The Wisconsin Nurse - October 2018
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
VOLUME 4 NUMBER 4<br />
<strong>October</strong> <strong>2018</strong><br />
<strong>The</strong> Official Publication of the <strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong>, in cooperation with<br />
the <strong>Wisconsin</strong> <strong>Nurse</strong>s Association. Delivered to you courtesy of the WNA membership.<br />
WNA Welcome<br />
By Linda Gobis<br />
Four <strong>Wisconsin</strong> representatives, Neal Cragg,<br />
Gail Hanson Brenner, Pam Sandberg and I,<br />
travelled to Washington, D.C. in June to attend<br />
ANA Hill Day and Membership Assembly. We<br />
joined representatives from 48 other states and<br />
multiple ANA organizational affiliates to advocate<br />
for nurses and discuss current issues facing<br />
nurses nationwide.<br />
Representative Paul Tonko from New York<br />
led off Hill Day with a briefing on the pending<br />
Addiction Treatment Access Improvement<br />
Act (i.e. opioid related package of bills) that<br />
was coming up for a vote in the U.S. House of<br />
Representatives the following day. He discussed<br />
the importance of APRNs being included in<br />
the types of providers authorized to prescribe<br />
medication-assisted treatment for opioid<br />
substance abuse disorder victims. Access to care<br />
in both rural areas and across specialties was also<br />
highlighted.<br />
We then traveled to Capitol Hill and visited the<br />
offices of Speaker Ryan, Senators Baldwin and<br />
Johnson and Representatives Kind, Pocan, and<br />
Gallagher. We talked with all legislators about<br />
the Addiction Treatment Access Improvement<br />
Act being voted on the following day and why<br />
care and treatment should not be limited to just<br />
physicians, but rather include APRNs such as<br />
NPs, CNMs, CRNAs and other advanced practice<br />
nurses. We were delighted when the House<br />
passed the opioid package of bills, including care<br />
and treatment by APRNs, the following day.<br />
While meeting with legislators and/or<br />
their staff we also discussed the importance<br />
of refunding Title VIII at the same or higher<br />
levels, the upcoming nursing faculty shortage<br />
and refunding CDC research related to gun<br />
safety and potential evidence-based patient<br />
interventions. Everyone was engaged, interested<br />
ANA <strong>2018</strong> Membership Assembly<br />
and supportive of these nursing issues.<br />
ANA Membership Assembly began the<br />
following day. All of us participated in three<br />
dialogue forums. <strong>The</strong> first was secondary opioid<br />
exposure considerations in caring for patients<br />
with overdose. i We discussed the overall impact<br />
of secondary exposure to chemical agents on<br />
nurses and other health care professionals<br />
while caring for patients suffering overdoses in<br />
emergency situations. A literature review related<br />
to nurses' occupational risk of exposure to illicit<br />
substances was presented along with scientific,<br />
evidence-related recommendations for personal<br />
protective equipment. Discussion centered on<br />
what the standards of care should be and how<br />
organizational policies should be reviewed and<br />
revised to protect nurses and other healthcare<br />
workers.<br />
<strong>The</strong> second dialogue forum addressed the<br />
ANA presidential endorsement process given<br />
the current political and electoral environment.<br />
ii<br />
Specifically, whether endorsement advances<br />
the ANA policy agenda and should be continued,<br />
or alternatively, other approaches (in lieu of<br />
endorsement) that could inform and educate<br />
ANA members about Presidential candidates.<br />
Discussion included lack of participation by<br />
Presidential candidates and lack of candidate<br />
recognition of ANA’s endorsement and/or<br />
financial support.<br />
<strong>The</strong> final dialogue forum was an ethics debate<br />
on the right to die. iii ANA’s position statement on<br />
“Euthanasia, Assisted Suicide and Aid in Dying”<br />
forbids any participation by nurses in aid in<br />
dying, even in states where it is legal. <strong>The</strong>refore,<br />
a re-evaluation of the position based on the<br />
societal changes and increased acceptance of aid<br />
in dying was deemed appropriate. Membership<br />
Assembly’s diverse input and feedback will be<br />
forwarded to the Ethics Advisory Board for future<br />
revisions to the position statement.<br />
Day two of Membership Assembly began with<br />
a Policy Café of small group discussions, such<br />
as work place violence and segmentation. An<br />
update on the Value Based Pricing Pilot was also<br />
presented in anticipation of the pilot ending in<br />
2019.<br />
WNA Welcome continued on page 4<br />
WNA President, Linda Gobis, provides remarks<br />
during the ANA Dialogue Forum topic, ANA<br />
Presidential Endorsement Process.<br />
current resident or<br />
Non-Profit Org.<br />
U.S. Postage Paid<br />
Princeton, MN<br />
Permit No. 14<br />
Membership ...............................2<br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates:<br />
Welcome New Members. ..................3<br />
Highlights of the WNA BOD Meeting. .......5<br />
WNA Membership to Consider Proposed<br />
Changes to the WNA Bylaws .............. 6-7<br />
WNA Announces the Establishment of the<br />
APRN Roundtable . . . . . . . . . . . . . . . . . . . . . . . . . 8<br />
WNA Presents Friends of Nursing Award to<br />
Sen. Devin Lemahieu ......................8<br />
Upcoming Conferences:<br />
WNA Dialogue Topics. ...................9-11<br />
Legislative Updates:. ....................... 12<br />
Mutual Interest Groups (MIGs) Updates:. ...13-14<br />
Mentorship Corner. ........................ 15<br />
Healthy <strong>Nurse</strong>. ............................ 16<br />
Million Hearts. ........................... 16<br />
<strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong>: ........... 18<br />
ANA Updates. ............................. 19
Page 2 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
Membership<br />
WNA/ANA Membership<br />
Activation Form<br />
Essential Information<br />
First Name/MI/Last Name<br />
Mailing Address Line 1<br />
Mailing Address Line 2<br />
City/State/Zip<br />
County<br />
Professional Information<br />
Employer<br />
Type of Work Setting: (eg: hospital)<br />
Practice Area: (eg: pediatrics)<br />
Ways to Pay<br />
Monthly Payment $15.00<br />
Credit Card<br />
JOIN<br />
TODAY!<br />
Checking Account Attach check for first month’s payment.<br />
Checking: I authorize monthly recurring electronic payments to the American <strong>Nurse</strong>s Association<br />
(“ANA”) from my checking account, which will be drafted on or after the 15th day of each month<br />
according to the terms and conditions below. Please enclose a check for the first month’s payment.<br />
<strong>The</strong> account designated by the enclosed check will be used for the recurring payments.<br />
Credit Card: I authorize monthly recurring electronic payments to the American <strong>Nurse</strong>s Association<br />
(“ANA”) be charged to my credit or debit card on or after the first of each month according to the<br />
terms and conditions below.<br />
JUST BECAUSE YOU<br />
RECEIVED THIS NEWSLETTER<br />
DOESN’T MEAN YOU’RE A<br />
MEMBER OF WNA.<br />
VISIT WWW.JOINANA.ORG OR<br />
COMPLETE THIS APPLICATION.<br />
Date of Birth<br />
Credentials<br />
Phone Number<br />
Email address<br />
Membership Dues (Price just reduced $15 monthly/ $174 annually)<br />
Credit Card Information<br />
WNA<br />
WISCONSIN NURSES ASSOCIATION<br />
Current Employment Status: (eg: full-time nurse)<br />
Current Position Title: (eg: staff nurse)<br />
Visa<br />
Gender: Male/Female<br />
Check preference: Home Work<br />
Required: What is your primary role in nursing (position description)?<br />
Clinical <strong>Nurse</strong>/Staff <strong>Nurse</strong><br />
<strong>Nurse</strong> Manager/<strong>Nurse</strong> Executive (including Director/CNO)<br />
<strong>Nurse</strong> Educator or Professor<br />
Not currently working in nursing<br />
Advanced Practice Registered <strong>Nurse</strong> (NP, CNS, CRNA)<br />
Other nursing position<br />
Dues: .......................................................................................$<br />
ANA-PAC Contribution (optional) ..................................$<br />
American <strong>Nurse</strong>s Foundation Contribution ..............$<br />
(optional)<br />
Total Dues and Contributions ..........................................$<br />
Mastercard<br />
AMEX<br />
Discover<br />
THE<br />
WISCONSIN<br />
NURSE<br />
WISCONSIN NURSES ASSOCIATION<br />
<strong>2018</strong> BOARD OF DIRECTORS<br />
Linda Gobis, President<br />
Elizabeth Markham, Vice President<br />
Pam Sanberg, Treasurer<br />
Julie Raaum, Secretary<br />
Stacy McNall, Director-at-Large<br />
Tiffany Barta, Director-at-Large<br />
Wendy Crary, Director-at-Large<br />
Nora Gosser, Staff <strong>Nurse</strong> Representative<br />
Lisa Pisney, APRN Representative<br />
WISCONSIN NURSES ASSOCIATION STAFF<br />
Gina Dennik-Champion, Executive Director<br />
Megan Leadholm, Associate Director<br />
Allison Champion, Membership &<br />
Communications Director<br />
Teresa Prattke, Education Program Coordinator<br />
NURSES FOUNDATION OF WISCONSIN<br />
BOARD OF DIRECTORS<br />
SueAnne TeStrake, President<br />
Pamela Macari Sanberg, Treasurer<br />
Jana Esden, Secretary<br />
Alex Hetzer, Director-at-Large<br />
Gina Fellenz, Director-at-Large<br />
Isabelle Garibaldi, Director-at-Large<br />
Jill Berg, Director-at-Large<br />
Laurie Radojevich, Director-at-Large<br />
Lindsey Lucero, Director-at-Large<br />
Rorey Pritchard, Director-at-Large<br />
THE WISCONSIN NURSE EDITORIAL STAFF<br />
SueAnne TeStrake, Executive Editor<br />
Gina Dennik-Champion, Deputy Executive Editor<br />
Allison Champion, Managing Editor<br />
CONTACT INFORMATION<br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association/<br />
<strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong><br />
2820 Walton Commons, Suite 136<br />
Madison, WI 53718<br />
info@wisconsinnurses.org<br />
www.wisconsinnurses.org – @wisconsinnurses<br />
Monthly Electronic Deduction | Payment Authorization Signature<br />
I understand that I may cancel this authorization by providing ANA written notice twenty (20) days<br />
prior to deduction. I understand that ANA will provide thirty (30) days written notice of any dues rate<br />
changes. I understand that my dues deductions will continue and my membership will auto-renew<br />
annually unless I cancel.<br />
Annual Payment $174.00<br />
Check<br />
Credit Card Number<br />
Authorization Signature<br />
Printed Name<br />
Expiration Date (MM/YY)<br />
Please note: $49 of your membership dues is for a subscription to American <strong>Nurse</strong><br />
Today. American <strong>Nurse</strong>s Association (ANA) membership dues are not deductible as charitable<br />
contributions for tax purposes, but may be deductible as a business expense. However, the percentage<br />
of dues used for lobbying by the ANA is not deductible as a business expense and changes each year.<br />
Please check with your State <strong>Nurse</strong>s Association for the correct amount.<br />
For assistance with your membership activation form, contact ANA’s Membership Billing Department at (800) 923-7709 or e-mail us at memberinfo@ana.org<br />
Online<br />
Join instantly at<br />
JoinANA.org<br />
Credit Card<br />
Mail<br />
ANA Customer & Member Billing<br />
PO Box 504345<br />
St. Louis, MO 63150-4345<br />
REGISTERED NURSES<br />
We have $15,000 sign on bonus for<br />
night shift RN’s.<br />
• Competitive compensation and Benefits packages<br />
• Educational Assistance<br />
• New grads welcome<br />
Please apply online at:<br />
www.lifecare-hospitals.com<br />
You may also contact: Stephanie Matter<br />
Human Resources at 262-524-2777 or<br />
Stephanie.Matter@lifecare-hospitals.com<br />
2400 Golf Road<br />
Pewaukee, WI 53072<br />
Phone<br />
1 (800) 923-7709<br />
We are<br />
Hiring!<br />
Fax<br />
(301) 628-5355<br />
RNs, LPNs, and CNAs<br />
Apply directly to our website<br />
www.brightstarcare.com/madison<br />
PRN, Contract, Full-time &<br />
Part-time opportunities<br />
available.<br />
608-441-8619<br />
Serving the following counties:<br />
Dane, Rock, Jefferson Walworth, Racine, Columbia<br />
American <strong>Nurse</strong>s Association<br />
8515 Georgia Avenue, Suite 400<br />
Silver Spring, MD 20910-3492<br />
memberinfo@ana.org – www.nursingworld.org<br />
<strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> is published quarterly every<br />
January, April, July and <strong>October</strong> by the Arthur L. Davis<br />
Publishing Agency, Inc. Subscriber rates are available,<br />
608-221-0383.<br />
For advertising rates and information, please contact<br />
Arthur L. Davis Publishing Agency, Inc., 517 Washington<br />
Street, PO Box 216, Cedar Falls, Iowa 50613. (800) 626-<br />
4081, sales@aldpub.com.<br />
NFW and the Arthur L. Davis Publishing Agency,<br />
Inc. reserve the right to reject any advertisement.<br />
Responsibility for errors in advertising is limited to<br />
corrections in the next issue or refund of price of<br />
advertisement.<br />
Acceptance of advertising does not imply<br />
endorsement or approval by the <strong>Nurse</strong>s Foundation of<br />
<strong>Wisconsin</strong> of the products advertised, the advertisers<br />
or the claims made. Rejection of an advertisement<br />
does not imply that a product offered for advertising is<br />
without merit, or that the manufacturer lacks integrity,<br />
or that this association disapproves of the product or its<br />
use. NFW and the Arthur L. Davis Publishing Agency,<br />
Inc. shall not be held liable for any consequences<br />
resulting from purchase or use of advertisers’ products.<br />
Articles appearing in this publication express the<br />
opinions of the authors; they do not necessarily reflect<br />
views of the staff, board, or membership of WNA, or<br />
those of the American <strong>Nurse</strong>s Association.
