gov | ANA: https://www.nursingworld.org | FNA: http://www.floridanurse.org

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2018 Florida Nurses Association

BLI Symposium: Professional Development

UWF SNA Advisor & Mental Health Nursing

Care Course Coordinator with 10 Bachelor of

Science in Nursing (BSN) students

Northwest Region Summer Collaboration for Community Mental

Health partnering with Northwest Florida Guardian ad Litem

Foundation, Inc. (NWFGAL):

NWFGAL volunteers and children, SNA, FNA

(i.e., 250 supporters advocating at Blue Wahoos game)

North Central Region

Justin Wilkerson, Director

Hello Florida Nurses! What an exciting and busy year it has been serving as your representative on the

Board of Directors of the Florida Nurses Association. I was appointed by our President Janegale Boyd to

the Finance committee for this year. The finance committee was tasked with editing and submitting a

budget to the entire board for approval. Unfortunately, we had to recommend several difficult decisions

to the full board this year for action. However, I remain confident that these decisions were vital to

ensuring the continued solvency of our organization. In addition, President Boyd appointed me to the

Legislative Rapid Response Task Force which was charged with working closely with our lobbyist to

ensure that we could move quickly in making important decisions regarding legislative matters vital to

our interests both as a profession and as an organization during the legislative session.

I deemed it a priority upon my election last year to attend all board meetings, and I am pleased to report

that I could attend all board meetings both at our headquarters and via telephone conference. I am also

excited to announce that our North Central Region Conference was a resounding success this year. I am

profoundly grateful to all the speakers and our wonderful staff that contributed to its success. I would

also like to thank President Janegale Boyd for her attendance at our conference as well as the poster

presentation guests from Albany State University and Santa Fe College.

I look forward to the opportunity to work with each of you through this next year. I am always available

to you via telephone at (352) 316-8049 or via email at justinrwilkerson@gmail.com. Please do not hesitate

to contact me if I can ever be of assistance to you.

Northeast Region

Pamela Delano

Kicking off with a regional meeting January 12th, nurses throughout Northeast Florida enjoyed an Italian

cuisine at the local Brio Tuscan Grille. Here we discussed the benefits of membership, networked with

the various specialties and brainstormed our topics for the year. Personal experiences were shared and

new connections were made throughout the night in the presence of positivity and delicious cuisine

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2018 Florida Nurses Association

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2018 Florida Nurses Association

amongst professionals. The energy and enthusiasm of the Northeast FL group inspired five more people

to join FNA that night. A mutual goal was set to have a focus of nurse wellness, safety and leadership

development as our themes for 2018.

On March 2nd, I represented the Florida Nurses Association as a Board Member and the Quality and

Safety Education Institute for Nurses (QSEN) 2018 Patient Safety Forum. Here I was able to speak with

local nurses as well as aspiring nurses (students) about the importance of professional membership and

how contributing a nursing perspective to key healthcare issues improves practice and safety measures.

six more nurses signed up to become FNA members after this event, including some from the United

States Navy. In May & June, I visited with staff nurses at University of Florida Health: Transitional Care

Unit and local colleges: Jacksonville University and Chamberlain University.

Currently, we are planning a four hour Continuing Education event for NE FL nurses to continue on the

path of our mission. The topics are: Nursing Incivility in the Modern World; Transcendental Meditation

& Yoga: Benefits for Nurses; Introduction of Essential Oils in Healthcare: The Nurses’ Role. This event is

taking place at the Mayo Clinic Simulation Center in Jacksonville Florida and will be open to all nurses.

As a member of the American Nurses Association, the American College of Healthcare Executives, the

Society for Simulation in Healthcare and the American Association of Neuroscience Nurses, I represent

the Florida Nurses Association on multiple platforms/initiatives as a Board Member.

• On April 21st the FNA NE FL region sponsored a family in the Dreams Come True Kyds & Jaffi’s

Annual Fashion Show. These funds were 100% directed towards granting a local NE FL child’s

dream through the local organization, which serves children battling a life-threatening illness.

• On May 8th for Nurses Week we had a discount for NE FL Nurses to attend the Jacksonville Jumbo

Shrimp baseball game.

East Central Region

Marti Hanuschik, Director

Region Director Janice Hess started the year and relinquished the position in February for personal

reasons. We wish Jan all the best.

Region Director Marti Hanuschik attended January 2018 Advocacy Days in Tallahassee meeting

several Senators and Representatives. The year continued with Quarterly Meeting at FNA headquarters

scheduled March 6th, May 10th, August 23rd, and November 15th. Continuing education programs

scheduled: Therapeutic Touch presented by Dr. Jean Kijek, FNA Director Willa Fuller on Violence in the

Workplace, Jessica Daly, on Health Literacy, and Tomas Lares of the Greater Orlando Human Trafficiking

Task Force for the two-hour mandatory CE. The programs are offered in person and on ZOOM. Lite bites

for those in attendance.

Region Director represented FNA at the Child Rescue Network breakfast April 24th. Speaker Andrea

Vaughan, presented behavior of child predators. Her personal child predator was her middle school

teacher, a trusted member of society.

Lake County Medical Reserve Corps director William Ritten requested volunteers for shelter work during

an emergency. Region Director Marti Hanuschik arranged for an e-mail blast to East Central Region and

information posted on FNA website.

East Central Region worked with Cirque du Soleil for discounted tickets to their traveling show Crystal

and two sets of August 1st tickets were given away in a drawing. The winners are Mary Katherine

Johnson and Mia L. Morris. Congratulations!

Articles were submitted for Florida Nurse newspaper with a request for recommendation of programs,

local speaker coordinators, and submission of professional accomplishments so that your work can be

highlighted in future regional TFN articles.

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2018 Florida Nurses Association

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2018 Florida Nurses Association

West Central Region

Janice Adams

On January 4, 2018 the West Central Region held a meeting to plan for 2018 events.

On April 12, 2018 the WCEN Region Leadership Council met via Zoom to plan regional activities.

On April 19, 2018 the West Central Region (WCEN) held a regional meeting in Clearwater, Florida. The

topic was Human Trafficking. Two (2) continuing education units (CEs) was offered.

On April 28, 2018 WCEN Director, Janice Adams, attended the Florida Nurses Association (FNA) Board

of Directors Meeting via webinar. The purpose of this meeting was to update all regional on FNA

business.

On June 14, 2018 the WCEN Leadership Council met via Zoom to review past activities and discuss the

upcoming meetings.

On July 14, 2018 WCEN Director, Janice Adams, attended the FNA Board of Directors meeting in

Orlando, Florida.

On July 18, 2018 the WCEN Regional Spring Meeting was held in Tampa, Florida. The topic was Legal

Issues in nursing. One (1) CE was offered.

On September 20, 2018 the WCEN Region will hold a Regional Business Meeting via Zoom.

On October 1, 2018, WCEN Director, Janice Adams, will partner with STAAR Ministries President, Niki

Cross, to discuss Human Trafficking Effect on the Patient.

On October 24, 2018 the WCEN Region will present the WCEN Regional Fall Meeting. The meeting is

coordinated by Ed Briggs and will discuss advocacy and legislation that affects nursing.

Southeast Region

Debbie Hogan

Immediate Past Southeast Region Director

Our Region partnered with Keiser University to present a program on Human Trafficking to 33

participant on July 20, 2018 which was very well received. The panel of speakers organized by Tanya

Meade presented important information on the identification of possible victims within the health

care system, and provided resources that we, as health care professionals, can provide to these victims.

For more information, go to www.traffickingresourcecenter.org or call 1-888-373-7888 (24/7). Thanks to

Keiser, all of our excellent speakers, and Kaitlin Scarbury, at FNA.

We are currently working on a statewide webinar on the “State Compact “ as well as on a Legislative

event for the Fall. Stay tuned for more information!!!

Southwest Region

Susan Torres

• Feb 28, 2018 DACA & TPS programs: Impact on Healthcare

ú Expert speakers, Yemisi Oloruntola-Coates Lee Health System Director of Diversity and Patient

Care Civil Rights, and Indera DeMine Immigration Attorney presented the current protected status

issues and other immigration issues employers and their employees are facing.

ú Attendees included members and DNP students from Miami

ú Overall evaluations were excellent

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2018 Florida Nurses Association

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2018 Florida Nurses Association

• Invited to speak as the FNA Liaison and presented the statistics related to the impending nursing

shortage in Florida and across the nation. The presentations were provided at the Community

Advisory Council meetings held at the Florida Southwestern State College campuses in Fort Myers,

Charlotte, and Naples. Statistics used from the Bureau of Labor and Statistics and Florida Center for

Nursing 2017 Annual Report. Well attended with very good feedback.

• “Lessons Learned from Irma;” April 18, 2018 at Avow Naples, Florida.

ú

ú

Co-sponsors Avow and Barrington Terrace, Naples FL

This was a panel discussion from the community leaders: Tammy Decaro, Executive Director

Barrington Terrace ALF and President Florida Assisted Living Association- SW Florida Chapter,

Kathleen Marr, RN, Collier County Health Department, Dr. Carlos Mendez, Elite Kidney Care, LLC

and representative of the Collier County Medical Society, Tabatha Butcher, Chief, Collier County

Emergency Medical Services (EMS)

• FNSA at Florida Southwestern 3rd year in a row has won the

Community Impact Award! These are our future nurses and

leaders!! Pictured left to right: Melissa Lawrence, Kara Hite

ASN Students and FNSA members; Pat Zebrook RN, MSN FSW

Nursing Faculty ASN Program

Thanks to everyone who participated in our program on Human

Trafficking on July 20, 2018. We send a special thanks to Linda

Allen and Kelly White at Keiser University for supporting the

program and helping to make it so successful. We’d also like to

thank our speakers Tanya Meade, Crime Victim Practitioner,

Coalition for Independent Living Options; Sherry Britton-Susino,

SANE Nurse Coordinator, Palm Beach County Victim Services;

T. Smith, Victim Specialist, FBI; and Lisa Spinello, Sexual Assault Care Coordinator, Palm Beach County

Victim Services.

The Southwest Region is currently working on plans to present a webinar on the “Nursing Compact”

with the Florida Board of Nursing that will be available for all our Florida nurses to join. Look for more

information coming very soon.

South Region

Carmen Victoria Framil

This year we held the 8th Annual Florida Nurses Association South Region Symposium and Awards

Ceremony on April 14, 2018 at Gulfstream Park in Hallandale Beach, FL. Our keynote speaker this year

was Carolyn Jones, an award-winning photographer and filmmaker. Her presentation, “Defining Hope-

Nurses Transforming the Culture of Dying,” was truly a thought provoking experience which challenged

us to think about how we can help patients and their families make better end-of-life choices.

Several scholarships and research grants were awarded this year. The Nurse’s Charitable Trust awarded

a research grant and a scholarship grant to Nora Hernandez-Pupo and Lorraine Freytes, respectively.

Elisa Echevarria and Vincent Cella received the Dr. Sarah Fishman Memorial Scholarship, and Nathalie

Cordova and Sherley Joseph received the Royce Foundation Academic Nursing Scholarship.

Additionally, a number of nurse leaders were recognized with the Nursing Excellence Award. As the

caliber of nominees were at an all-time high, there were ties in some of the categories, resulting in

multiple recipients for one award. The categories, finalists, and winners are as follows: Registered

Nurse Practice Award: Finalists – Marsha Eloi and German Padilla, Winner – Jobic Butao; Community

Action Award: Finalists – Ann Marie Allen, Phyllis Rhymes-Johnson, Annette Tomlinson, Hyacinth

Sewell-Henry, Winners – Helen Bhagwandin and Guerna Blot; Promoting Environment for Excellence

in Nursing Award: Finalists – Sharon Rogers, Ana Bandin, Marianne Issa, Winner – Jenna Klareich;

Advanced Practice Nursing Award: Finalist – Vera Bryant, Winners – Deborah Greenfield-Wilson, Linda

Washington-Brown, and Louise Marjori Paul; Nurse Educator Award: Finalist – Honoree Ceballos,

19


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2018 Florida Nurses Association

Winners – Elizabeth Olafson, Juan Gonzalez, Lian Santiago, Nancy Lima-Keller, and Sister Maria

Sochima; Nurse Research Award: Finalist – Patrise Tyson, Winner- Laura Hernandez; Nursing Leader

Administration/Academia Award: Finalists – Sonia Clayton and Becky Montestino-King, Winners –

Jayme Strauss, Johis Ortega, Maria Carillo, and Maria Olenick. Last, but not least, Julie David and Kenya

Snowden were awarded the prestigious Outstanding Nurse of the Year Award.

This year’s poster award winners are as follows:

Evidence Based Practice

First Place – Keri Matheus

Second Place – Laura Hernandez, Nancy Lima-Keller, Stephanie Whitely, Ana Bandin, Jenna Klareich

Third Place (tied) – Darlene Harris, Daisy Galindo-Ciocon, Mycell Perez AND Violet Rhagnanan-Kramer

Research

First Place – Daisy Galindo-Ciocon, Malika Nair, Diana Galindo

Second Place – Julie David

Third Place – Latisha Barfield

Literature Review

First Place – Nora Hernandez-Pupa

Second Place – Guillermo Valdes, Patricia R. Messmer, Maria Olenick, Victor Delgado, Ana Diez

Sampiedro, Beatriz Valdes, Betsy Fernandez

Third Place – Denise Nash, Jamie Ann Chatzipoulis

Special thanks to Jill Tahmooressi and Barbara Russell for being the Masters of Ceremony and to the

Voluntary Leadership Council for planning and executing another successful symposium.

We look forward to our annual legislative event in October.

Education Programs

The Regional Directors and Staff coordinated a robust program of continuing education events in 2017-

2018 with more programs planned for the remainder of the year. Region events this past year were:

November 9, 2017

December 3, 2017

January 12th

February

February 24th

February 28th

April 14th

April 14th

April 18th

April 19th

July 11th

July 19th

South Region Legislative Event in cooperation with the Florida

Action Coalition

East Central Region Holiday Brunch

Northeast Florida Meet and Greet

Therapeutic Touch:

2018 Barbara Lumpkin Institute (BLI) Symposium Northwest Region

Southwest Region Event: DACA and TPS: The Impact on Healthcare

8th Annual South Region FNA Symposium and Awards Ceremony

North Central Region Conference: Role of the Nurse in Emergency Preparedness

Southwest Region Event: Lessons Learned from IRMA

FNA West Central Spring Meeting – Human Trafficking (Mandatory CE offering)

Northwest Region Outing – Blue Wahoo’s Baseball

Legal Aspects of Nursing – West Central Region Summer Meeting

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2018 Florida Nurses Association

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2018 Florida Nurses Association

July 20th

July 28th

Southeast Region Program; Human Trafficking Course (Mandatory CE Offering)

Research and Evidence-Based Practice Conference

2017-2018 Webinars (to date)

January 4th

January 8th & 10th

January 27th

April 12th

Health Coaching: A powerful way to create a positive change for you and

your patient

Advocacy Days 101 (A tutorial for Advocacy Days attendees)

Congenital Effects of ZIKA

Recognizing Impairment in the Workplace (Mandatory CE)

April 23rd & May 3 Writing Abstracts: Process for Success (Research SIG)

June 14th

July 19th

July 20th

Laws and Rules of the Board (Mandatory Offering)

Legal Issues in Nursing – West Central Region Meeting

Human Trafficking – Southeast Region Program

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2018 Florida Nurses Association

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2018 Florida Nurses Association

The 2017-2019 FNA Board

President

President-Elect Vice President Secretary Treasurer

Janegale Boyd

George Byron

Peraza-Smith

Anne Peach Barbara Russell Ann-Lynn Denker

East Central Region North Central Region Northeast Region Northwest Region

Marti Hanuschik Justin Wilkerson Pamela Delano Jill Van Der Like

South Region

Southwest Region

West Central Region

Director, Recent

Graduates

Carmen “Vicky” Framil

Susan Torres Janice Adams Hannah McRoberts

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2018 Florida Nurses Association

Florida Nurses Association

Membership Assembly

September 29-30, 2017

Rosen Shingle Creek

Promoting Health through Advocacy

2017

Summary of Action

26


2018 Florida Nurses Association

Membership Assembly

September 29-30, 2017

Rosen Shingle Creek

Orlando, Florida

This year the Annual Meeting was dealt a challenge when Hurricane Irma necessitated a move from

the Naples Grand Beach Resort to Rosen Shingle Creek Resort in Orlando. The conference began with

an informational keynote based on the theme by Dr. Susan Hassmiller of the Robert Wood Johnson

Foundation. Our innovative plenary session was conducted in the style of a World Café format led by

FNA President Dr. Leah Kinnaird. Several topics were offered for consideration and members were given

the option to select topics of interest to them. Three topics emerged: Human Trafficking, Mentoring

and Safe Work Environment. Members discussed each topic at designated tables and made notes and

diagrammed the discussion on pages that were provided for them. The notes were then gathered to use to

direct future work of the association.

Two position statements were approved after vigorous discussion by the Assembly, one on Artificial

Intelligence and Robotics in Healthcare and another reaffirming FNA’s commitment to protecting the

title “Nurse.” As evidenced by the evaluations, multiple high-quality continuing education sessions

were enjoyed by the members, our Peer Recognition Awards were presented and the 2017-2019 Board

of Directors was announced. We also reaffirmed the Association Goals and priorities as found in this

document.

Board of Directors 2017-2019

Officers

Janegale Boyd, RN – President

Anne Peach, MSN, RN, NEA-BC – Vice President

Theresa Morrison, PhD, CNS-BC – President-Elect

Barbara Russell, RN, BSHSA, MPH, CIC, FAPIC – Secretary

Ann-Lynn Denker, PhD, ARNP – Treasurer

Directors

Marion Marino-Meyash, PhD, RN – Director at Large, Northwest

Justin Wilkerson, BSN, RN-BC, CHPN, CCRN – Director at Large, North Central

Pamela Delano, MASN, MBA, RN – Director at Large, Northeast Region

Jose Alejandro, PhD, MBA, RN-BC, FACHE, FAAN – Director at Large, West Central

Janice Hess, DNP, FNP-BC, ARNP – Director at Large, East Central

Rhonda Goodman, PhD, ARNP, FNP-BC, AHN-BC, FAANP – Director at Large, Southeast

Susan Torres, MSN, RN, LHCRM – Director at Large, Southwest

Vicky Framil, DNP, ARNP, ANP-BC – Director at Large, South

Board Liaisons

Deborah Hogan, MPH, BSN, RN – LERC Liaison

Marsha Martin, RN-LERC – Liaison

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2018 Florida Nurses Association

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2017-2019 FNA Award Winners

2018 Florida Nurses Association

Advanced Practice Award

Patricia Geddie

Community Action Award

Maxine Jacobowitz

Education and Advocacy Award

Florida Atlantic University

Heather Scaglione Award

Nancy Duckworth

Mary Cash Award

Charlotte Barry

Nurse Educator Award

Amber Santos

Nursing Administration Award

Julie Daniels

Nursing Innovation and Creativity

Kathleen Kavanaugh

Nursing Research Award

Victoria Loerzel

The President’s Award

FIU College of Nursing and Health Sciences

Special Recognition Award

Marlene Brennan

Undine Sams Award

Marcia Stroud

All-Time Star Recruiter

Marsha Martin

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2018 Florida Nurses Association

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2018 Florida Nurses Association

PROPOSALS

Artificial Intelligence and Robotics: Defining Nursing’s Role

Artificial intelligence (AI) and robotics is already in use in healthcare and in nursing. The branch of

technology that deals with the design, construction, operation, and application of robots.

According to Merriam-Webster Online, robotics is the branch of technology that deals with the design,

construction, operation, and application of robots. A robot is defined as a machine that looks like

a human being and performs various complex acts (such as walking or talking) of a human being.

Artificial intelligence is defined as a branch of computer science dealing with the simulation of

intelligent behavior in computers.

Nursing, as well as healthcare institutions must navigate the paradigmatic change created as a result of

the rapid ascent of technology and digitalization in all aspects of our lives. Robots and AI are currently

being utilized as companions for patients, data gatherers of medical information, sources of patient

education, aids for mobility and lifting, diagnosis of medical conditions and performance of surgical

procedures, among other functions.

The ethical issues as well as care-centric issues related to AI and robotics must be examined. The impact

on the future of nursing as a profession, including the impact on the workforce in relation to supply and

demand and humanistic nursing care delivery must be a priority for the profession.

Popular culture often portrays robots as either subservient or evil both of which could create an

inaccurate portrayal of the presence of this technology. However, it was recently reported that Google’s

AI was actually able to write code to create its own AI which raises a legitimate cause for concern. In

another experiment by Facebook, two AI’s were able to create their own language while communicating

with each other. While neither of these occurrences were as sinister as they sound, they still create an

awareness that we as caregivers need to become more knowledgeable about this domain of technology

which is a growing component of the healthcare landscape. With concern for patient safety, humanistic

caring and the future of the profession of nursing, it is important to examine the ramifications of both

the benefits and possible risks of both AI and robotics on nursing and in healthcare.