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 3<br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />
Welcome New WNA Members! 5/10/18 – 8/31/18<br />
Ross Acker<br />
Dawn Adams<br />
Nathaniel Agen<br />
Beth Agen<br />
Ruben Apgar<br />
Shawn Atkinson<br />
Alexia Augustine<br />
Briana Bain<br />
Bridgett Baltutis<br />
Stephanie Barman<br />
Mary Barman<br />
Jonathan Beck<br />
Holly Beede Mckinney<br />
Emily Benson<br />
Antonia Bertram<br />
Kelly Bina<br />
Jennifer Blinderman<br />
Jessica Bohn<br />
Sarah Bone<br />
Diane Brandt<br />
Sonya Brickner<br />
Elizabeth Brinkman<br />
Tracy Brock<br />
Julie Brockhus<br />
Amalia Brouillard<br />
Eve Brown<br />
Jodi Burany<br />
Maricel-May Cabatu<br />
Rochelle Carlson<br />
Nicole Casper<br />
Christine Churchill<br />
Janet Cismoski Martens<br />
Kathleen Clark<br />
Luke Cleghorn<br />
Kaylin Clemens<br />
Megan Colberg<br />
Frances Colon Ortiz<br />
Diana Cornelius<br />
Gretchen Cunliffe-Owen<br />
Kimberly Cunningham<br />
Amber Curtis<br />
Carenda Czirr<br />
Tambra Daniels<br />
Angie Danielski<br />
Douglas Davis<br />
Julia Day<br />
Halley Decker<br />
Tina Degroot<br />
Amber Demerath<br />
Ashley Dettman<br />
Catherine Dial<br />
Cari Dickhudt<br />
Cathy Duchow-Cross<br />
Susann Eigenfeld<br />
Tammie Ellingson<br />
Sandra Eppers<br />
Sarah Ernst<br />
Linda Faris<br />
Shari Fehrenbach<br />
Katherine Fettig<br />
Allyson Ford<br />
Robert Fox<br />
Shelby Frederick<br />
Margaret Frittitta<br />
Daylis Garcia Ramos<br />
Caryn Gaskell<br />
Elizabeth Gastineau<br />
Dawn Gebhart<br />
Michelle Gissing<br />
Stacey Glover<br />
Jamie Gohde<br />
Maria Gonzalez<br />
Melinda Goodrich<br />
Melanie Gray<br />
Sharon Green<br />
Linda Haen<br />
Sandra Hagenbucher<br />
Kristin Haglund<br />
Stephanie Hammond<br />
Katlyn Hansen<br />
Keeley Hayes<br />
Aimee Herron<br />
Jodie Hickman<br />
Patti Hierl<br />
Deborah Hoffman<br />
Jennifer Hofschild<br />
Benjamin Holstine<br />
Norma Hughes<br />
Karen Hunt<br />
Jenny Hynek<br />
Ehab Innab<br />
Jonathan Iserloth<br />
Stephanie Jaskolski<br />
Donna Johnson<br />
Tammie Jonas-Marsland<br />
Majidah Kattan<br />
Amanda King<br />
Salena Knight<br />
Pamela Konrath<br />
Natty Kranz<br />
Nancy Kriofsky<br />
Nora Krueger<br />
Kirsten Krueger<br />
Kelly Kruse Nelles<br />
Mackenzee Kuczmarski<br />
Kelli Kulpa<br />
Carly Kurth<br />
Angela Lang<br />
Jennifer Langer<br />
Laura Langford<br />
Paula Lauer<br />
Maikongte Lee<br />
Elizabeth Leis<br />
Shelly Lemm<br />
Kristen Lively<br />
Amy Maass<br />
Kimberly Macaulay<br />
Karen Magler<br />
Constance Malewicki<br />
Julie Mayer<br />
Julia McBee<br />
Eric McGaughy<br />
Cheryl McGraw<br />
Jenni Mincoff<br />
Megan Moede<br />
Leslie Moen<br />
Dawn Montemurro<br />
Elise Mossallati<br />
Jorja Mueller<br />
Carol Muhammad<br />
Amy Murdoch<br />
Pamela Myhre<br />
Becky Nelson<br />
Brenda Nolen<br />
Carla O’Keefe<br />
Katherine Olson<br />
Mary Ouimet<br />
Alyssa Overbeck<br />
Tanya Overlien<br />
Patricia Padjen<br />
Terri Parr<br />
Amy Paudler<br />
Heather Pearson<br />
Cynthia Phillips<br />
<strong>The</strong>rese Pingatore<br />
Katlyn Pinter<br />
Reeva Pittz<br />
Whitney Pitzlin<br />
Angela Pomerenke<br />
Brianne Porter<br />
Melissa Potaczek<br />
Kellie Prince<br />
Amy Raygo<br />
Rhonda Repinski<br />
Madison Rice<br />
Deann Richards<br />
Naomi Roberts<br />
Laura Roberts<br />
Barbara Rogness<br />
Mireia Rowland<br />
Ashley Ruiz<br />
Marcus Rumphol<br />
Andrea Rupprecht<br />
Jessica Saladino<br />
Cherie Salsbury<br />
Hannah Sanchez<br />
Krystal Schneider<br />
Paul Schoenherr<br />
Kim Schoof<br />
Sarah Seifert<br />
Emily Siegrist<br />
Cathey Sloane<br />
Lauren Snyder<br />
Christine Somberg<br />
Patricia Sonnenburg<br />
Fadil Spahiu<br />
Nikki Spangle<br />
Jennifer Special<br />
Mary Spernoga<br />
Elizabeth Stille<br />
Tiffany Stoltz<br />
Heather Strand<br />
Stephanie Stroud<br />
Katherine Suhling<br />
Rebecca Swenson<br />
Keli Syse<br />
Cheryl Taylor<br />
Joy Teelin<br />
Margaret <strong>The</strong>w<br />
Natasha Todd<br />
Gretchen Tolsma<br />
Catherine Van Schyndle<br />
Deborah Vande Zande<br />
Adam Vinz<br />
Katie Vogel<br />
Karla Vosberg<br />
Jennifer Wachs<br />
Nicole Walker<br />
Catherine Washburn<br />
Joellyn Weibel<br />
Cheryl Welch<br />
Melissa Wendt-Trochinski<br />
Patricia Wilhelme<br />
Darlene Wilkey<br />
Mary Jane Williams<br />
Andrea Wipperfurth<br />
Casie Wodzien<br />
Linda Wohlgemuth<br />
Emily Wohling<br />
Melissa Wojtkowski<br />
Stephanie Wynn<br />
Terry Zacharias<br />
Michelle Zapinski<br />
Melissa Zar<br />
Emily Zenda
Page 4 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
WNA Welcome continued from page 1<br />
Lunch discussions included 1) effects of climate control on health, 2)<br />
safe patient handling and mobility, 3) emerging innovations in nursing<br />
practice, 4) understanding segmentation and 5) barriers to reporting<br />
violence and abuse. <strong>The</strong> <strong>Wisconsin</strong> representatives attended different<br />
lunches.<br />
I attended the innovation presentation by ANA staff member Bonnie<br />
Clipper. In short, we learned how technology is impacting current nursing<br />
care and new approaches under development. For example, various types<br />
of health care robots are in use across the globe. Japan utilizes service<br />
robots, such as RIBA II, to do safe patient handling. A California health<br />
system uses robots to deliver medications to patients and help nurses<br />
find supplies. Robots also escort patients to appointments and with the<br />
aid of facial recognition escort the same patients back to where they<br />
were picked up. Artificial intelligence is being used to teach robots and<br />
machines simple tasks, and predictive analytics assists providers, such as<br />
Oncologists, in selecting the best treatment or medication for a specific<br />
patient using clinical trial big data. Virtual inpatient care via telemedicine<br />
saves physician trips to the hospital in the middle of the night and<br />
nurses walking to patient rooms to ask questions or do patient teaching.<br />
Wearables are being used for continuous patient monitoring and sending<br />
data to the patient's provider for medication and treatment adjustments.<br />
Drones are currently being developed to deliver meds to home bound<br />
patients, deliver organs for organ transplant and deliver AEDs for 911 calls.<br />
Driverless vehicles are being introduced by care manufacturers in 2019.<br />
<strong>The</strong>y could be used to increase access to health care for disabled patients<br />
or elderly who are no longer safe to drive.<br />
Because of the improved technology, new models of health care are<br />
emerging. For example, medical care that is available 24/7. <strong>The</strong> speaker<br />
indicated that 76% of consumers believe access and convenience are<br />
superior with telemedicine, as opposed to face to face ED, urgent care and<br />
clinic visits. Patients are also embracing team based care by non-physician<br />
providers. Imagine a world where different technologies are connected.<br />
For example, using artificial intelligence, robots and wearables together to<br />
monitor patient data and provide care. Alternatively, using the electronic<br />
medical record and predictive analytics together. <strong>The</strong> sky is the limit,<br />
however, maintaining the human connection is also imperative!<br />
“Uber” work styles are also predicted to influence nursing care in the<br />
near future. iv <strong>Nurse</strong>s interested in this model can build an online profile<br />
containing their credentials, licensing and certification information. After<br />
registering with a hospital or health care company, the nurse sets his or<br />
her own schedule. Patients then post a task (e.g. dressing change) they<br />
need done, the nurse accepts the task and negotiates the cost/pay with the<br />
patient. By stringing tasks together, the nurse develops a personal schedule<br />
of how much or little he or she wants to work. A Yelp app could also be<br />
used to rate nursing care provided.<br />
If you are interested in learning more about these innovations, several<br />
You Tube videos are available, such as Sophia Awakens v and RIBA II<br />
care support robot for lifting patients. vi ANA is also recommending that<br />
technology and innovation be added to baccalaureate nursing curriculums<br />
so students are familiar with the concepts and do not have to learn “on<br />
the job.” <strong>The</strong> speaker recommended the book “Robot Proof” by Joseph<br />
E. Aoun vii to nursing faculty interested in curricular revisions related to<br />
technology and innovation.<br />
Membership Assembly closed with the announcement of newly elected<br />
officers. Ernest Grant was elected ANA President and Stephanie Pierce was<br />
elected Secretary, along with several Directors at Large. Complete election<br />
results are available on the ANA website.<br />
i<br />
American <strong>Nurse</strong>s Association. (<strong>2018</strong>). Dialogue forum #1: Secondary opioid<br />
exposure considerations in caring for patients with overdose. Silver<br />
Spring, MD: author.<br />
ii<br />
American <strong>Nurse</strong>s Association. (<strong>2018</strong>). Dialogue Forum #2: ANA presidential<br />
endorsement process. Silver Spring, MD: author.<br />
iii<br />
American <strong>Nurse</strong>s Association. (<strong>2018</strong>). Dialogue Forum #3: An ethics debate: <strong>The</strong><br />
right to die. Silver Spring, MD: author.<br />
iv<br />
Uber Technologies, Inc. (<strong>2018</strong>). Drive with Uber, earn money on your schedule.<br />
Retrieved from https://www.youtube.com/watch?v=wOzw71j4b78<br />
v<br />
Buga, S. (2017, July 25). Sophia Robot video. Available from https://www.youtube.<br />
com/watch?v=tliMcESLbxQ<br />
vi<br />
Ikinamo. (2011, <strong>October</strong> 24). RIBA II care support robot for lifting patients video.<br />
Available from https://www.youtube.com/watch?v=wOzw71j4b78<br />
vii<br />
Aoun, J. (2017). Robot-Proof: Higher education in the age of artificial intelligence.<br />
Cambridge, MA: MIT Press.<br />
<strong>Wisconsin</strong> Representatives to the ANA Membership Assembly<br />
meeting with Senator Baldwin’s staff.<br />
WNA Member and member of ANA’s Ethics and Human Rights Advisory<br />
Board, Kathryn Schroeter, engages the Dialogue Forum participants on<br />
the topic, An Ethics Debate: <strong>The</strong> Right to Die<br />
(L-R) Pam Sanberg, Gail Hanson-Brenner, Linda Gobis,<br />
Representative Mike Gallagher, Gina Dennik-Champion, and Neal Cragg
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 5<br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />
Highlights of the July 20, <strong>2018</strong><br />
WNA Board of Directors Meeting<br />
<strong>The</strong> WNA Board of Directors met at the WNA Office and virtually. <strong>The</strong><br />
following members were present:<br />
Officers: Linda Gobis, President; Beth Markham, Vice President; Julie<br />
Raaum, Secretary; Pam Macari Sanberg, Treasurer. Directors-at-large: Nora<br />
Grosser, Staff <strong>Nurse</strong> Representative; Lisa Pisney, APRN Representative.<br />
Excused: Wendy Crary and Stacy McNall. Absent: Tiffany Barta. WNA Staff:<br />
Gina Dennik-Champion, Executive Director; Megan Leadholm, Associate<br />
Director; and Allison Champion, Communication and Membership Director.<br />
Guest: Amber Demerath, Precepted UW-Oshkosh BSN Completion Student.<br />
<strong>The</strong> meeting highlights are as follows:<br />
1. Accepted reports submitted by WNA President, Vice President,<br />
Treasurer and Executive Director.<br />
2. Approved the minutes of the May 18, <strong>2018</strong> WNA Board of Directors<br />
meeting and the June 18, <strong>2018</strong> Executive Committee meeting.<br />
3. Approved appointments for the following: WNA Personnel Committee:<br />
Lea Acord, Pam Macari Sanberg and Carolyn Krause and for the WNA<br />
Finance Committee: Patricia Borgman.<br />
4. Approved revision to the following WNA Policies and Procedures: WNA<br />
Accounting and Financial Policies and Procedures, WNA Awards and,<br />
WNA Professional Policy Development.<br />
5. Approved the report and the recommendations of the WNA Task Force<br />
on the development of an Organizational Affiliate structure within<br />
WNA that include: forwarding to the WNA Bylaws Committee proposed<br />
language that addresses the creation of an Organizational Affiliate<br />
structure and develop the content and the presentation materials for<br />
the <strong>October</strong> 26, <strong>2018</strong> WNA Dialogue Forum.<br />
6. Approved the development of a <strong>Nurse</strong> Practitioner Mutual Interest<br />
Group and their Memorandum of Understanding. Dissolved the APRN<br />
Forum Mutual Interest Group.<br />
7. Approved the development of a WNA APRN Roundtable that will be cochaired<br />
by the WNA elected APRN Representative to the WNA Board of<br />
Directors and the WNA NP Forum MIG President.<br />
8. Approved forwarding of three topics to the WNA Professional Policy<br />
Committee who will assume responsibility for the process regarding the<br />
presentation and discussion at the <strong>October</strong> 26, <strong>2018</strong> WNA Membership<br />
Assembly Dialogue Forum. <strong>The</strong> three topics are: Creation of an<br />
Organizational Affiliate Structure within WNA, WNA's Commitment to<br />
Mentorship for Newly Graduated <strong>Nurse</strong>s, and <strong>Nurse</strong>s and the Opioid<br />
Epidemic.<br />
9. Received an update on the ANA Pilot Membership Project as it relates<br />
to WNA membership data from Steve Fox, ANA Vice President of<br />
Membership and Constituent Relations.<br />
10. Received an update on the status of WNA Award Committee<br />
nominations and WNA Nominations Committee <strong>2018</strong> elections process,<br />
11. Participated in a WNA Grant-related project presentation from UW-<br />
Oshkosh, BSN Completion Student, Amber Demerath, on the topic of<br />
nursing knowledge gaps related to cholesterol and hyperlipidemia. This<br />
presentation will include a pre and post quiz and will be available to the<br />
nursing community as an on-demand webinar.<br />
WNA Membership Assembly Meeting<br />
to Provide Opportunity to Discuss<br />
Nursing Practice, Policy, Workforce,<br />
Education and Leadership Topics<br />
One of the benefits of WNA membership is to meet annually to discuss<br />
relevant issues and topics that support nursing practice, policy, workforce,<br />
education and leadership. This is an invitation to you the WNA member to join<br />
us at WNA’s Membership Assembly. <strong>The</strong> Membership Assembly meeting is<br />
scheduled from Friday, <strong>October</strong> 26 until 12:00 noon on Saturday <strong>October</strong> 27,<br />
<strong>2018</strong>. <strong>The</strong> meeting will be held at the Best Western Premier Park Hotel located<br />
in downtown Madison. <strong>The</strong> activities for each day are as follows:<br />
Friday <strong>October</strong> 26<br />
8:00 am – 12:00 WNA Dialogue Forum. Members will be informed<br />
and provide feedback on three topics.<br />
#1 - Promoting Membership as a WNA Organizational<br />
Affiliate.<br />
#2 - WNA’s Commitment to Mentoring of New<br />
Graduates of Nursing Programs;<br />
#3 - <strong>The</strong> Opioid Epidemic in <strong>Wisconsin</strong>: Identifying<br />
WNA’s Role.<br />
<strong>The</strong>se Dialogue Forum proposals can be found in this<br />
issue of <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> and on the WNA website.<br />
1:00 – 4:30 Session offerings. Participants will have the<br />
opportunity to attend one of the following sessions:<br />
<strong>Nurse</strong>s’ Role in Climate Change and Health Impacts –<br />
sponsored by WNA’s <strong>Wisconsin</strong> Environmental Health<br />
<strong>Nurse</strong>s Mutual Interest Group<br />
WNA’s Priorities for the Legislative Biennium –<br />
sponsored by WNA’s Public Policy Council<br />
More information regarding these two sessions can<br />
be found on the WNA website.<br />
Saturday <strong>October</strong> 27<br />
8:15 Morning session. <strong>Wisconsin</strong> Politics Today: Focus on<br />
the Elections<br />
9:00 <strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong> Nightingale Tribute.<br />
Please forward the name of nurses that passed away<br />
this year to WNA.<br />
9:00 WNA Annual Meeting. Agenda items to include<br />
approval of proposed WNA Bylaws, approval of<br />
recommendations generated from the <strong>October</strong> 26<br />
Dialogue Forum, update on the 2017 Professional Policy<br />
recommendations on Mandatory Continuing Education<br />
for <strong>Nurse</strong>s as a Condition of License Renewal and<br />
announcement of <strong>2018</strong> WNA Election winners.<br />
12:00 Adjournment<br />
Nominations are now being accepted for a variety of leadership positions<br />
that are available for the <strong>2018</strong> WNA Elections.<br />
<strong>The</strong> elected leadership positions include:<br />
• Board of Directors – Vice President<br />
• Board of Directors – Secretary<br />
• Board of Directors – Staff <strong>Nurse</strong> Representative<br />
• Board of Directors – Director-at-Large<br />
• Tri-Council – 3 positions<br />
• Public Policy Council – 3 positions<br />
• Workforce Advocacy Council – 3 positions<br />
• Nominating Committee – 3 positions<br />
Fill out the Consent to Run Form<br />
www.cognitoforms.com/<strong>Wisconsin</strong><strong>Nurse</strong>sAssociation/_<strong>2018</strong>WNAConsentT<br />
oRunForElectedPositon<br />
Deadline to Complete Form: Wednesday, September 12, <strong>2018</strong>!!!