It is wise to be open to new technologies and the benefits they can bring, it is critical that nurses are

prudent and educated, and involved regarding the development of technologies that will affect the work

that they do.

Recommendations:

FNA will form a Technology Task Force with the goal of:

• Defining the possible impact of AI and Robotics on the nursing profession

• Developing the FNA’s role in influencing the future of AI and robotics in nursing in Florida

• Determining how AI and or Robotics is in use in Florida and in other parts of the United States

and internationally as it relates to healthcare and nursing

• Identifying roles and opportunities for nurses in the development of AI and robotics in healthcare

• Providing a clearing house for the education of nurses about AI and robotics

• Providing continuing education programs on AI and robotics

• Utilizing The Florida Nurse as a means to inform nurses about this evolving technology

References

Ashford, H., Hunter, A., Phung, C. & Coustasse, A. (2015). Use of robotics on cardiac surgery. Paper presented at the AABRI

International Conference, Orlando FL

Erickson, H., Salzman-Erickson, M. (2016). Future challenges and artificial intelligence in nursing, Permanente Journal, 2(3)

15-243.

http://www.iflscience.com/technology/google-ai-creating-own-ai/

IFL Science , Googles ai is now creating its own ai, Retrieved on 8/30/2017 at http://www.iflscience.com/technology/google-aicreating-own-ai/

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Proper Use of the Title “Nurse”

2018 Florida Nurses Association

Statement of Rationale

“Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness

and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human

response, and advocacy in the care of individuals, families, groups, communities, and populations”

(American Nurses Association, ANA, 2015, p. 44).

The above definition describes the comprehensive nature of the nursing profession that is provided to

people, both as individual persons and in groups. Nursing practice is learned through complex academic

preparation and clinical experience in the study of the human condition. Chapter 464 of the Florida

Statutes, the Nurse Practice Act, delineates the practice of nursing in Florida. The Florida Board of

Nursing, a legally constituted state agency, regulates the practice of nursing, has the authority to protect

the public from unsafe practitioners, and creates standards for nursing education programs.

In Florida, the title “nurse” is reserved for RNs, LPNs, CNSs, CRNAs, CNMs, and ARNPs. A person

cannot practice, advertise, or act as a nurse if he/she is not licensed or certified. Doing so is punishable

as a misdemeanor of the first degree (Florida Nurse Practice Act, 2017). At least 38 other states restrict

the use of the term “nurse” to licensed professionals who have graduated from licensed schools of

nursing and meet specific licensure requirements (ANA, 2013).

Nursing is consistently the profession that is recognized for its honesty and high ethical standards.

Using the title “nurse” is not up for grabs, but instead represents a high calling among healthcare

professionals who have completed academic and licensure requirements for the care of human beings.

Statement of Concern

Being identified with the title “nurse” is a desirable circumstance. Repeatedly, individuals who have

technical and/or assistant roles in health care are called “nurse.” For example, medical assistants and

nursing assistants sometimes introduce themselves as nurses in physicians’ offices, nursing homes, or

other healthcare venues. The confusion with assistant and nurse roles has been a longstanding problem.

Media reports rarely distinguish between Registered Nurses and nurse assistant by simply using the

term “nurse.” Clarity is needed in order to represent all healthcare roles adequately for knowing how to

address safety and quality improvement strategies.

More recently, the Florida Nurses Association (FNA) has been approached by individuals and

organizations that want to adopt a title “nurse” in their fields of practice (e.g., veterinarian and dental

assistive roles). Such conversations are occurring in other states, not just in Florida. There is concern

that such inquiries are increasing and encouraged by casual uses of the title and lack of knowledge of

existing laws.

Statement of Position*

FNA supports the legal and proper use of the title “nurse,” as defined in State Statute 464, which

includes only registered nurse, licensed practical nurse, clinical nurse specialist, certified registered

nurse anesthetist, certified nurse midwife, or advanced registered nurse practitioner or use the

abbreviation “R.N.,” “L.P.N.,” “C.N.S.,” “C.R.N.A.,” “C.N.M.,” or “A.R.N.P.” The title “nurse” is protected

and subject to violations as a first degree misdemeanor.

Recommendations for Action

The Reference Committee moves that the Florida Nurses Association considers ways to:

1. Encourage Registered Nurses under Chapter 464 of the Florida Statutes to present themselves in all

settings and in all ways with their appropriate nurse titles.

2. Request the Board of Nursing to require education about the title “nurse” in nursing assistant

programs.

3. Request the Board of Nursing to include the title “nurse” as a topic in ongoing licensure education.

4. Encourage accurate display of credentials in name badges and identifiers in all clinical settings.

5. Encourage the reporting of misuse of the title “nurse,” whenever identified.

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2018 Florida Nurses Association

6. Facilitate clarity in terminology in media and public communications regarding the title “nurse.”

7. Continue to inform those requesting expansion of the title beyond the definition and legal use

“nurse” of the statement of position.

8. Educate other healthcare professionals about the protected title “nurse.”

References

American Nurses Association. (2015). Code of ethics for nursing and interpretive statements. Silver Spring, MD:

Nursesbooks.org.

American Nurses Association. (2013). Title “nurse” protection. Retrieved from http://www.nursingworld.org/

MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-TitleNurse

Nurse Practice Act, the Florida Statutes, Titles and abbreviations; restrictions; penalty, Chapter 464.015 (2017).

*This document is updated from a position taken by the FNA House of Delegates 8/16/1998

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2018 Florida Nurses Association

Florida Nurses Association Bylaws 2017-2019

Florida Nurses Association Bylaws

2017-2019

ARTICLE I Name

The name of this Association shall be the Florida Nurses Association, hereinafter referred to as “FNA” or

“Association.”

ARTICLE II Purposes and Functions

Section 1. Purposes

A. The purposes of the FNA shall be to:

1. Foster high standards of nursing practice;

2. Promote the professional and educational advancement of nurses; and

3. Promote the welfare of nurses to the end that all people may have better nursing care.

B. These purposes shall be in accordance with ANA Bylaws.

Section 2. Functions

The functions of the FNA shall be to:

A. Advocate standards of nursing practice, nursing education, and nursing services and promote

these standards through such activities as position statements and legislative activities;

B. Act and speak for the nursing profession before allied professional, community, and governmental

groups on issues of importance to the profession including legislation and governmental programs;

C. Develop and maintain relationships with nursing organizations, allied health, nursing students,

and consumer groups;

D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code of

Ethics for Nurses;

E. Promote and protect the economic and general welfare of nurses;

F. Promote the continuing professional development of nurses;

G. Provide for representation in the ANA Membership Assembly;

H. Preserve documents and other materials which contribute to the historical and cultural

development of nursing;

I. Assume an active role as consumer advocate;

J. Initiate and influence legislation, governmental programs, and national health policy;

K. Support systematic study, evaluation, and research in nursing.

ARTICLE III Membership, Dues, Membership Year

Section 1. Composition

A. Membership in FNA shall consist of members of the state regions who meet the qualifications and

responsibilities specified in these bylaws.

B. Membership options:

1. Full Membership includes ANA and FNA.

2. State Only Membership includes FNA.

3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and

have voice but no vote.

C. Membership shall be unrestricted in accordance with ANA/FNA Bylaws.

Section 2. Qualifications

A member is one:

A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or

the District of Columbia of the United States, and who does not have a license under suspension or

revocation in any state, or is otherwise entitled by law to practice; or

B. Whose application for membership in FNA has been accepted in accordance with FNA policy; and

C. Whose dues are not delinquent; and

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2018 Florida Nurses Association

D. Whose membership is not under revocation for violation of the ANA Code of Ethics for Nurses or

FNA/ANA Bylaws.

Section 3. Membership Privileges and Obligations

A. Full Members shall have privileges as follows:

1. Voting for:

a. Representatives and alternates to Membership Assembly;

b. FNA Officers; and

c. FNA Directors.

2. Serving as an ANA representative, alternate, or in any elected or appointed positions in

accordance with ANA Bylaws and applicable policies.

3. Being nominated to an Officer or Director position after twelve months of membership in FNA.

4. Attending and voting in the Membership Assembly, attending Board of Directors and

Committee meetings, and other unrestricted functions of FNA/ANA.

5. Receiving regular FNA communications.

B. Full Members of FNA shall continue to have all the rights of membership in ANA as provided in

the ANA bylaws, until such time as ¾ of the entire FNA full membership votes to disaffiliate from

the ANA. Full membership is defined as individual members of FNA who have ANA rights and

privileges of membership as a result of their FNA membership. The vote may occur by mail, phone,

or electronic ballot, with appropriate notice and procedures to protect the integrity and validity of

the vote.

C. Full members shall have membership obligations as follows:

1. Abide by FNA and ANA Bylaws; and

2. Abide by ANA Code of Ethics for Nurses.

D. State Only Members shall have privileges as follows:

1. Voting for:

a. FNA Officers;

b. FNA Directors after twelve months of membership in FNA being nominated to a Director

position;

c. Executive Committees of other structural units to which they affiliate.

2. Serving in any FNA appointed position.

3. After twelve months of membership in FNA, being nominated to a Director position.

4. Attending and voting in Membership Assembly, attending Board of Directors and Committee

meetings, and other unrestricted functions of FNA.

5. Receiving regular FNA communications.

6. All other benefits of membership as defined by the Board of Directors.

E. State Only Members shall have membership obligations as follows:

1. Abide by the bylaws of FNA.

2. Abide by the ANA Code of Ethics for Nurses.

Section 4. Disciplinary Action

A. Cause for disciplinary action by FNA against a member shall be limited to:

1. Failure to fulfill the obligations as cited in these bylaws;

2. Other actions detrimental to the purposes, goals, and functions of FNA and ANA;

3. Activity supporting a union that is in direct competition with FNA; and

4. Falsely providing public testimony or opinion as representing that of FNA.

B. Disciplinary proceedings:

1. Shall be conducted in accordance with policies and procedures established and adopted by the

Board of Directors, which shall have final disciplinary authority over members; and

2. A member shall have the right to due process as provided for under common parliamentary or

statutory law.

C. Disciplinary Action shall depend on the severity of the violation, and may include:

1. Reprimand;

2. Censure;

3. Suspension from membership; or

4. Permanent expulsion from membership.

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2018 Florida Nurses Association

D. A member may appeal any disciplinary action in accordance with procedures adopted by the FNA

Board of Directors.

E. Recognition of Disciplinary Action by another State Nurses Association (hereinafter referred to as

SNA): Any disciplinary action taken by another SNA against one of its members shall be given full

recognition and enforcement, provided such action was taken in accordance with the bylaws of

the disciplining SNA and its disciplinary procedures.