Page 6 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />
WNA Membership to Consider Proposed<br />
Changes to the WNA Bylaws<br />
<strong>The</strong> WNA Bylaw Committee received two requests for Bylaw changes from the WNA Board of Directors and the WNA Nominations Committee. <strong>The</strong>se<br />
proposals were reviewed and approved by the Bylaws Committee to forward to the WNA membership for consideration. <strong>The</strong> WNA members will have the<br />
opportunity to vote on the proposed changes at the Saturday <strong>October</strong> 26, <strong>2018</strong> WNA Annual Meeting. <strong>The</strong>re are two sections of the bylaws that are to be<br />
amended. <strong>The</strong> first is the addition of a new Article, Organizational Affiliates and the second is in Article XI – Nominations and Elections which describes how<br />
vacancies on the Nominations Committee are to be filled.<br />
<strong>The</strong> matrix below provides the current WNA Bylaw Article, the proposed language and the rationale.<br />
Current WNA Bylaw Proposed language Rationale<br />
ARTICLE II - MEMBERSHIP AND DUES<br />
ARTICLE III - MEETINGS OF THE MEMBERSHIP<br />
Insert a new ARTICLE III – ORGANIZATIONAL AFFILIATES<br />
Section 1. An organizational affiliate of WNA is an association that:<br />
A. Is a nursing or health related organization that has a mission<br />
and purpose harmonious with WNA, has a governing body<br />
composed of a majority of registered nurses, and who meets<br />
criteria established by the WNA Board of Directors;<br />
B. Has been granted organizational affiliate status by the WNA<br />
Board of Directors; and<br />
C. Has paid an annual organizational affiliation fee to WNA.<br />
Section 2. Rights<br />
A. Each organizational affiliate shall be entitled to:<br />
1. One representative vote on WNA Annual Membership<br />
Meeting action items providing:<br />
a. Representative is a Registered <strong>Nurse</strong><br />
b. Votes on non-governance related items.<br />
c. This does not prohibit voting on governance related items<br />
if the representative is a WNA member.<br />
2. Submit Annual Report or make reports or presentations to<br />
the WNA Annual Membership Meeting within its area of<br />
expertise; and<br />
3. Submit the names of representatives qualified for<br />
appointment to ad hoc groups, task forces, and committees<br />
Section 3. Responsibilities<br />
Each organizational affiliate shall maintain a mission and purpose<br />
harmonious with the purposes and functions of WNA.<br />
Section 4. Disqualification<br />
Any organizational affiliate which fails to maintain qualifications<br />
stated in Section 1. or who fails to support the WNA mission and<br />
policies may be disqualified by a two-thirds vote of the Board of<br />
Directors.<br />
Due notice must be given to the affiliate and its members at least<br />
three months before the vote is taken.<br />
<strong>The</strong> organizational affiliate shall have the opportunity for a hearing<br />
with the WNA Board within said three-month period.<br />
Adds a new article to the WNA Bylaws<br />
that provides a different type of<br />
membership within WNA.<br />
<strong>The</strong> benefits for having an<br />
Organizational Affiliate structure as<br />
part of WNA is as follows:<br />
WNA and like-minded nursing<br />
associations will have an opportunity<br />
to identify emerging trends and<br />
issues that impact nursing practice,<br />
education, workforce, policy,<br />
leadership and patient access to quality<br />
nursing care.<br />
Provide a collective, unified and proactive<br />
voice in responding to emerging<br />
trends.<br />
Provide another revenue stream to<br />
support WNA goals.<br />
Provide for greater numbers of WNA<br />
members.<br />
Provides greater visibility of WNA’s<br />
mission, goals, activities and work<br />
products.<br />
ARTICLE III - MEETINGS OF THE MEMBERSHIP<br />
ARTICLE IV – OFFICERS<br />
ARTICLE V - BOARD OF DIRECTORS<br />
ARTICLE VI - EXECUTIVE COMMITTEE<br />
ARTICLE VII - CHIEF EXECUTIVE<br />
ARTICLE VIII – COORDINATING CABINET<br />
ARTICLE IX – COUNCILS<br />
ARTICLE X - STANDING COMMITTEES of the<br />
Board<br />
ARTICLE XI - NOMINATIONS AND ELECTIONS<br />
ARTICLE XII – MUTUAL INTEREST GROUPS<br />
(MIG)<br />
ARTICLE XIII – RAPID RESPONSE UNIT<br />
ARTICLE XIV - PARLIAMENTARY AUTHORITY<br />
ARTICLE XV- AMENDMENTS<br />
Section 5. Reinstatement<br />
Any organizational affiliate which has been disqualified may be<br />
reinstated by a two-thirds vote of the WNA Board.<br />
Reorder all of the following articles to reflect the addition of a new<br />
ARTICLE III.<br />
ARTICLE IV - MEETINGS OF THE MEMBERSHIP<br />
ARTICLE V – OFFICERS<br />
ARTICLE VI - BOARD OF DIRECTORS<br />
ARTICLE VII - EXECUTIVE COMMITTEE<br />
ARTICLE VIII - CHIEF EXECUTIVE<br />
ARTICLE IX – COORDINATING CABINET<br />
ARTICLE X – COUNCILS<br />
ARTICLE XI- STANDING COMMITTEES of the BOARD<br />
ARTICLE XII - NOMINATIONS AND ELECTIONS<br />
ARTICLE XIII – MUTUAL INTEREST GROUPS (MIG)<br />
ARTICLE XIV – RAPID RESPONSE UNIT<br />
ARTICLE XV - PARLIAMENTARY AUTHORITY<br />
ARTICLE XVI- AMENDMENTS<br />
A new Article “Organizational<br />
Affiliates” has been inserted after<br />
Article II.<br />
<strong>The</strong>re must be instructions in the<br />
proposed language that the current<br />
language in the Bylaws remains, but<br />
the Articles need to be renumbered.<br />
<strong>The</strong>re is language contained in some<br />
of the Articles that refer to a specific<br />
article and/or section. <strong>The</strong> reference<br />
to these sections needs to be edited<br />
to make sure the correct citation<br />
is accurate. For example: In the<br />
Nominations and Elections Section 5 A.<br />
refer to Article IV, Section 3.A.2. This<br />
will need to be changed to Article V,<br />
Section 3.A.s.
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 7<br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />
Current Proposed Rationale<br />
ARTICLE XI - NOMINATIONS AND ELECTIONS<br />
Section 1. <strong>The</strong> WNA Nominating Committee<br />
provides nominees for Officers, Board of<br />
Directors, Councils and Committees for whom<br />
the member can elect.<br />
Section 2. <strong>The</strong> Nominating Committee is<br />
composed of six members all of whom have been<br />
elected by the members.<br />
Section 3. Meetings can take place in-person or<br />
electronically.<br />
Section.4. Nominations<br />
A. In even numbered years the Nominating<br />
Committee shall present a slate of candidates<br />
for Vice President, Secretary, three (3)<br />
Directors one of whom is a Staff <strong>Nurse</strong>, 3<br />
members of each Council, and 3 Nominating<br />
Committee Members,<br />
B. In odd numbered years the Nominating<br />
Committee shall present a slate of candidates<br />
for President (and ANA Membership Assembly<br />
Representative as President), Treasurer, two (2)<br />
Directors one of whom is an Advanced Practice<br />
Registered <strong>Nurse</strong>, three (3) members of each<br />
Council, three (3) Nominating Committee<br />
Members; and WNA representatives and<br />
alternates to the ANA Membership Assembly<br />
the number of whom will be based on the ANA<br />
Membership Assembly Apportionment Policy.<br />
Membership Assembly representatives shall be<br />
elected for a two-year term or until a successor<br />
is elected.<br />
C. Ballots shall be constructed to provide for<br />
write-in candidates.<br />
D. <strong>The</strong> ballot shall indicate that the President is<br />
concurrently a candidate for ANA Membership<br />
Assembly, to serve a 2-year term concurrent<br />
with serving as WNA President.<br />
ARTICLE XI - NOMINATIONS AND ELECTIONS<br />
Section 1. <strong>The</strong> WNA Nominating Committee provides nominees<br />
for Officers, Board of Directors, Councils and Committees for<br />
whom the member can elect.<br />
Section 2. <strong>The</strong> Nominating Committee is composed of six<br />
members all of whom have been elected by the members.<br />
Section 3. Meetings can take place in-person or electronically.<br />
Section. 4. Nominations<br />
A. In even numbered years the Nominating Committee shall<br />
present a slate of candidates for Vice President, Secretary, three<br />
(3) Directors one of whom is a Staff <strong>Nurse</strong>, 3 members of each<br />
Council, and 3 Nominating Committee Members,<br />
B. In odd numbered years the Nominating Committee shall<br />
present a slate of candidates for President (and ANA<br />
Membership Assembly Representative as President), Treasurer,<br />
two (2) Directors one of whom is an Advanced Practice<br />
Registered <strong>Nurse</strong>, three (3) members of each Council, three (3)<br />
Nominating Committee Members; and WNA representatives<br />
and alternates to the ANA Membership Assembly the number<br />
of whom will be based on the ANA Membership Assembly<br />
Apportionment Policy. Membership Assembly representatives<br />
shall be elected for a two-year term or until a successor is<br />
elected.<br />
C. Ballots shall be constructed to provide for write-in candidates.<br />
D. <strong>The</strong> ballot shall indicate that the President is concurrently a<br />
candidate for ANA Membership Assembly, to serve a 2-year<br />
term concurrent with serving as WNA President.<br />
Section 5. Vacancies<br />
1. Nominating Committee Vacancies shall be filled using the list<br />
of candidates who were listed on the ballot for a Nominating<br />
Committee position but not elected. <strong>The</strong> candidate with<br />
highest number of votes after the first three elected committee<br />