Section 5. Dues

A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly,

assessments as set by affiliate organizations to which FNA or its structural units belong, and FNA

dues as established by FNA members participating in the Annual Membership Meeting.

B. State only FNA Membership dues include FNA dues as set forth in FNA bylaws plus an assessment

to FNA.

C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall

include the present rate of dues paid by the FNA to the ANA and other organizations to which the

structural units affiliate.

D. The Board of Directors may initiate pilot dues recruitment strategies with a report to the following

Membership Assembly for action.

E. A vote of two-thirds (2/3) of the voting members present and voting and previous notice of sixty

days (60) shall be required to change the FNA dues.

Section 6. Assessment

A. Each member of a FNA Collective Bargaining Unit shall be assessed an annual fee to support

collective bargaining activities.

B. The annual assessment shall be established by the Membership Assembly.

C. Members shall be notified in Call to Meeting of the FNA Membership Assembly of a proposal

to change the dues at least sixty (60) days prior to the meeting at which the proposal will be

presented.

D. A vote of two-thirds (2/3) of the members present and voting and previous notice of sixty days (60)

shall be required to change the assessment.

Section 7. Transfer of Dues/Assessment and Membership

A. A full member who has completed full payment of dues and moved out of Florida may apply to the

FNA Executive Director for transfer to another state association of the ANA.

B. A member of another state association of the ANA who has completed full payment of dues and

fees for the membership year and who moves into or works within the boundaries of Florida may

transfer to FNA without further payment or refund of dues for the remainder of the membership

year. The request for transfer shall be signed by the secretary of the state nurses association

issuing the transfer.

C. A member may transfer from one FNA region to another within the state without further payment

of dues assessment for the remainder of the membership year. Application for transfer shall be

made to the FNA Executive Director.

Section 8. Membership Year

The membership year shall be a period of twelve (12) consecutive months from the time of application

for membership status.

Section 9. Life Membership

A. Life membership may be conferred on an individual who has rendered distinguished service or

valuable assistance to the nursing profession. Recommendation for Life Membership comes from

the Board of Directors. A two-thirds (2/3) vote at the Membership Assembly is required.

B. Life membership shall not be conferred on more than one individual per annum.

C. Life membership shall carry full membership privileges and exemption from payment of dues.

Section 10. Honorary Membership

A. Honorary membership may be conferred on any individual who has rendered distinguished

service or valuable assistance to the organization. Recommendation for Honorary Membership

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2018 Florida Nurses Association

comes from the Board of Directors. A two-thirds (2/3) vote of the attending members at the

Membership Assembly is required.

B. Honorary membership shall carry no responsibilities or privileges.

Section 11. Emeritus Membership

A. Emeritus Membership may be conferred on each FNA member of 50 or more consecutive years,

upon reaching the age of 80.

B. Emeritus Members may serve on committees, but not as chair, nor hold office at the state level.

C. Emeritus Members will be exempted from dues.

D. Emeritus Members will receive reduced rates at all FNA functions.

Section 12. Organizational Affiliates

A. Definition: An organizational Affiliate of FNA is an association that has been granted

organizational affiliate status by the FNA Board of Directors.

B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board of

Directors and shall:

1. Maintain a mission and purpose harmonious with the purposes and functions of FNA;

2. Have bylaws that do not conflict with FNA bylaws;

3. Be comprised of registered nurses and have a governing body composed of registered nurses;

and

4. Pay an annual organization fee established by the FNA Board of Directors.

C. Rights: Each organizational affiliate shall be entitled to:

1. Have one seated representative to the Membership Assembly who must also be a current FNA

member and who shall be eligible to vote on all matters in the Membership Assembly except

setting of membership dues, amendment of bylaws, and election of officers and directors; and

2. Make reports or presentations to the FNA Membership Assembly within its area of expertise,

including the presentation of action reports.

ARTICLE IV. Officers and Directors

Section 1. Officers

A. The officers are President, President-elect, Vice-President, Secretary, and Treasurer.

B. The officers are elected by members and are accountable to the Membership.

Section 2. Directors

A. There shall be eight Directors representing each of eight Regions and one additional director who

is a recent graduate of a pre-licensure nursing program within five years or less.

B. The directors are elected by members and are accountable to the membership.

Section 3. Qualifications

A. All nominees for Officers and Directors shall be full FNA members in good standing.

B. Nominees must be dues paying members of the FNA for a period of at least twelve months prior to

being nominated as an Officer or Director.

C. An employee of FNA is eligible to be a candidate contingent upon resignation of the staff position

if elected.

Section 4. Term of Office

A. The term of office for Officers and Directors shall be two years or until their successors are

elected.

B. The term shall commence at the adjournment of the Membership Assembly at which they are

elected.

C. President and President-Elect shall serve no more than one term consecutively in each office.

D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four

consecutive terms on the Board of Directors.

E. An Officer or Director who has served more than one-half (1/2) term shall be deemed to have

served a full term.

F. A member is eligible to run again after sitting out a full term of service on the board.

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2018 Florida Nurses Association

Section 5. Duties

A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted

parliamentary authority, and as directed by the Board of Directors and the Membership Assembly.

B. Officers and Directors, upon expiration of their terms of office, shall surrender to the FNA

Executive Director all properties in their possession belonging to their respective offices.

C. The President shall be:

1. Chair of the Board of Directors;

2. Chair of the Executive Committee;

3. Chair of the Advisory Committee;

4. Ex officio member of all committees except the Nominating Committee;

5. FNA’s representative at meetings of the ANA Constituent Assembly;

6. Responsible for appointing members to committees and designating the chairs, with the

approval of the Board of Directors, except as hereinafter provided in these bylaws; and

7. Concurrently elected as a representative to the ANA Membership Assembly.

D. The President-Elect shall:

1. Act as assistant to the President;

2. In the absence of the President, assume the duties of the President;

3. Review any reference proposals submitted to the Membership Assembly; and

4. Serve as Chair of the Advisory Council.

E. The Vice-President shall:

1. In the absence of the President and President-Elect, assume the duties of the President; and

2. Be chairperson of the FNA Membership Committee.

G. The Secretary shall:

1. Record the minutes of meetings of the FNA, Board of Directors, Executive Committee, and

Advisory Committee.

H. The Treasurer shall:

1. Report to the Board of Directors the financial standing of FNA;

2. Make a full report to FNA at each Membership Assembly;

3. Serve as Chair of the Finance Committee; and

I. The Region Directors shall:

1. Be responsible for the implementation of the purposes and functions as assigned by the bylaws,

Board of Directors, or Membership Assembly;

2. Serve as members of the FNA Board of Directors;

3. Serve as liaisons between the FNA Board of Directors and the Regions and bargaining units as

designated by the Board; and

4. Recommend to the FNA Board of Directors the establishment of Ad Hoc Committees deemed

necessary to implement the purposes and functions of FNA.

J. The Director-Recent Graduate shall:

1. Serve as facilitator of the New Graduate Special Interest Group (SIG);

2. Coordinate activities for members who are recent graduates of their initial nursing program;

and

3. Serve as a member of the Membership Committee.

Section 6. Vacancies in Office

A. Vacancy in the office of President.

1. A vacancy in the office of President shall be filled by the Vice President.

2. The vacacy in the vice presidency will be filled by appointment.

3. An officer or member other than the President-Elect who fills a vacancy in the office of a

president or assumes the duties of an absent president may serve as an ANA representative only

if elected to the ANA representative position.

B. If a vacancy occurs in the office of President-Elect, this position will remain vacant until the next

election cycle or until the Board of Directors orders a special election by the full membership.

C. In all other vacancies in elected positions on the Board, the Board of Directors shall appoint a

qualified FNA member to serve for the remainder of that term.

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2018 Florida Nurses Association

Section 7. Removal of an Elected Official

A. Any Officer or Director elected by the membership or appointed Board Member may be removed

from office whenever such action is deemed to be in the best interest of the Association, or for

other just cause, by

a. A vote of three-fourths of the current members of the FNA Board of Directors; or

b. A written petition signed by 25% of the members of FNA on the last annual count, and

approval of the petition by 2/3 of the members of FNA. Voting may occur by electronic ballot; or

c. By no longer being a member in good standing of FNA.

ARTICLE V. Executive Director

Section 1. Accountability

The Executive Director is accountable to and will be evaluated annually by the Officers with approval

of the Board of Directors.

Section 2. Authority

The Executive Director has the authority to manage, plan, develop, administer, and coordinate

activities of the Association in accordance with policies established by the Board of Directors.

ARTICLE VI. Nominations and Elections

Section 1. Nominating Committee

The Nominating Committee shall consist of five (5) members, who shall be elected by secret ballot by

plurality vote:

A. The members elected to the Nominating Committee will choose their Chair;

B. No Region shall be entitled to have more than one member serve on the Nominating Committee;

C. The term of office shall be two years, or until their successors are elected;

D. A member shall not serve more than two consecutive terms on the Nominating Committee;

E. No member shall serve concurrently on the Nominating Committee and on the Board of Directors;

F. Members of the nominating committee are not eligible to be nominated either by committee or

from the floor. If a member of the Nominating Committee is submitted as a suggested candidate

for an office of FNA and the member consents to be considered as a candidate, said member shall

immediately resign from the Nominating Committee. This does not apply to a present member of

the Committee whose name is submitted as suggested candidate for the Nominating Committee for

the next term or as an ANA Delegate;

G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received

the next highest vote at the Membership Assembly at which the Committee members were elected.

Section 2. Nomination Process

A. Suggestions for nominees for elected offices shall be solicited from each Region and structural

unit;

B. Individuals may nominate candidates or self-nominate;

C. Requests for nominees shall be published in The Florida Nurse and by electronic means;

D. The Committee shall propose a tentative FNA ballot containing nominees for:

1. ANA Delegates

2. FNA Officers, Directors, and Nominating Committee;

E. After presentation to the Board of Directors for information only, the tentative ballot shall be

published in the Call to Meeting of the FNA Membership Assembly;

F. Within the 30 day period following the publication of the tentative ballots in the FNA official

publication, additional nominations may be made to the Chair of the Nominating Committee by

any individual member, Region, or structural unit;

G. The Nominating Committee shall formulate the final ballots by the addition of the nominees

submitted, provided that all eligibility and membership requirements are met;

H. A person shall not appear on the FNA ballot as a nominee for more than one office;

I. The completed ballots shall be:

1. In conformity with the FNA bylaws and the policies as adopted by the FNA Board of Directors;

2. Identified, for each person running, as to the region and city or county of membership;

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2018 Florida Nurses Association

J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected

statement and the Conflict of Interest statement;

K. The biographies of the nominees, including region and city or county of membership, shall be

published with the ballots in the Official Call to Membership Assembly.

Section 3. Election Process

A. Elections shall be held in the odd-numbered years;

B. Elections shall be held by secret ballot via electronic and/or phone ballot

1. A plurality of votes cast by those entitled to vote, and voting, shall constitute an election;

2. In the case of a tie, the choice shall be determined by lot at the Membership Assembly;

C. Members may vote for persons other than those whose names appear on the ballot by writing in

the names of qualified candidates who have signed the consent-to-serve forms;

D. The voting shall be completed no later than midnight of the twenty-eighth (28th) day prior to the

first day of the Membership Assembly;

E. The Tellers shall:

1. Verify membership and tabulate the votes;

2. Compile a report of all votes received; and

3. Send the results by certified mail, in duplicate, to the FNA Secretary at the FNA Headquarters;

F. The Secretary shall announce the election results at the Membership Assembly;

G. The President, President-Elect, Vice-President, Secretary, Treasurer, Directors, FNA Nominating

Committee, and any other elected position on the ballot shall be declared as elected at the

Membership Assembly.

Section 4. ANA Representatives

A. All FNA members with full membership may vote for ANA representatives.

B. The FNA President and President-Elect shall be concurrently elected as representatives.

C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full

members of FNA.

D. Each representative and alternate shall be elected for a two-year term or until a successor is

elected.

ARTICLE VII. Meetings

Section 1. The official meeting of the Florida Nurses Association is the Membership Assembly and will

be held at least biennially. It will consist of reports from the Board of Directors, Regions, and

committees; and adoption of bylaws and proposals. Additional activities may include educational

programs, networking, and professional updates.

Section 2. Call to Meeting of the FNA Membership Assembly

The Official Call to Meeting of the FNA Membership Assembly shall be noticed via mail or electronic

communication at least sixty (60) days before the first day of the Membership Assembly.

Section 3. Special Meetings

A. Special meetings of FNA may be called by the FNA Board of Directors upon the written request of

a majority of the Regions and/or collective bargaining units.

B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen

days before the first day of the meeting.

Section 4. Quorum

Five members of the Board of Directors, one of whom shall be the President or President-Elect,

and representatives from a majority of the Regions shall constitute a quorum for the transaction of

business at any Membership Assembly or special meeting of the FNA.

Section 5. Membership

The voting body at all Membership Assemblies and special meetings of this Association shall consist

of the Board of Directors and all FNA members in good standing who are in attendance.

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2018 Florida Nurses Association

ARTICLE VIII. Board of Directors

Section 1. Composition

There shall be a Board of Directors composed of the Officers and the Directors.

Section 2. Meetings of the Board of Directors

A. Meetings shall be held at such times and places as shall be determined by the Board of Directors.

B. Special Meetings:

1. May be called by the President on seven (7) days’ notice to each member of the Board, either by

mail, telephone, or electronic communication;

2. Shall be called by the President in like manner or on like notice upon the written request of:

a. Five (5) or more members of the Board of Directors, or

b. A majority of the Regions; and

3. Shall be held at such times and places as may be specified in the notice thereof.

C. Business that requires action by the Board of Directors between regular meetings may be

conducted by mail, telephone, or electronic communication. Such action shall be subject to

ratification at the next regular meeting of the Board of Directors.

D. Attendance

1. Any member of the Board of Directors may have one (1) absence from the Board of Directors’

meetings within a one-year period.

2. A board member on official business as designated by the President of FNA or Board of

Directors at the time of the Board Meeting shall not be considered absent.

3. A partial absence shall consist of not more than two (2) hours, unless an unforeseen emergency

occurs en-route to the meeting.

4. At the second absence of any member of the Board of Directors, the Board of Directors shall

vote on removal of said board member from position.

E. FNA members, the Chair of the Labor and Employment Relations Council, and the President of the

FNSA or a designee, shall be eligible to attend meetings of the Board of Directors. They shall have

voice, but no vote.

Section 3. Quorum

A majority of the Board of Directors, including the President or the President-Elect, shall constitute a

quorum at any meeting of the Board of Directors.

Section 4. Duties of the Board of Directors

The Board shall:

A. Establish major administrative policies governing FNA and provide for the transaction of general

business of the organization;

B. Provide for the expenditure, investment, and surveillance of FNA funds;

C. Provide for the bonding of appropriate officers and staff;

D. Provide for the adoption and administration of a budget, and for a periodic review statement by a

Certified Public Accountant;

E. Provide for the operation and maintenance of a state headquarters;

F. Employ an Executive Director, define duties, and fix compensation;

G. Employ legal and other counsel as deemed necessary, define duties, and fix compensation;

H. Determine the registration fee, date, and location of Membership Assembly;

I. Determine the time and place of meetings of the Advisory Council;

J. Recommend to the Governor nominations for appointments to the Florida State Board of Nursing

and any other appropriate boards;

K. Report to FNA members the business transacted by the Board of Directors;

L. Act upon recommendations and/or plans of committees prior to implementation;

M. Establish regional boundaries,

N. Receive, for information only, reports from the Bylaws, Nominating, and Reference Committees;

O. Fill vacancies in office as provided in these bylaws; and

P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the

FNA membership.

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2018 Florida Nurses Association

ARTICLE IX. Executive Committee

Section 1. Composition

There shall be an Executive Committee composed of the Officers of the Board of Directors.

Section 2. Powers

The Executive Committee shall have all the powers of the Board of Directors to transact business

between meetings of the Board. Such action shall be subject to ratification at the next regular meeting

of the Board of Directors.

Section 3. Meetings

A. The Executive Committee shall meet at the call of the President;

B. Meetings may be conducted in person, by mail, telephone, or electronic communication.

Section 4. Quorum

A majority of the members of the Executive Committee shall constitute a quorum at any meeting of

the Committee.

ARTICLE X. Committees

Section 1. General

A. Committees shall assume such duties as assigned by the Board of Directors, and as specified in

these Bylaws and report action as requested.

B. Committees shall meet on the call of the Chair, with no less than fifteen (15) days’ notice to

committee members and FNA Headquarters.

C. Unnoticed absences from two meetings of a committee shall constitute a resignation.

D. A majority of the members of any standing or ad hoc committee shall constitute a quorum.

E. Members of the FNSA shall be eligible to attend FNA committee meetings.

Section 2. Ad Hoc Committees

There shall be ad hoc committees appointed by the President, the Board of Directors, and/or the FNA

representatives attending the Membership Assembly as deemed necessary to act upon issues pertinent

to FNA.

Section 3. Membership Committee

The composition of the Membership Committee shall be the Vice-President as chair, the Treasurer,

and at least five (5) members appointed after each election by the President, with approval of the

Board of Directors, to serve until their successors are appointed.

Duties:

A. Identify strategies for retention of members,

B. Develop a marketing campaign to seek new members,

C. Recommend membership options,

D. Submit suggestions to FNA Board of Directors, and

E. Report to the FNA membership on the status of membership.

Section 4. Reference Committee

The Reference Committee shall consist of five (5) members appointed after each election by the

President, with the approval of the Board of Directors, to serve until their successors are appointed.

Duties:

A. Seek reference proposals from Regions, LERC, and members;

B. Review proposals for appropriate structure;

C. Make appropriate suggestions to authors as needed; and

D. Present proposals at the Membership Assembly.

Section 5. Bylaws Committee

A. Composition.

The Bylaws Committee shall consist of at least five (5) members appointed after each election

by the President, with the approval of the Board of Directors, to serve until their successors are

appointed.

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2018 Florida Nurses Association

B. Duties.

1. Receive and review all proposed amendments to the FNA bylaws and edit for conformity;

2. Submit proposed amendments to FNA bylaws as appropriate;

3. Present the proposed amendments to the FNA Board of Directors; and

4. Submit the proposed amendments to the membership at the FNA Membership Assembly in

accordance with the provisions for amendments to these bylaws.

Section 6. Finance Committee

A. Composition.

The Finance Committee shall consist of at least five (5) members, including the FNA Treasurer,

who shall serve as Chair. Four members shall be appointed after each election by the President,

with approval by the Board of Directors, to serve until their successors are appointed. One of the

appointed members shall be a member of the Labor and Employment Relations Council.

B. Duties. The committee shall:

1. Supervise the preparation of an annual budget for the fiscal year defined as the calendar year

January 1 to December 31;

2. Present the budget for approval to the FNA Board of Directors;

3. Advise the FNA Board of Directors and other FNA structural units regarding financial matters

and feasibility of funding for expenditures;

4. Advise and report on the expenditure of funds to the FNA Board of Directors; and

5. Report to the Membership Assembly the financial status of FNA.

ARTICLE XI. Regions

Section 1. General

A. There shall be Regions which meet the following requirements:

1. Regions must be in conformity with the bylaws of FNA

ARTICLE XII. Labor and Employment Relations Council (LERC)

Section 1. General

The Labor and Employment Relations Council shall exist for the purpose of overseeing the conduct

of FNA’s labor/employment relations and collective bargaining program, which shall include the

formation of appropriate policies and procedures.

Section 2. Term of Office

Each member shall serve a term on the Council which shall be concurrent with the term as President

of the Local Bargaining Unit.

Section 3. Responsibilities

The Labor and Employment Relations Council shall:

A. Oversee the conduct of the FNA’s labor/employment relations and collective bargaining program,

which shall include the formulation of appropriate policies and procedures;

B. Formulate programs of assistance and training for local bargaining units;

C. Consider and adjudge requests for legal assistance involving employment issues and contract

grievances from members of local bargaining units;

D. Make preliminary annual budget projections and recommendations to the FNA Finance

Committee prior to adoption of the budget by the FNA Board of Directors;

E. Establish, when needed, subordinate councils to conduct studies and make recommendations in

specific substantive areas of labor and employment relations;

F. Assist FNA staff in the development of local unit organizing activities;

G. Communicate with the Board of Directors concerning economic and welfare issues relative to the

nursing profession.

H. Receive and review the bylaws of any collective bargaining unit making application for FNA to be

its bargaining agent; and

I. Receive and review the bylaws of each collective bargaining unit on a periodic basis.

Section 4. National Labor Convention (NLC) Delegates

A. All Collective Bargaining Unit (CBU) Members may vote for NLC delegates.

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2018 Florida Nurses Association

B. NLC delegates will be elected by secret ballot by plurality vote.

C. Each delegate and alternate will be elected for a two-year term.

D. LERC is allotted up to five delegate candidates to the NLC.

ARTICLE XIII. Advisory Council

Section 1. Composition

A. The FNA Board of Directors and representatives from Regions, Collective Bargaining Units, and/

or their designees, facilitators for each Special Interest Group, the FNPAC Chair, and the FNF

President shall constitute an Advisory Council to consider and promote the interests of FNA.