members will fill the position.<br />
2. <strong>The</strong> Nominating Committee may appoint a member to fill the<br />
vacant position if the Committee is unable to fill the position<br />
using the above procedure<br />
<strong>The</strong> WNA Nominations Committee<br />
is viewed as a Committee of the<br />
Membership. All other Committees are<br />
viewed as Committees of the Board of<br />
Directors. <strong>The</strong> WNA Board of Directors<br />
has the authority to fill vacancies on<br />
Committees of the Board.<br />
It was identified by the Nominations<br />
Committee that the filling of vacancies<br />
on the Nominations Committee should<br />
not be within the preview of the WNA<br />
Board but rather remain with the<br />
Nominations Committee.<br />
<strong>The</strong> proposed Bylaws clarify how<br />
vacancies on the Nominations<br />
Committee are to be filled.<br />
Section 5. Elections<br />
A. Elections shall be held no more than 90 days<br />
and not less than 30 days prior to the annual<br />
meeting of the WNA membership, or as<br />
addressed in Article IV, Section 3 A.2.<br />
B. All voting shall be by secret mail ballot or<br />
electronic means. A plurality vote elects. In the<br />
case of a tie, lot shall decide the election.<br />
Section 6. 5. Elections<br />
A. Elections shall be held no more than 90 days and not less than<br />
30 days prior to the annual meeting of the WNA membership, or<br />
as addressed in Article IV, Section 3 A.2.<br />
B. All voting shall be by secret mail ballot or electronic means.<br />
A plurality vote elects. In the case of a tie, lot shall decide the<br />
election.<br />
For more information or if you have questions<br />
for the Bylaws Committee please contact WNA<br />
Communications and Membership Director, Allison<br />
Champion, allison@wisconisnurses.org<br />
Members of the Bylaw Committee are as follows:<br />
Marie Garwood, Chair<br />
Lea Acord<br />
Pat Borgman<br />
Anna John Resident Center<br />
Care Community<br />
Now hiring for various positions:<br />
CNA’s, RN’s, and<br />
Dietary Aide/Cook’s<br />
We offer full-time, part-time,<br />
half-time and sub relief positions<br />
as well as a competitive salary<br />
with great benefits.<br />
Check out our job postings today!<br />
www.oneida-nsn.gov<br />
MATC NOW HIRING:<br />
Full & Part Time Nursing Instructor Positions<br />
RN and CNA Programs<br />
Please apply online at<br />
https://www.governmentjobs.com/careers/matc<br />
Health Care Informatics<br />
Enhance your nursing expertise<br />
with the knowledge of health information<br />
technologies and data analytics to:<br />
• Efficiently manage and communicate health information<br />
• Leverage the full potential of electronic health records<br />
• Make more informed decisions using clinical decision<br />
support systems<br />
• Employ technologies that can predict patient problems<br />
and outcomes<br />
• Improve the quality of health care through automation<br />
Choose the program that is right for you to join<br />
this fast-growing field of Health Care Informatics:<br />
• Master of Science in Health Care Informatics<br />
• Certificate in Health Care Informatics<br />
Programs designed for both full-time and part-time students.<br />
Mid-career professionals can use the fully online option for<br />
completing the MS degree.<br />
uwm.edu/healthsciences/academics/masters-health-care-informatics/<br />
uwm.edu/healthsciences/academics/certificate-in-health-care-informatics/
Page 8 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />
WNA Presents Friends of Nursing Award to<br />
Senator Devin LeMahieu (Senate District 9)<br />
WNA Announces the<br />
Establishment of the<br />
APRN Roundtable<br />
<strong>The</strong> WNA Board of Directors is pleased<br />
to announce the establishment of the APRN<br />
Roundtable. <strong>The</strong> purpose of the APRN Roundtable<br />
is to bring together APRN associations that<br />
include CRNAs, CNSs and CNMs, NP specialty<br />
associations, regional groups, employers of APRNs,<br />
universities/colleges of APRN education, other<br />
nursing associations and consumer groups that are<br />
supportive of the APRN role.<br />
<strong>The</strong> WNA APRN Roundtable members will<br />
meet to identify emerging issues related to<br />
APRN practice, workplace, education, policy and<br />
leadership from across the state and determine if<br />
collective action is needed. <strong>The</strong> meetings will also<br />
work to develop improved lines of communication<br />
among the members.<br />
<strong>The</strong> WNA APRN Roundtable will be cochaired<br />
by the WNA Board of Directors APRN<br />
Representative and the President of WNA’s NP<br />
Forum Mutual Interest Group. <strong>The</strong>re will be an<br />
informational meeting on Thursday September 13,<br />
<strong>2018</strong> from 4:00 pm – 6:00 pm at the Glacier Canyon<br />
Conference Center, <strong>Wisconsin</strong> Dells.<br />
More information on membership can be found<br />
on WNA’s website.<br />
Group Health Cooperative of<br />
South Central <strong>Wisconsin</strong> (GHC-SCW),<br />
Madison, WI, is seeking an Advanced Practice <strong>Nurse</strong> Prescriber (APNP)<br />
<strong>The</strong> APNP provides outpatient mental health and psychiatric<br />
assessment, treatment, education and consultation services to<br />
patients seen in the Mental Health Department.<br />
QUALIFICATIONS<br />
Valid WI license to practice as a RN and<br />
valid WI APNP certification.<br />
Pictured left to right: UW Eau Claire Senior Nursing Student, Kristin Brunsell,<br />
Senator Devin LeMahieu, and WNA Executive Director, Gina Dennik-Champion<br />
(Madison, WI) – <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong>s<br />
Association presented Senator Devin LeMahieu of<br />
the 9th Senate District, Oostburg the <strong>2018</strong> WNA<br />
“Friend of Nursing” Award. LeMahieu was the<br />
lead sponsor of this biennium’s Advanced Practice<br />
Registered <strong>Nurse</strong> Modernization Act Legislation,<br />
SB 497. <strong>The</strong> proposed legislation created licensure<br />
for the four categories of advanced practice<br />
registered nurses: Certified <strong>Nurse</strong> Midwives,<br />
Certified Registered <strong>Nurse</strong> Anesthetists, Clinical<br />
<strong>Nurse</strong> Specialists, and <strong>Nurse</strong> Practitioners. He<br />
also supported the <strong>Nurse</strong> Licensure Compact Bill,<br />
SB 417 that allows for nurses residing outside the<br />
state of <strong>Wisconsin</strong> to practice in <strong>Wisconsin</strong> using<br />
their RN license from their home state. This creates<br />
increased access to RN care and services for<br />
<strong>Wisconsin</strong>’s patients.<br />
“We are so appreciative of the efforts of Senator<br />
LeMahieu in sponsoring our legislation. <strong>Wisconsin</strong><br />
is one of the first states to recognize the critical<br />
role of APRNs in providing access to timely, quality<br />
and safe patient care. Over the past twenty years<br />
<strong>Wisconsin</strong> has fallen behind other states in further<br />
clarifying the responsibility and accountability of<br />
the APRN role. This is why our statutes need to<br />
be modernized,” states Linda Gobis, RN, MN, JD,<br />
President of the <strong>Wisconsin</strong> <strong>Nurse</strong>s Association.<br />
“As an Advanced Practice Registered <strong>Nurse</strong>,<br />
I appreciate Senator LeMahieu’s support of our<br />
practice, his recognition of our graduate level of<br />
nursing education, and his understanding of what<br />
we bring to the health care setting and to our patient<br />
populations,” states Tina Bettin, RN, DNP, APNP,<br />
President of WNA’s <strong>Nurse</strong> Practitioner Forum.<br />
According to the 2016 RN Workforce there<br />
are 4,360 Advanced Practice Registered <strong>Nurse</strong>s<br />
practicing in <strong>Wisconsin</strong>. <strong>The</strong>y comprise 6.9<br />
percent of the total RN workforce. <strong>The</strong> demand for<br />
Advanced Practice Registered <strong>Nurse</strong>s in <strong>Wisconsin</strong><br />
is increasing. <strong>The</strong>y are viewed as key members<br />
of the health care delivery system, particularly in<br />
those areas of the state where there are physician<br />
shortages. <strong>The</strong>y demonstrate high levels of quality<br />
outcomes and patient satisfaction.<br />
To access electronic copies of the<br />
<strong>Wisconsin</strong> <strong>Nurse</strong>, please visit<br />
http://www.nursingald.com/publications<br />
Certification by the State of WI Medicaid/Health<br />
Forward program as an APNP and possession of<br />
a National Provider Identifier (NPI Number) for<br />
health care providers.<br />
Current, national certification as a <strong>Nurse</strong><br />
Practitioner or Clinical <strong>Nurse</strong> Specialist in<br />
psychiatric or mental health nursing. Certifying<br />
agency must be approved by the State of WI.<br />
A minimum of 3 years of experience in<br />
psychiatric/mental health nursing, including<br />
prescribing, preferred. Previous experience in<br />
managing emergency situations.<br />
To apply, please visit our website at ghcscw.com/careers.<br />
Inquiries can be directed to Karen Colwell at kcolwell@ghcscw.com.<br />
Group Health Cooperative of South Central <strong>Wisconsin</strong> is proud to be an equal opportunity employer.<br />
GHC-SCW considers candidates regardless of race, color, religion, sex, sexual orientation, gender<br />
identity, national origin, disability or veteran status.