B. Two officers of FNSA shall be eligible to attend meetings of the Advisory Council.

Section 2. Meetings

A. The Advisory Council shall meet at such other times and places as may be determined:

1. By the FNA President; or

2. By the FNA Board of Directors; or

3. At the request of fifty (50%) percent of the Regions.

ARTICLE XIV. Florida Nursing Students’ Association

Section 1. General

It shall be the responsibility of FNA to set up communications with Florida Nursing Students’

Association that will foster an organization of students of professional nursing which will assist in

preparing them to meet their professional obligations as graduate nurses.

Section 2. Meetings

Meetings of the FNSA may be held in conjunction with the FNA Membership Assembly.

ARTICLE XV. Relationship of FNA to ANA

Section 1. Membership

A. The annual dues for a full FNA member shall be set forth in dues policy and shall include the

present rate of dues paid by the FNA to the ANA. In the event that the rate of dues payable to the

ANA by the FNA increases, any such change shall be automatically added to the annual dues paid

by a full FNA member.

B. The FNA shall continue to pay dues to the ANA pursuant to the ANA bylaws and House of

Delegates policy until such time as 2/3 of the entire full FNA membership votes to disaffiliate

from the ANA. The vote may occur by mail, phone, or electronic ballot, with appropriate notice

and procedures to protect the integrity and validity of the vote.

Section 2. ANA Constituent Assembly

FNA shall be entitled to representation at the ANA Constituent Assembly by the President of FNA

and the Executive Director, or their designated alternates.

Section 3. ANA Delegates

A. FNA shall be entitled to representation at the ANA Membership Assembly as determined in the

ANA bylaws.

B. FNA shall elect representatives as allocated in accordance with policies adopted by the ANA

House of Delegates.

ARTICLE XVI. Official Publication

Section 1. The Florida Nurse shall be the official publication of FNA.

Section 2. LERC Today shall be the official publication of the Labor and Employment Relations Council.

ARTICLE XVII. Parliamentary Authority

The rules contained in Robert’s Rules of Order Newly Revised shall govern meetings of FNA in all cases

to which they are applicable and in which they are not inconsistent with these bylaws and any special

rules of FNA.

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2018 Florida Nurses Association

ARTICLE XIII. Amendments

Section 1. Previous Notice

A. These bylaws may be amended at any FNA Membership Assembly by a two-third (2/3) vote of the

members present and voting.

B. All proposed amendments shall be in the possession of the FNA Executive Director at least sixty

(60) days before the Membership Assembly, and shall be published at least 30 days prior to the

FNA Membership Assembly.

C. Any ANA directed amendments may be approved by the Board of Directors at any meeting

after first giving full members a 30-day notice during which they may provide comment for

consideration by the Board.

Section 2. Without Previous Notice

These bylaws may be amended, without previous notice, at any Membership Assembly by a ninetyfive

percent (95%) vote of the members present and voting.

ARTICLE XIX. Dissolution

In the event that this organization should be dissolved for any reason, any remaining assets shall be

liquidated and distributed in accordance with governmental regulations. No funds can inure to the

benefit of any individual member.

Approved by Membership Assembly

September 2017

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2018 Florida Nurses Association

The FNA Staff

Willa Fuller

Executive Director

John Berry

Director of Labor Relations

and Legislative Affairs

Kaitlin Scarbary

Associate Director of

Programs, Technology and

Membership Marketing

Christopher de Sanctis

Administrative Assistant

Bibi Lowton

Labor Relations and

Legislative Affairs Specialist

Leslie Homsted

Communications Coordinator

and Programs Specialist

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2018 Florida Nurses Association

Special Interest Groups (SIGs)

All FNA members are eligible to join Special Interest Groups which regularly meet by

conference call and plan activities based on their interests.

Health Policy Special Interest Group (HP-SIG)

Karen Perez

The Health Policy Special Interest Group is the largest SIG within FNA. They

usually meet monthly via videoconference or conference call. We took a brief

hiatus this year to reorganize and at the time of this report, we have held a

planning meeting to plot out our pre-election activities.

The activities planned include

• Posting videos on how to communicate with legislators.

• Holding a Barbara Lumpkin Institute Symposium BOOT CAMP on September

22 with educational sessions and hands-on experience with grassroots

lobbying. There will also be visits from legislators and other elected officials

(invited).

• Re-establishing monthly SIG meetings on the second Tuesday of each month.

• Distributing the FNA Legislative Platform and Talking Points surrounding the

key issues.

• Orienting members to our Legislative Advocacy Platform at http://cqrcengage.

com/fln/?0

• Keeping members informed about the Candidate endorsement and Election

Process.

• Maintaining a social media presence surrounding the election.

FNA has revived the We Care We Vote campaign and have launched a new public voter campaign called

Me plus Three.

We are happy that the HP-SIG is back in action and we look forward to the renewed participation of our

colleagues as we approach this election season and then move into the coming year of advocacy.

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2018 Florida Nurses Association

Clinical Nurse Specialist Special Interest Group

Theresa Morrison, PhD, CNS, CNS-BC, Facilitator

Patty Geddie, PhD, CNS, AOCNS Facilitator

Theresa Morrison,

PhD, CNS, CNS-BC,

Facilitator

The Clinical Nurse Specialist Special Interest Group (CNS-

SIG) was formed to address the practice needs of the CNSs

in Florida. In 2007, FNA successfully advocated for CNS

title protection however without changing or expanding

their scope of practice. The CNS-SIG submitted a Reference

Proposal to the 2014 and 2015 FNA Membership Assemblies

asking for support to include CNSs in the Florida Statute

464 definition of “Advanced and specialized nursing” which

passed at the latter meeting. The CNS-SIG met monthly by

conference call to address CNS scope of practice concerns

and joined with the Florida Coalition of Advanced Practice

Nurses (FLCAPN) to advocate for all advance practice nurses

in Florida. This past year, the FLCAPN partnered with the

National Council of State Boards of Nursing (NCSBN) to lobby

and advocate for the title, licensure and scope of practice for

“Advance Practice Registered Nurse (APRN)” that includes

Patty Geddie,

PhD, CNS, AOCNS

Facilitator

all advance practice nurse roles: CNSs, NPs, CNMs, and CRNAs. We are pleased

to report that this effort was successful in the 2018 Legislative Session and Clinical Nurse Specialists

are now included under the Advanced Practice Registered Nurse definition and scope of practice in the

Florida Statute 464.

Ethics Special Interest Group

Jean Davis, EdD, DNP, HCRM, FNP-BC, PHCNS-BC, Facilitator

The Ethics SIG provides a venue for FNA members and students to discuss ethics

related to nursing practice. Legislation with ethical implications, such as the

POLST (Physician Orders for Life Sustaining Treatment) proposal and nurses’

rights to practice to the full extent of their education-based ability have led to

lively discussions and prompted individual actions.

The rights to nursing care of incarcerated patients and the system for providing

that care in Florida have been considered vis-a-vis their ethical implications.

The SIG has also debated the ANA position on capital punishment as brought to

us from the national level. Educational practice especially in regard to students’

clinical experiences, and civility in the practice setting have been “hot topics” on

every Ethics SIG conference call again this year.

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2018 Florida Nurses Association

Research Special Interest Group

Lois Marshall, PhD, RN, Facilitator

This year the Research SIG held its third research and evidence-based practice

conference with both podium and poster presentations. The response has been

encouraging and the goals are to allow opportunities for both experienced and

novice researchers to present their work and to expose bedside nurses to research

that can enhance their practice. This year the response was outstanding with

43 abstracts submitted. Thirty were selected for poster presentations and four

podium presenters were selected. Podium presenters also displayed their posters.

Attendance was more than double the previous conference and a new format

provided for great interaction, networking and mentoring among the participants.

A review committee is selected from among the SIG membership and these members review all research

submitted to FNA. Studies must have IRB approval before consideration.

In addition to the work on this conference, members of this SIG also review Florida Nurses Foundation

Scholarship applications and Research Grants as well as requests for research to be conducted through

FNA members.

Dr. Daleen Penoyer,

member of the Research

Special Interest Group and

the conference planning

committee serves as

moderator for the event

Participants enjoy the presentation by keynote

speaker

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2018 Florida Nurses Association

2018 FNA Legislative and Regulatory Policy Platform

The FNA supports efforts to protect and enhance the ability of

Registered Nurses (RNs), Clinical Nurse Specialists (CNSs) and

Advanced Registered Nurse Practitioners (ARNPs) to practice to the

full extent of their education and experience.

• The FNA supports the efforts of the National Council of State Boards of Nursing and the Florida

Coalition of Advanced Practice Nurses to implement the consensus model vision for the regulation

of advanced nursing practice in Florida.

• The FNA supports legislation which will allow all nurses to practice to the full extent of their

education and training in all practice environments, including telehealth.

• The FNA supports legislation that removes unnecessary nurse practitioner collaborative practice

agreements and removes physician-nurse practitioner supervisory language from the Nurse

Practice Act.

• The FNA supports legislation that would provide universal signature authority for all advanced

practice nurses.

The FNA supports efforts to protect the rights, jobs, wages, pensions, health care coverage, and other

benefits of our state-employed health care professionals.

The FNA supports safe practice environments for all nurses and our patients.

• The FNA supports legislation that provides meaningful information to users of health care about

staffing and nursing resources in health care facilities.

• Promote legislation that protects healthcare workers against workplace violence, including efforts

to rigorously prosecute those who commit such crimes.

The FNA supports efforts to protect and promote health-related initiatives that protect the physical and

mental health of Florida’s residents.

• The FNA supports legislation that allows draw down federal funding to make healthcare available

to more Floridians.

• The FNA supports sustained funding and utilization of the controlled substances prescription

monitoring database.

• The FNA supports legislative efforts and promote adequate funding to strengthen the public health

system, improve access to care or promote healthy lifestyles.

• The FNA supports legislation that helps to create a multi-disciplinary, patient-centered model of

healthcare delivery.

• The FNA supports legislation that provides comprehensive end-of-life planning and care.

• Pursue a pilot study to evaluate innovative and comprehensive school health services that include

access to health care provided by an RN.

• Pursue legislation that would require as mandatory education at least a 2.0 hour CEU education in

infection prevention and emerging diseases training. This will be required each biennium for all

nurses.

• The FNA supports meaningful legislation for gun control.

• The FNA supports efforts to ensure humane care for incarcerated individuals in the Florida prison

system as required by the Constitution.