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 9<br />
Upcoming Conferences<br />
WNA <strong>2018</strong> Dialogue Forum<br />
Topic #1<br />
Topic: Promoting Membership in<br />
WNA Organizational Affiliate<br />
Introduced by: WNA Board of Directors<br />
Organizational Affiliate Task Force<br />
Description<br />
ANA and other State Nursing Associations<br />
have created a structure called, Organizational<br />
Affiliate. Organizational Affiliates are specialty<br />
nursing organizations that hold organizationallevel<br />
membership of ANA or the SNA. <strong>The</strong> goal of<br />
the relationship is to increase commination for the<br />
purposes of working together, share information<br />
and collaborate in finding solutions to issues<br />
that face the nursing profession, regardless of<br />
specialty. While each organization maintains its<br />
autonomy, the nursing profession and the patients<br />
we serve benefit from a shared voice that speaks<br />
on health care issues from a position of unrivalled<br />
experience and expertise. For WNA, we have been<br />
the convener of the <strong>Wisconsin</strong> Nursing Coalition<br />
(WNC). <strong>The</strong> membership and the participation of<br />
the WNC continue to decline. <strong>The</strong>y are currently in<br />
the process of looking at a new relationship model.<br />
At the May <strong>2018</strong> WNA Board of Directors Meeting<br />
it was decided to form a Task Force to conduct<br />
a feasibility study to determine the benefits of<br />
developing an Organizational Affiliate structure.<br />
<strong>The</strong> members of the Task Force were Linda Gobis,<br />
WNA President, Beth Markham, WNA Vice<br />
President, Pam Macari Sanberg, WNA Treasurer<br />
and Wendy Crary, WNA Board Director-at-large.<br />
Task Force Work<br />
<strong>The</strong> WNA Board of Directors Task Force<br />
identified the surrounding Midwest states that have<br />
created organizational affiliates. Seven of Midwest<br />
states: ANA – Illinois, Iowa, Missouri, Nebraska,<br />
North Dakota, Ohio and South Dakota have<br />
created a structure. <strong>The</strong> bylaws from each state<br />
were reviewed to determine common sections<br />
and language content. <strong>The</strong> most common sections<br />
of the bylaws related to membership rights and<br />
qualifications e.g. harmonious mission and values,<br />
type of nurses association, association membership<br />
is comprised of a majority of RNs; rights related<br />
to the WNA Annual Meeting that includes type of<br />
voting, number of representatives, and allowed<br />
to present reports of position statements, submit<br />
nominees for appointments, disqualification and<br />
reinstatement criteria.<br />
Rationale for why this topic should be<br />
discussed by the WNA members during the WNA<br />
Membership Assembly Dialogue Forum.<br />
<strong>The</strong> Task Force and the WNA Board of Directors<br />
has agreed that there is value in WNA offering a<br />
structure that provides a platform for the nurses<br />
associations of <strong>Wisconsin</strong> to dialogue and provide<br />
unified voices that create or respond to emerging<br />
trends and issues related to nursing practice,<br />
education, workforce, policy and leadership. <strong>The</strong><br />
discussion questions for the Dialogue Forum are:<br />
1. Do the proposed WNA Bylaws address the<br />
new Organizational Affiliate structure?<br />
2. What should be the benefits offered to an<br />
organizational affiliate member?<br />
Recommendations for action to be taken by WNA<br />
Membership at the 10/27/<strong>2018</strong> Annual Meeting<br />
1. Adopt the proposed WNA Bylaws that call for<br />
a new membership structure.<br />
2. WNA Board of Directors will develop the<br />
membership benefits as recommended by<br />
the membership at the <strong>2018</strong> WNA Dialogue<br />
Forum<br />
Topic to be<br />
addressed:<br />
WNA’s demonstrated commitment<br />
to providing mentoring services for<br />
new graduates of nursing programs<br />
Submitted by: WNA Mentorship Workgroup<br />
Mentorship: “In my experience, a mentor is a<br />
wise, trusted, influential counselor, teacher or<br />
supporter. A mentor may be a peer (rather than a<br />
manager) and may or may not be an employee of<br />
the same organization. A mentored relationship<br />
is a one-to-one relationship that spans over many<br />
years (usually at least two). A mentor assists a less<br />
experienced nurse to develop and meet his or<br />
her career goals by providing resources, learning<br />
opportunities, and ideas to improve performance,<br />
as well as helping to identify strengths and<br />
weaknesses, and evaluating successes and failures.<br />
Mentoring is essential for the career development<br />
and establishment of new nurses and the transfer<br />
of years of wisdom and expertise of mature,<br />
experienced nurses.” Sharon A. Cusanza,<br />
MSN, RN, NEA-BC, Magnet®, American <strong>Nurse</strong>s<br />
Association, <strong>2018</strong>. https://www.nursingworld.<br />
org/organizational-programs/ana-consultationservices/tips-articles--videos/mentoring-orsuccession-planning/<br />
<strong>The</strong> data show that a number of new RN<br />
graduates leave nursing due to, “imbalance of<br />
effort and reward, high psychological demands,<br />
and higher job strain.” Flinkman, M. Isopahkala-<br />
Bouret, U. & Salanterä, S., Young Registered<br />
<strong>Nurse</strong>s’ Intention to Leave the Profession<br />
and Professional Turnover in Early Career: A<br />
Qualitative Case Study 2013, ISRN Nurs. https://<br />
www.ncbi.nlm.nih.gov/pmc/articles/PMC3762080/<br />
<strong>The</strong> 2016 RN Workforce Survey reports that<br />
in less than two years 3,115 or 6.3 percent of<br />
nurses providing direct care will be leaving the<br />
workforce. This is more than the number of nurses<br />
that are obtaining a RN license per year. If any<br />
of these RNs are leaving for the reasons stated<br />
above, we have an opportunity to support their<br />
retention. Zahner, S.J, Pinekenstein, B.J. <strong>Wisconsin</strong><br />
Center for Nursing, <strong>Wisconsin</strong> 2016 RN Workforce<br />
Survey. 2016. <strong>Wisconsin</strong> 2016 RN Workforce<br />
Survey Full Report<br />
ANA has implemented ANA’s Mentoring<br />
Program in August <strong>2018</strong>. <strong>The</strong> program is a<br />
members-only benefit designed specifically to<br />
match new RNs with more experienced nurses.<br />
<strong>The</strong> program is completely virtual allowing the<br />
Mentor/Mentee relationship take place online or<br />
via phone.<br />
WNA Dialogue Topic # 2<br />
WNA Commitment to Mentoring of New Graduates of Nursing Programs<br />
Over the years WNA has identified and<br />
implemented a variety of nurse mentor activities<br />
that include:<br />
• Future <strong>Nurse</strong> Leader Award<br />
• Surviving Your First Year<br />
• One of the members developed a document<br />
“Mentorship within WNA”<br />
• Monthly Mentor calls<br />
• Mentor Corner<br />
<strong>The</strong>se activities have been intermittent as<br />
volunteer workgroups members and leaders<br />
engagement decreased as did the availability of<br />
WNA staff to support. This is in part due to the<br />
lack of a formalized structure within WNA to<br />
provide continuous support.<br />
WNA is lacking a visible and formal structure<br />
to support the mentoring needs of new graduate<br />
nurses of nursing programs. WNA has many<br />
programs and goals that include mentorship.<br />
Given the multiple demands on WNA:<br />
1. Should a mentoring program exist within<br />
WNA?<br />
2. Should this program be formalized?<br />
3. How should it be structured?<br />
4. What are the minimal services that should be<br />
included?<br />
Recommendations for action to be taken by WNA<br />
members at the 10/27/<strong>2018</strong> annual meeting.<br />
1. Approve a structure for WNA mentorship<br />
activities targeting newly graduated nurses<br />
(RN and Masters, DNP)<br />
2. Recommend the mentorship program<br />
categories.
Page 10 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
Upcoming Conferences<br />
<strong>2018</strong> WNA Dialogue Forum<br />
Topic #3<br />
<strong>The</strong> Opioid Epidemic in <strong>Wisconsin</strong>:<br />
Identifying WNA’s Role<br />
Topic to be<br />
addressed:<br />
<strong>The</strong> opioid epidemic continues in<br />
<strong>Wisconsin</strong>. Is there a more active<br />
role for WNA in supporting the<br />
reduction in opioid abuse and<br />
addiction from an advocacy,<br />
education, practice, workforce and<br />
leadership perspective?<br />
Submitted by: WNA representatives to <strong>2018</strong> ANA<br />
Membership Assembly<br />
Background on the topic (research, data, survey, etc.)<br />
In 2013 the membership of the <strong>Wisconsin</strong><br />
<strong>Nurse</strong>s Association adopted a Reference that<br />
addressed the epidemic of prescription drug<br />
abuse in America with a focus on <strong>Wisconsin</strong>. A<br />
Task Force was developed and identified the role<br />
for WNA and registered nurses. A report with<br />
recommendations was disseminated to nurses<br />
and other key stakeholders. <strong>The</strong> report, <strong>The</strong><br />
Prescription Drug Abuse Epidemic in <strong>Wisconsin</strong><br />
which can be found on WNA’s website addressed<br />
a variety of topics that include enforcement,<br />
education, medication disposal, statewide<br />
prescription drug monitoring system and patient’s<br />
“doctor shopping”. Many of the recommendations<br />
have been adopted in <strong>Wisconsin</strong> through<br />
legislation.<br />
As efforts to minimize the number of opioid<br />
prescriptions issued to patients are improving,<br />
<strong>Wisconsin</strong> is now seeing a significant rise in<br />
the use of illicit drugs. This is due to the lack of<br />
access to prescription drugs like oxycodone and<br />
fentanyl. Individuals that are addicted to opioids<br />
are using heroin and synthetic fentanyl.<br />
According to the 2016 report issued by the<br />
<strong>Wisconsin</strong> Department of Health Services, the<br />
status of opioid use and abuse in <strong>Wisconsin</strong> is<br />
prevalent across the state. Since 2009, the rate<br />
of drug-related mortality has increased from 9.3<br />
deaths per 100,000 to 15.3 deaths per 100,000 in<br />
2015. After years of being well below the national<br />
average, this increase brings <strong>Wisconsin</strong> to<br />
almost equal the national average of 15.5 deaths<br />
per 100,000. Additionally, the number of drugrelated<br />
deaths has exceeded 500 in seven of the<br />
past 8 years. 873 <strong>Wisconsin</strong> residents died in<br />
2015 as a result of illicit drug use. Hepatitis C is<br />
also a concern. Between 2011 and 2015 the rate<br />
of infections of people between the ages of 15<br />
and 29 more than doubled and was 87 deaths per<br />
100,000 people in 2015. <strong>The</strong> rate of babies born<br />
with Neonatal Abstinence Syndrome (NAS) is<br />
also on the rise in <strong>Wisconsin</strong>. In 2014 8 babies of<br />
every 1,000 hospital births was affected by NAS,<br />
while an additional 4.3 per 1,000 were affected
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 11<br />
Upcoming Conferences<br />
by noxious influences. <strong>The</strong>se numbers have both<br />
been increasing steadily in the last 4 years, from<br />
4.7 per 1,000 babies with NAS and 2.2 per 1,000<br />
births affected by noxious influences.<br />
<strong>The</strong> impact of the opioid use is being seen<br />
in the hospitals as well. <strong>The</strong> number of opioidrelated<br />
hospitalizations per 1,000 population<br />
has increased from 0.9 in 2005 to 1.6 in 2014,<br />
with increases in hospitalizations being seen in<br />
40% of <strong>Wisconsin</strong>’s counties. Allen, J. <strong>Wisconsin</strong><br />
Epidemiological Profile on Alcohol and Other<br />
Drugs, November 2016. https://www.dhs.<br />
wisconsin.gov/publications/p4/p45718-16.pdf<br />
Governor Walker’s Task Force on Opioid<br />
Abuse released, Combating Opioid Abuse Report<br />
2017. <strong>The</strong> report summarized the legislation that<br />
was passed during the 2017 legislative biennium,<br />
implementation updates, and recommendations<br />
that address: – Prevention with a focus on youth<br />
education; – Supply Reduction that includes<br />
aims to secure funding for awarding grants to<br />
state and local agencies to expand capacity in<br />
the fight against illegal drugs, victim impact<br />
panel, and DOJ staff increase; – Treatment that<br />
includes funding a commission to develop a huband-spoke<br />
model, develop an internet-based<br />
training resource for county social services and<br />
veterans service staff, funding Graduate Nursing<br />
Education to reduce wait lists and increase class<br />
sizes and placement opportunities in the Mental<br />
Health, and that Medication Assisted Treatment<br />
(MAT) allow for APNPs or PAs with the required<br />
training can prescribe buprenorphine without<br />
a collaborating physician. https://hope.wi.gov/<br />
Documents/Jan18%20Opioid%20Report%20<br />
JH%202.pdf<br />
In August 2016, the American <strong>Nurse</strong>s<br />
Association developed the ANA Issue Brief,<br />
<strong>The</strong> Opioid Epidemic: Addressing the Growing<br />
Drug Overdose Problem 2016. https://www.<br />
nursingworld.org/~4ae212/globalassets/docs/ana/<br />
ana_issue-brief-opioids_2016may20.pdf<br />
<strong>The</strong> <strong>2018</strong> ANA Membership Assembly<br />
<strong>Wisconsin</strong> Representatives participated in<br />
a Dialogue Forum discussion on “Opioid<br />
Exposure Considerations in Caring for Patients<br />
with Overdose.” <strong>The</strong>re are increased hazards<br />
to emergency responders and nurses who are<br />
treating individuals who are experiencing an<br />
overdose from synthetic fentanyl. <strong>The</strong> exposure<br />
to this type of opioid can be life-threatening.<br />
ANA will be working on the Identification of<br />
informational tools to inform students and nurses<br />
about responding to patients who have potential<br />
opioid overdose, and advocate for funding and<br />
other support for research and development<br />
of evidence-based protocols regarding opioid<br />
overdose.<br />
ANA has developed resources to aid in<br />
managing and reducing the opioid epidemic<br />
that include outlining best practices, treatment<br />
and deterrence, pain management and<br />
federal legislation. https://www.nursingworld.<br />
org/~4ae212/globalassets/docs/ana/ana_issuebrief-opioids_2016may20.pdf<br />
Policy related proposals that support the nurses<br />
role in addressing the nations opioid crisis have<br />
been identified by ANA that address: expanded<br />
patient access to MAT: – through the utilization of<br />
Advanced Practice Registered <strong>Nurse</strong>s to prescribe<br />
be a MAT independent provider, – Prescriber<br />
Education & Training: ANA believes the current<br />
crisis calls for additional support and focus on<br />
prescriber education to ensure that health care<br />
professionals who prescribe opioids are properly<br />
trained and educated in opioid prescribing,<br />
– Deterrent Formulations: ANA urges greater<br />
investments in the scientific and clinical research<br />
needed to advance the development, assessment,<br />
and deployment of abuse-deterrent technologies.<br />
Issues surrounding abuse and misuse of<br />
prescription opioids must be balanced with<br />
the real and legitimate needs of those seeking<br />
treatment for pain; – Increase Access to Opioid<br />
Antagonist – Naloxone: ANA supports increasing<br />
access to Naloxone for first responders, family,<br />
friends, and caregivers of those who are known to<br />
be chronic users of opioids. Naloxone is a critical<br />
tool in preventing overdose by opioids such as<br />
heroin, morphine, and oxycodone. https://www.<br />
nursingworld.org/~4ae212/globalassets/docs/ana/<br />
ana_nursings-role-in-opioid-crisis_2016.pdf<br />
Rationale for why this topic should be<br />
discussed by the WNA members during the WNA<br />
Membership Assembly Dialogue Forum<br />
Opioid abuse has become a public health crisis<br />
and the public can benefit from the engagement<br />
of registered nurses as a resource to combating<br />
this issue.<br />
Is there a role for WNA in addressing this crisis<br />
from the following perspectives?<br />
Advocacy/policy<br />
Education<br />
Practice<br />
Workforce<br />
Leadership<br />
Recommendations for action to be taken by<br />
WNA members at the 10/27/<strong>2018</strong> Annual Meeting.<br />
1. Identify WNA’s role in addressing the opioid<br />
epidemic in <strong>Wisconsin</strong>.<br />
Welcome Pam<br />
WNA Grant Update<br />
WNA wants to<br />
express our sincere<br />
appreciation to<br />
Margaret O. Schmelzer<br />
who served as<br />
the Grant Project<br />
Coordinator for the<br />
past four plus years.<br />
She was instrumental<br />
in assuring that WNA’s<br />
Patient-Centered Team-<br />
Based Care Model for<br />
Primary Care included<br />
community and public Pam Macari Sanberg<br />
health connections.<br />
Margaret’s expertise on the topic of Population<br />
Health was integrated throughout the resource<br />
tools developed by WNA through the grant<br />
dollars awarded by the <strong>Wisconsin</strong> Department<br />
of Health Services Division of Public Health.<br />
Thank you and Happy Retirement Margaret!<br />
WNA is pleased to announce the Pam Macari<br />
Sanberg has graciously accepted the WNA Grant<br />
Project Coordinator consultant position. She<br />
will be assisting WNA in completing the 1305<br />
Chronic Disease and Prevention Continuation<br />
Grant and future WNA Grant Awards issued by<br />
the Department of Health Services.<br />
Welcome Pam.