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2018 Florida Nurses Association

Advocacy Days

In 2017 the Legislative Session began in January, and FNA was there in Tallahassee for its annual

Advocacy Days. Over 150 nurses and nursing students met for an educational session and then

descended on the Capitol to share the FNA agenda with their local legislators. The education sessions

began with overviews from Gray-Robinson and Associates our lobbying firm.

Rheb Harbison, Former Speaker of the House, Representative Larry Cretul and Jessica Love provided

valuable information about the political climate this session to help prepare our participants to

communicate our issues and concerns to the legislature. FNA has an annual format for Advocacy Days

which begins with a luncheon on the 22nd floor of the Capitol building. Often legislators and other

policy makers come to speak at the luncheon. Nurses are then arranged in groups and led through

the Senate and House buildings to visit legislators from their local districts. Some legislators are very

welcoming, even making signs to acknowledge the presence of nurses on “The Hill.” In 2016 nurses

shared talking points on Controlled Substance Prescribing, Safe Staffing, Workplace Violence, Baker Act,

State Employees’ salaries and benefits and funding for the Florida Center for Nursing.

In the evening, the nurses convened at the Doubletree Hotel for a reception with legislators and other

officials. We were visited by several legislators including Representative Daphne Campbell. In the social

setting Senators and Representatives come face-to-face with nurses to talk informally about current

healthcare issues.

Representative Jay Fant with Chelsea Hall-McArthur

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2018 Florida Nurses Association

Florida Nurses Foundation

TRUSTEES

George Byron Smith,

DNP, ARNP, GNP-BC, CNE

President

Daleen Penoyer,

PhD, RN, CCRP, FCCM

Trustee

Patricia Messmer,

PhD, MA, MSN, RN-BC, FAAN

Trustee

Rose Rivers,

PHD, RN

Trustee

Fran Downs,

PhD, RN

Trustee

Jan Hess,

DNP, ARNP, FNP-BC

Trustee

52

Darlene Fristma,

MSN, ARNP

Trustee


2018 Florida Nurses Association

The current FNF leaders have continued the legacy of philanthropy, established in 1983, by overseeing

the Grants and Scholarship Program of FNA.

The 2019 Scholarship and Grant Cycle will open on Monday, January 7, 2019. For more information and

applications, please go to www.floridanurse.org and click on the Florida Nurses Foundation tab.

2017 Scholarship and Grant Awardees

Scholarships

District 4 Florida Nurses Scholarship

District 8 Charlotte Anzalone Scholarship

District 46 Olive Ramsey Scholarship

District 46 Olive Ramsey Scholarship

Ruth Jacobs District 46 Scholarship

District 14 Marcy Klosterman Scholarship

District 14 Marcy Klosterman Scholarship

District 14 Marcy Klosterman Scholarship

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 6 (formerly District 18) Generic Scholarship Fund

District 20 Evelyn Baxter Scholarship

District 21 Louise Fiske Memorial Scholarship

Marion County District 3 Scholarship

Marion County District 3 Scholarship

Edna Hicks Scholarship

Mary York Scholarship

Mary York Scholarship

Nina Brookins (District 5 Charitable Trust) Scholarship

Eleanor Bindrum (District 5 Charitable Trust) Scholarship

Charlotte Liddell (District 5 Charitable Trust) Scholarship

Undine Sams Scholarship

Ruth Finamore Scholarship

Great 100 Scholarship

Great 100 Scholarship

Agnes Naughton RN-BSN Scholarship Fund

Edna Hicks VA Nurse Scholarship (Must work in VA)

Martha Russell (District 4) Gerontological Scholarship Fund

Athul Abraham

Madison Smith

Brooklynn Fregeau

Marie Labadie-DeGennaro

Ana Plyku

Shanna Stokes

Christy Powell

Ruth Robert

Rivka Averbukh

Ana Astudillo

Jessica Gushue

Brittany Andrews

Joanna Svezzese

Amber Green

Katelynd Morgan

Angela Hicks

Sandy Davis

Natalie Sanz

Brandon Cherry

Frisnel Desir

Ayse Kaltsas

Suzanne Winchoba

Rosalie Del Valle

Lila deTantillo

Jennifer Trock

Katrina Im

Diane Gullett

Christine Moffa

Summer McDonald

Heather LeMieux

Bailee Hedstrom

Viviane Daniel-Toussaint

Latoya Palmer-Genois

Research Grants

Grant Name

Imogene King Research Fund

Evelyn Frank McKnight Research Fund

Frieda Norton Research Fund

Blanche Case Research Fund

Marcia Reid

Diane Gullett

Diane Gullett

Marcia Reid

53


2018 Florida Nurses Association

Florida Nurses Political Action Committee (FN-PAC)

Carole Amole,

RN

Chair

Bonnie Sklaren,

ARNP

Immediate Past Chair

Darlene Fritsma,

ARNP

Trustee

Marsha Martin,

RN

Trustee

Pamela Delano, RN

Trustee

FNA Board Liaison

Barbara Russell, RN

Trustee

FNA Board Liaison

Diana Openbrier,

ARNP

Trustee

B Grassel,

RN

Trustee

Lynn Landseadel,

RN

Trustee

Isabel Francis,

RN

Trustee

Megan Moroney,

RN

Trustee

Christine Roe

FNSA

Representative

54


2018 Florida Nurses Association

The Florida Nurses Political Action Committee (FN-PAC) was organized to elect political candidates or

to advance the outcome of a political issue or legislation to benefit nursing and healthcare. The Board

of Trustees is appointed to carry out the mission of the PAC. In election years, the PAC interviews

candidates based on FNA’s legislative agenda and selects which candidates to endorse. Any FNA member

in good standing can serve on the PAC. Trustees serve two year terms and can be reappointed. The PAC

is funded by donations from the members of the Florida Nurses Association.

FN-PAC also seeks to educate nurses on the importance of involvement in political campaigns and

the development of relationships with legislators. Nurses are encouraged to meet with legislators after

session to educate them about nursing and the FNA Legislative Platform.

FN-PAC sends out questionnaires to candidates to learn their opinions about issues consistent with

the FNA legislative agenda. Their answers are compiled and distributed to the PAC trustees for review.

The candidates are invited to participate in an interview with the PAC trustees. Some candidates are

endorsed with a donation from the PAC, and others are endorsed with a letter only.

The FNA endorsements are sought after by candidates, who then enthusiastically publicize an

endorsement from FNA. The PAC is funded from an additional dues check-off, and we also seek

additional donations from FNA members.

55


2018 Florida Nurses Association

Labor and Employee Relations Council

LERC

Local 713

UF Health/Shands Hospital, Gainesville

Rockledge Regional Medical Center

Professional Health Care Unit, State Unit

Florida State University, University Health Services, Tallahassee

Florida International University, Coral Gables

Deborah Hogan, Chair of LERC, President, Professional Health Care Unit

Marsha Martin, President, UF Health/Shands Hospital

Marcia Stroud, President, Rockledge Regional Medical Center

Cathy Molitaris, President, Florida State University Health Services (Tallahassee)

Susana Guerra, President, Florida International University

John Berry – Director of Labor Relations and Government Affairs

The FNA Labor and Employment Relations Council (LERC) is a leadership forum comprised of the

certified bargaining unit presidents. The Council speaks for the bargaining units’ memberships in labor

relations matters. LERC brings all of the FNA units together to make decisions that will strengthen

membership. The different bargaining units have all been through change and challenges and are ready

for the future!

LERC has been affiliated with the Office and Professional Employees International Union (OPEIU) since

July 2013 to increase membership in each bargaining unit. Membership drives have been held across

Florida. Each unit has its own website and Facebook page.

This past year saw a lot of activity. The Professional Health Care Unit (state unit) took center stage, as the

State government has made and continues to make every effort to downsize the workforce and minimize

the workplace benefits of our State unit members. Debbie Hogan and John Berry have led the effort to

support the state employees.

This year we had a short legislative session that affected our collective bargaining efforts with the State.

Once again, Governor Scott did not include pay increases for our nurses. This was the seventh year in a

row that he did so. Debbie Hogan, FNA Counsel, Don Slesnick and John Berry travelled to Tallahassee

to testify before the Joint Select Committee on Collective Bargaining to advocate for pay increases to

be included in the State Budget. They also lobbied on Advocacy Day for the pay increases as well as

speaking with the House and Senate on our displeasure with two legislative bills that would decertify a

labor organization if they weren’t able to maintain 50% of the total eligible membership.

The State Unit approved a change in their by-laws that now allows retirees to take a more active role

in the Association, but would still not be allowed to vote on the contract because they are no longer

working in the bargaining unit. Debbie Hogan, our newest retiree, will still be able to continue in

her role as President and has agreed to recruit new members from the three biggest hospitals that we

represent. She will be working with potential members from Chattahoochee, Tacachale and Macclenny.

Debbie will be encouraging our retirees as well as our new members to stay involved and to be active in

our legislative advocacy program. She is also putting together a leadership training webinar that will

address processing grievances and knowing your collective bargaining agreement.

The Shands Unit is doing well. There has been an increase in membership, from September 2017,

until August 2018, there are 45 new members that have been recruited. The team had a successful

contract reopener that gave the nurses an across the board increase as well as increases in the night

time shift differential, increases for on-call and call-back pay as well as increases for nurses in the

medical transport services. The team is currently setting up for meetings with the APRNs who have

56


2018 Florida Nurses Association

shown interest in becoming members of FNA. There are approximately 200 potential new members

in the unit. The members have their own website and Facebook page which has been very effective in

communicating with members. Elections for new officers will occur in 2018.

The Rockledge unit is also doing well, and we have seen an increase in membership in that unit.

Vice President Matt Price had Myrtle Greene, LMHC, CAP, ICADC come to the facility to speak on

“Recognizing Impairment in the Workplace.” Two CEs were given and the event was very well attended.

The leadership is currently preparing for upcoming contract negotiations by sending out contract

surveys to get more members involved in the bargaining process. The team is also in the process of

compiling information from the facility to do a safety report so that our members and the administration

can work together to fix the current problems at the facility.

Florida State University had an election for new officers and their new President is Cathy Molitaris.

Former President Alice Laxton felt that it was long overdue for younger nurses to get involved and take

a more active leadership role. Alice still sits on the negotiating team. State Unit President Debbie Hogan

and John Berry held a leadership training for FSU on the collective bargaining agreement. Cathy and

her new team did an excellent job for their first contract negotiations and look forward to working with

management on nursing issues.

Florida International University in Coral Gables completed a successful contract reopener and for the

first time the President of the University participated in an official contract signing ceremony. The

University suffered a tragic event on March 15, 2018. A 175 foot-long section of the completed FIU

Sweetwater University pedestrian bridge collapsed. There were six deaths and nine injuries. Our deepest

sympathies to those families.