Page 12 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
Legislative Updates<br />
WNA Member Runs<br />
for State Assembly<br />
Emily Siegrist, <strong>Nurse</strong> Practitioner and WNA<br />
Member from Milwaukee is running for the<br />
<strong>Wisconsin</strong> State Assembly, District 24. As an NP,<br />
Emily has worked in a variety of settings including<br />
transplant surgery, emergency department, and<br />
volunteered at a free clinic that serves the under<br />
and uninsured. Ms. Siegrist was a member of<br />
the Army national guard after high school and<br />
served for five years. Emily is dedicated to finding<br />
solutions to work beyond party lines to move our<br />
state forward. Her platform consists of ensuring<br />
healthcare for all individuals, creating a more<br />
sustainable environment, supporting veterans<br />
by ending homelessness and combatting opiate<br />
addition among service members, and advocating<br />
for better quality public schools.<br />
Register today for the WNA Advocacy Workshop<br />
Join the <strong>Wisconsin</strong> <strong>Nurse</strong>s Association and your<br />
fellow colleagues at the Madison Concourse Hotel<br />
and the <strong>Wisconsin</strong> State Capitol for a workshop<br />
that will take you from a policy novice to advocacy<br />
expert! This two-day workshop will inform<br />
and entertain with relevant topics on nursing<br />
leadership, communication & policy training. It may<br />
be especially helpful to those in nursing faculty,<br />
positions, graduate level nursing students, other<br />
nursing associations, and anyone who wants to<br />
learn more about nursing in health policy.<br />
8 Continuing Nursing Education (CNE) contact<br />
hours will be offered for completion of the two-day<br />
workshop.<br />
Registration to this workshop will also include<br />
one year of guidance, networking and continuing<br />
education through:<br />
• Quarterly networking sessions<br />
• Mentoring opportunities with nurse policy<br />
experts<br />
• Policy and legislative updates from WNA<br />
• Discounted registration to 2019 <strong>Nurse</strong>s Day at<br />
the Capitol<br />
• Opportunity to present at the 2019 <strong>Nurse</strong>s<br />
Day at the Capitol<br />
Presenters and Facilitators:<br />
• Tina Bettin, DNP, MSN, RN, FNP-BC, APNP<br />
• Mary Beck Metzger, DNP, MSN, FNP-BC, APNP<br />
• Jessica Coburn, PhD, MSN, RN, CNL<br />
• Karen A. Daley, PhD, MPH, RN, FAAN<br />
• Linda Gobis, MN, RN, JD<br />
• Megan LeClair-Netzel, DNP, BSN, RN<br />
• Forbes McIntosh, President,<br />
Government Policy Solutions, LLC<br />
• Barbara Nichols, DNSc (hon.), MS, RN, FAAN<br />
• Judy Robson, BSN, MS<br />
• Kim Udlis, PhD, FNP-BC<br />
• Burt Wagner, BBA, JD, MAB<br />
• Linda Young, PhD, RN, CNE, CFLE<br />
Registration Information:<br />
Online registration only: wisconsinnurses.org/<br />
advocacy-register/<br />
Have your ANA/WNA Membership number on<br />
hand to register at a discounted rate.<br />
Registration deadline: September 24, <strong>2018</strong><br />
$150 – Regular Registration Fee<br />
$125 – Discounted Rate for WNA Member<br />
$100 – Discounted Rate for Undergrad Nursing<br />
Student<br />
Overnight Accommodations:<br />
A room block is reserved for Friday, September<br />
28 at <strong>The</strong> Concourse Hotel<br />
NursingALD.com<br />
can point you right to that perfect<br />
NURSING JOB!<br />
NursingALD.com<br />
Free to <strong>Nurse</strong>s<br />
Privacy Assured<br />
Easy to Use<br />
E-mailed Job Leads
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 13<br />
Mutual Interest Groups (MIGs) Updates<br />
Climate Change: An Urgent Issue for <strong>Nurse</strong>s<br />
Nancy Kriofsky, Retired RN, PHN. Member of ANA, WNA, <strong>Wisconsin</strong><br />
Environmental Health Nursing Coalition, and Citizens Climate Lobby.<br />
Attention <strong>Nurse</strong>s! Have you noticed a big change in weather patterns here in<br />
<strong>Wisconsin</strong>, throughout the US and around the world? Do you feel it is politically<br />
incorrect to even bring up climate change in conversations? Recently the<br />
American Academy of Nursing Expert Panel on Environmental and Public Health<br />
states climate change threats to health can’t be ignored, and it is urgent now for<br />
nurses to take action for present and future generations. As nurses, we must not<br />
see climate change as a political issue, but rather a public health issue needing<br />
nurse intervention and attention!<br />
Nursing has always been a science based profession. <strong>The</strong> majority of<br />
scientists throughout the world state climate changes are mainly man-made due<br />
to the burning of fossil fuels and greenhouse gas emissions, which are polluting<br />
our atmosphere with excess carbon which traps heat, resulting in melting<br />
glaciers, warming oceans and increasing rise in sea levels. Thus, there are more<br />
severe hurricanes (three last year alone), massive<br />
flooding, a rise in catastrophic tornadoes, all<br />
causing numerous deaths and illness. Wild fires are<br />
increasing and occurring earlier in the season. <strong>The</strong>re<br />
is a rise in air pollution and droughts. In other parts<br />
of the world droughts have resulted in population<br />
upheavals, increased immigration and even wars.<br />
In 2008, the <strong>Wisconsin</strong> <strong>Nurse</strong>s Association<br />
released WNA Reference #3 addressing climate<br />
change, prepared by the <strong>Wisconsin</strong> Environmental<br />
Health Nursing Coalition. <strong>The</strong> report highlighted<br />
the public health imperative created by global<br />
climate change, discussed the role of the nursing<br />
profession in addressing this threat, and proposed<br />
prompt and decisive action to slow, stop and even reverse the crisis. <strong>The</strong><br />
report pointed out global warming was indeed occurring and that it was<br />
important for nurses to take action. Since that publication, public health<br />
conditions are worsening.<br />
In <strong>2018</strong>, the <strong>Wisconsin</strong> Environmental Health Nursing Coalition has chosen<br />
“<strong>The</strong> <strong>Nurse</strong>’s Role in Climate Change” as its focus. It will be the main topic<br />
at their workshop at the WNA Fall Annual Meeting in <strong>October</strong> and discussed<br />
throughout the upcoming year.<br />
<strong>The</strong> March-April <strong>2018</strong> edition of Nursing Outlook published an article written<br />
by two nurse educators re nurses playing essential roles in reducing health<br />
problems due to climate change. <strong>The</strong>y state climate change is endangering<br />
the stability of the planet’s ecological systems-and poses untoward risks to<br />
the continued survival of humans. Besides the dangers already listed they<br />
mention changes in vector distribution, increases in asthma, more heat related<br />
deaths, and increased premature birth, GI illness, depression and malnutrition.<br />
Children, the elderly and outdoor workers are especially vulnerable. New<br />
nursing policies are needed to harness the full potential of nurses, assuring<br />
the best possible outcomes for the health of future generations. <strong>The</strong> authors<br />
emphasize the need for nurses to educate the public of the connection<br />
between their health and climate health. This is an excellent article and a<br />
must read for all nurses. Link: https://www.nursingoutlook.org/article/S0029-<br />
6554(18)30099-X/fulltext<br />
<strong>The</strong> Alliance of <strong>Nurse</strong>s for Healthy Environments (ANHE) has a national<br />
campaign to mobilize nurses to educate 5,000 health professionals on the<br />
impacts of climate change on human health. <strong>The</strong>y recommend reading “Let’s<br />
Talk Health & Climate. Communications Guidance for Health Professionals,” a<br />
document from ecoAmerica which provides nurses with communication tools,<br />
such as message framing, to help cultivate an effective voice. Link: https://<br />
ecoamerica.org/wp-content/uploads/2016/10/Lets_Talk_Health_and_Climate_<br />
eA.pdf<br />
It should be pointed out there are hopeful solutions to reducing excess<br />
carbon, now being studied by Congress. <strong>The</strong> House of Representatives<br />
has established a Climate Solutions Caucus to study climate policy. At this<br />
time there are 86 members, 43 Republicans and 43<br />
Democrats. Only two of <strong>Wisconsin</strong>’s eight House<br />
members are participating (Ron Kind and Mike<br />
Gallagher). More are needed and nurses are asked<br />
to contact their congressperson to join the Caucus.<br />
Also, elections are coming soon. Consider contacting<br />
the candidates. Share your concerns with them and<br />
learn their thoughts for action re the many public<br />
health impacts of climate changes. Link: https://<br />
citizensclimatelobby.org/climate-solutions-caucus/<br />
<strong>The</strong>re are many other groups working on solving<br />
the carbon problem, and all need our support. One<br />
non-partisan nation-wide grass roots organization<br />
lobbying the US Congress is Citizens Climate Lobby.<br />
<strong>Wisconsin</strong> has 24 CCL Chapters. <strong>The</strong>y recommend a Carbon Fee and Dividend<br />
approach to greatly reduce carbon emissions. <strong>The</strong> producers of fossil fuels<br />
and greenhouse gases would be charged a fee for each ton of product. This<br />
fee would be returned to every US citizen in a program that would pay for<br />
itself.<br />
So nurses, we are being called on to assist in one of the most important life<br />
saving tasks ever. Become knowledgeable about climate change and become<br />
active. Start by attending the <strong>Wisconsin</strong> Environmental Health Nursing<br />
Coalition Workshop on <strong>October</strong> 26 during the WNA Annual Meeting this<br />
year. To lead the workshop, we welcome back to <strong>Wisconsin</strong>, Dr Laura Anderko<br />
PhD, RN. Laura is currently the Robert and Kathleen Endowed Chair in Values<br />
Based Health Care and Professor at Georgetown University. She is a fellow in<br />
the Center for Social Justice and a White House Champion for Public Health<br />
and Climate Change. She also serves as the Director of the Mid-Atlantic<br />
Center for Children’s Health and the Environment (Region 3 PEHSU) http://<br />
kidsandenvironment.georgetown.edu<br />
Our planet is depending on us.