57


2018 Florida Nurses Association

Nurses on Boards Coalition (NOBC)

As a result of the Institute of Medicine report, The Future of Nursing:

Leading Change, Advancing Health, a coalition of nursing and other

organizations was formed to achieve the goal of placing 10,000 nurses

on decision-making boards by 2020. The American Nurses Association

and the state workforce coalitions are leading the effort. As of the end of

August, 2016, there were 2,256 nurses who have signed onto the website

as currently on boards that are defined by the Coalition.

The NOBC uses a specific definition of a board which includes

corporate, government, non-profit, advisory, and governance boards,

commissions, panels or task forces.

In 2015 FNA President Leah Kinnaird served as the Florida representative to the NOBC Initiative. She

kept FNA board and membership informed about the progress of the initiative and published articles

and reports in The Florida Nurse while also reporting to other stakeholders such as QUIN.

After a call for volunteers, Roberta Christopher was appointed by President Janegale

Boyd to assume the role of Florida representative to the NOBC. She has shared board

opportunities which we in turn share with our membership and encourage them to

seek out available service opportunities.

Her most recent report follows:

NOBC Report Period Ending April 2018

Prepared by:

Roberta Christopher, EdD, MSN, ARNP, NE-BC, CHTS-CP

FNA – NOBC Representative

Assistant Professor, Keigwin School of Nursing

Co-Director, QSEN Institute Regional Center at Jacksonville University

Brooks Rehabilitation College of Healthcare Science

Jacksonville University

To summarize the NOBC Coalition-wide progress as of May 1:

• 3,517 nurses have entered 6,190 boards (4.343 boards count towards 10,000 goal)

• 6,099 nurses want to serve

• 2,046 nurses who are already on boards are interested in serving on an additional board

NOBC Definitions

• “Total Board Service” - All nurses who indicate that they serve on a board of directors, regardless

of whether the board counts towards the 10,000 goal. Some individuals have more than one line,

meaning they serve on more than one board.

• “Board Service & Want to Serve” - A subset of the “Total Board Service” list, this list includes

individuals who have indicated that they serve on a board and are interested in serving on

additional boards in the figure.

• “Want to Serve” - Nurses who do not serve on a board currently but have indicated interest in

future board service.

• “Counts” - The total, opt out and final count of nurses reported for your state in each of the above

categories.

58


2018 Florida Nurses Association

The FNA was instrumental in the establishment of the Intervention Project for Nurses (IPN) in order

to support nurses who are experiencing issues with addiction. Paula Massey worked with Executive

Director Linda Smith to create the foundation for IPN as one of the most successful peer assistance

programs in the country. We continue to support their educational conference as well as other initiatives

and programs. IPN allows nurses with addiction to complete treatment while not losing their nurses

license. In addition, IPN offers Fit-to-Perform Workshops, which assist employers who want to work with

nurses who are enrolled in IPN.

The FNA continues to support the IPN concept of nurses supporting nurses while also being committed

to protecting the public. This year, Kaitlin Scarbary represented FNA at the annual IPN Conference.

IPN Executive Director Linda Smith announced her retirement this year and introduced the new

Executive Director of IPN. Please see the press release below:

Intervention Project for Nurses Welcomes new Chief Executive Officer

Dr. Shannon Large, DNP, ARNP, ANP-BC, CARN-AP, recently joined the Intervention Project for

Nurses (IPN) as its new Chief Executive Officer. Dr. Large was formerly with the University of Florida,

Florida Recovery Center from 2013 to 2018, where she provided primary care medical services to

adult patients with concurrent substance use and psychiatric disorders. There, she was also part of a

forensic evaluation team that specialized in the assessment of impaired professionals. She additionally

worked closely with the University of Florida, College of Nursing to provide preceptorship to Doctoral

and Masters Level Psychiatric-Mental Health Nurse Practitioner students. Prior to joining the Florida

Recovery Center, Dr. Large worked at the UF Health Dual Diagnosis Hospital, providing inpatient

unit leadership as a charge nurse beginning in 2007. At UF Health, she delivered direct patient care

to patients with acute detoxification and stabilization needs. Her areas of expertise include alcohol

and substance use-related conditions, forensic drug testing, internal medicine and the assessment and

treatment of impaired professionals.

Dr. Large received her Doctor of Nursing Practice degree in 2013 from University of Florida and is an

American Nurses Credential Center, Board Certified Adult Nurse Practitioner. She also is certified by

the Addictions Nursing Certification Board as a Certified Addictions Registered Nurse in Advanced

Practice. She is a member of the International Nurses Society on Addictions and has interests in

promoting public safety and nursing wellness on state, national and international levels.

Linda L. Smith, IPN/DOH Consultant (former Chief Executive Officer) introduced Dr. Large at the

2018 IPN/FNA Annual Conference stating, “IPN is very pleased to have someone with Dr. Large’s

excellent skills and broad expertise as our new nurse leader on IPN’s team. Shannon has worked with

health practitioners with impairing conditions for several years doing comprehensive evaluations and

interfacing with healthcare monitoring programs across the country.”

59


2018 Florida Nurses Association

QUIN Council (Quality and Unity in Nursing)

FNA is a founding member of the QUIN

Council, which consists of 21 state level

nursing organizations. In 2016, with the

proliferation of nursing schools, significant

attrition rates, and plummeting NCLEX

scores, QUIN created a website which

contains valuable information for those

seeking information regarding nursing

education. QUIN council has attended the

Florida Association of School Counselors

Conference as an exhibitor to disseminate

informational brochures to share with

students who are interested in the nursing

profession.

Each organization was encouraged to take

the ideas back to their organizations for

inclusion in their programs and initiatives. This website remains as a valuable resource to the nursing

community today and we continue to share with potential nursing students and their parents who are

inquiring about the best way to select a nursing program.

For the past two years, QUIN has taken on issues of importance such as career transitions and shared

information through publication in The Florida Nurse.

This past May, QUIN Council along with other invited stakeholders, met to embark on a Strategic Plan to

determine the future direction of QUIN activities. The members of QUIN believe that it is critical for nursing

organizations to network and collaborate to not only work on common issues of importance to the profession,

but so all organizations are knowledgeable about what others in the nursing community are working on.

The strategic planning process was vibrant and the group determined there were four main areas of

concern they wanted to address. These were: Education, Work Environment, Research and Policy. Other

miscellaneous issues emerged with the most important being the absence of valuing nurses; contribution

to the healthcare industry. This issue was related to community, employment setting, legislative arena,

academia and also within the profession and between organizations.

After this initial strategic planning session, a work session was held to create an action plan related to

all of the issues that emerged. One strategy was to continue to expand the membership of QUIN to other

specialty organizations so that their concerns and issues are a part of the conversation.

QUIN invites those who are members of these organizations to reach out to us so that they are

represented on QUIN Council.

60


2018 Florida Nurses Association

The Florida Coalition of Advanced Practice Nurses (FLCAPN) is comprised of Florida advanced practice

nursing organizations that collaborate in the best interest of the advanced practice community. The

Coalition demonstrated a united approach to prescribing authority and the decades-long opposition from

the Florida Medical Association.

This year we were fortunate to work with the National Council of State Boards of Nursing to change

the designation of ARNP to APRN. This is serve to place Florida advanced practice nurses in alignment

with the rest of the country and also position them to be able to be congruent with the Consensus Model.

Additionally, Florida Clinical Nurses Specialists were added to the nurse practice act to be recognized

as advanced practice nurses. The Coalition plans to continue to work with NCSBN to explore future

legislation with the goal of providing greater access to care for Florida consumers.

The Coalition meets Quarterly in different locations of the state, and leadership is rotated among the

groups. FLCAPN is an essential and unified partnership which culminated in a successful outcome in

2016, after many years of working together to increase patient access to care and reduce barriers to nurse

practitioner practice.

61


2018 Florida Nurses Association

State Child Abuse Death Review Committee

Debbie Hogan

FNA Representative

As the Florida Nurses Association Public Health Nurse representative on the State Child Abuse Death

Review Committee, I work with other professionals from the child welfare field to study the data from

pediatric mortality reports in order to determine prevention activities. We study the data each year,

and work with local Committees throughout the state to present a report annually to the Governor with

suggestions on how to prevent childhood deaths. As nurses, we must participate in and support these

prevention activities, especially in the areas of safe sleep, drowning prevention, and parenting education

on gun safety, discipline issues, as well as issues of mental health and drug use. All of us can help to

prevent pediatric deaths.

62


2018 Florida Nurses Association

Nightingale Tribute 2018

The Nightingale Tribute honors FNA Members who have crossed over in the past year.

She (He) Was There

♥ When a calming, quiet presence was all that was needed, She (He) was there.

♥ In the excitement and miracle of birth or in the mystery and loss of life, She (He) was there.

♥ When a silent glance could uplift a patient, family member of friend, She (He) was there.

♥ At those times when the unexplainable needed to be explained, She (He) was there.

♥ When the situation demanded a swift foot and sharp mind, She (He) was there.

♥ When a gentle touch, a firm push, or an encouraging word was needed, She (He) was there.

♥ In choosing the best one from a family’s “Thank You” box of chocolates, She (He) was there.

♥ To witness humanity,—its beauty, in good times and bad, without judgment, She (He) was there.

♥ To embrace the woes of the world, willingly, and offer hope, She (He) was there.

♥ And now, that it is time to be at the Greater One’s side, She (He) is there.

©2004 Duane Jaeger, RN, MSN

Barbara Lumpkin

Billie Walker Schmucker

63


2018 Florida Nurses Association

Dates to Remember

Advocacy Days 2019

March 13-14

Home2Suites

Tallahassee, FL

IPN/FNA Conference

TBA

Research and Evidence-Based Practice Conference

TBA

Leu Gardens

Orlando, FL

2019 Membership Assembly

September 12-13, 2019

Mission Inn Resort

Howey in the Hills, FL

2020 - the goal is 10,000 nurses on boards nationally to increase nursing influence across the country.

Join us at the Mission Inn in 2019!

64


HIV testing is now part of

your routine health care as

recommended by the U.S. Centers

for Disease Control and Prevention

(CDC) in its 2006 Revised

Recommendations for HIV testing

and as provided for in Florida

Statute 381.004 (2)(a)1.

Separate informed consent for

HIV testing is no longer required

in health care settings. Patients

need only to be notified that the

HIV test is planned and that they

have the option to decline. When

patients opt out of HIV testing it

must be documented in the medical

record. Examples of notification

for opt-out HIV testing in health

care settings can include, but are

not limited to: information on HIV

testing in the general medical

consent; a patient brochure; exam

room signage; and/or verbally

notify the patient that an HIV test

will be performed.

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