Page 14 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
Mutual Interest Groups (MIG) Updates<br />
WFCNC is a mutual interest group of the <strong>Wisconsin</strong> <strong>Nurse</strong>s Association<br />
Kris Wisnefske, RN MSN, Chair, WFCNC<br />
As a mutual interest group, we offer several ways for Faith Community<br />
<strong>Nurse</strong>s (FCN) to connect with one another and our Mutual Interest Group. We<br />
currently have a monthly conference phone call the 1st Monday of the month<br />
beginning at 7pm. Any FCN or interested RN is invited to call in; please contact<br />
the WNA office for call in numbers.<br />
We as well do an annual education event and offer the Basic Foundation<br />
Education course for Faith Community <strong>Nurse</strong>s 1-2 times per year depending<br />
on need.<br />
In this edition of the WI <strong>Nurse</strong> we would like to offer<br />
suggestions for resources for FCN’s as well as any interested<br />
RN.<br />
One valuable resource site is health.gov which has a<br />
wealth of health information that can be shared through<br />
newsletters, church bulletins and bulletin boards.<br />
We have also included a list of Faith Community<br />
Nursing Professional Organizations. <strong>The</strong>se include:<br />
Westberg Institute (WI), formally the Internationally<br />
Parish <strong>Nurse</strong> Resource Center<br />
Web site- https://westberginstitute.org/<br />
WI is a ministry of Church Health. As a leader in faith<br />
community nursing (FCN) education, consultation, and research<br />
for over 30 years, the Westberg Institute serves health ministry<br />
programs worldwide. Its mission is to promote the development of<br />
high-quality outcomes-based FCN practice as part of an overall health<br />
ministry program.<br />
• <strong>The</strong>y host the annual Westberg Symposium in spring.<br />
• <strong>The</strong>y publish Perspectives https://www.cambeywest.com/<br />
subscribe2/?p=per&f=paid for as little as $12.00 annually for digital<br />
copies. Perspectives is a quarterly newsletter for faith community nurses<br />
with research news, educational articles, and practical stories about the<br />
difference faith community nursing makes. Subscriber also receive online<br />
access to the Perspectives archives.<br />
• WI developed and provides the electronic platform Yammer, a Microsoft<br />
based networking website that is accessible from any computer, tablet,<br />
or smartphone. Currently, there are more than 1,100 FCNs using the<br />
site to discuss health topics ranging from diabetes to heart disease and<br />
everything in between. Over 70 groups focusing on denomination,<br />
location, or general interest topics have been formed since its launch.<br />
<strong>The</strong>re is no cost to participants, but you must register. Fill out the form at<br />
https://form.jotform.us/71555480094156 to join.<br />
• <strong>The</strong>y have authored and maintain the Faith Community Nursing<br />
Foundation’s Course for FCNs. This is an evidenced-based<br />
course provided to thousands of registered nurses nationally and<br />
internationally, who want to function in the role as a FCN. Search on<br />
https://westberginstitute.org/foundations-of-faith-community-nursing/<br />
for listings of where courses are being held.<br />
• FCN Position Statements are answers to frequently asked questions<br />
about the practice of faith community nursing. <strong>The</strong> position statements<br />
are free and accessible to all housed in the files of the Research Group<br />
on Yammer.<br />
• Westberg Institute also offers a variety of resources for the practicing<br />
faith community nurse in their bookstore<br />
Faith Community <strong>Nurse</strong> International (FCNI)<br />
Web site- https://www.fcninternational.org/<br />
FCNI is the international professional membership<br />
organization for faith community nurses.<br />
<strong>The</strong> vision of FCNI is to create a vibrant global network<br />
of Faith Community <strong>Nurse</strong>s. <strong>The</strong>re is an annual membership<br />
fee.<br />
• FCNI offers a free open-access research journal for<br />
faith community nurses called <strong>The</strong> International Journal of<br />
Faith Community <strong>Nurse</strong>s. It is free and available at https://<br />
digitalcommons.wku.edu/ijfcn/<br />
• FCNI has an active committee of FCN researchers. <strong>The</strong>y<br />
provide free consultations on FCN research and keep current<br />
the FCN Citation List of literature (currently 42 pages). <strong>The</strong><br />
Research Committee members currently meet the 2nd Friday of<br />
each month at 11am (CDT). Contact dziebarth@herzing.edu<br />
Health Ministry Association (HMA)<br />
Web site – https://hmassoc.org/<br />
<strong>The</strong> HMA encourages, supports and empowers those who integrate<br />
faith with the promotion of health and wholeness in local communities.<br />
Membership is made up of health ministers, faith community nurses, clergy,<br />
chaplains, faculty, and program leaders. <strong>The</strong>re is an annual membership.<br />
• HMA Annual Conference<br />
• FCN scope and Standards were created through a relationship with the<br />
American <strong>Nurse</strong>s Association. <strong>The</strong>y are revised every 5 years.<br />
• Newsletter<br />
Wishing all of you a healthy and happy fall.<br />
Kris Wisnefske, MSN, RN<br />
Are You the Target of an Investigation?<br />
Kristen Nelson has joined our healthcare team. GRGB has a team of three<br />
attorneys and several support staff with more than 30 years of experience<br />
with federal, state and local regulating, licensing and investigating<br />
agencies. This expertise gives us the ability to guide you through any level<br />
of governmental scrutiny that could affect you as a healthcare professional.<br />
We will give you the time to focus on maintaining business and professional<br />
concerns, while we take care of any civil, criminal or regulatory risks that<br />
affect you or your nursing license.
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 15<br />
Mentorship Corner<br />
Twice a year, the WNA Mentorship Committee selects five recipients<br />
to receive the WNA Future Nursing Leader Award. <strong>The</strong> award is presented<br />
each Spring and Fall semesters at the school of nursing pinning ceremonies.<br />
Winners receive a complimentary year of membership in the <strong>Wisconsin</strong><br />
<strong>Nurse</strong>s Association, along with an appointment to a WNA council or<br />
committee of his or her choosing. He or she will also receive a certificate and<br />
lapel pin presented at their pinning ceremony.<br />
Award Criteria<br />
Nominate for the Fall <strong>2018</strong><br />
Future Nursing Leader Award<br />
• Demonstrate Leadership<br />
• Prepare, motivate, and impact other students as leaders<br />
• Participate in community activities and giving back to others<br />
• Mentor fellow students<br />
• Promote activity in nursing organizations, such as the National Student<br />
<strong>Nurse</strong>s' Association<br />
• Make a significant contribution to the overall excellence of their school<br />
• Set a healthy example and promote a healthy lifestyle<br />
• Demonstrate a clear sense of direction for their future nursing careers<br />
To nominate, visit https://wisconsinnurses.org/nominate-fnla/.<br />
Contact allison@wisconsinnurses.org for any questions.<br />
Changes To <strong>The</strong> APRN Forum<br />
By Dr. Tina Bettin DNP, MSN, RN, FNP-BC, APNP, FAANP,<br />
President of APRN Forum<br />
<strong>The</strong> APRN Forum is a Mutual Interest Group (MIG) of the <strong>Wisconsin</strong> <strong>Nurse</strong>s<br />
Association (WNA) that has undergone many name changes since its creation.<br />
<strong>The</strong> Forum started out as the NP Council back in the late 1980s; later, the name<br />
was changed to the NP Forum. <strong>The</strong> Forum was further transformed when the<br />
name was changed to the APN (Advanced Practice <strong>Nurse</strong>) Forum to be more<br />
inclusive of all four advanced practice registered nurse roles, as there were a<br />
couple of the roles which did not have state-wide associations. Approximately<br />
five years ago, the Forum changed its name to the APRN (Advanced Practice<br />
Registered <strong>Nurse</strong>) Forum so that in was in line with the APRN Consensus<br />
Document.<br />
In recent years, many things have changed. <strong>The</strong> Clinical <strong>Nurse</strong> Specialist<br />
has developed a state association under the umbrella of their national<br />
association. <strong>The</strong>re are also national associations with state affiliation for the<br />
Certified Registered <strong>Nurse</strong> Anesthetists and the Certified <strong>Nurse</strong> Midwives.<br />
That being said, there is not a state group/association for nurse practitioners<br />
other than those who have a specialized role. It has been brought up on<br />
more than one occasion regarding the lack of a state association for all nurse<br />
practitioners. Currently, Advanced Practice Registered <strong>Nurse</strong> make up 25% of<br />
WNA’s membership, and of those, 98% are nurse practitioners. WNA utilizes<br />
WNA’s nurse practitioners to provide testimony, serve on advisory councils<br />
and state agency councils; and serve a resource on APRN related questions.<br />
WNA’s nurse practitioner members are providing a large financial boost to<br />
WNA and supporting the lobbying efforts of the APRN Coalition. Because of<br />
the changes within the APRN network across the state and the need to bring<br />
a voice to the largest number of APRNs in the State, the APRN Forum Board of<br />
Directors voted to return back to the NP Forum and with that a focus on the<br />
issues related to nurse practitioner practice, education, workforce, leadership<br />
and policy. <strong>The</strong> WNA Board of Directors voted unanimously to support this<br />
conversion.<br />
WNA members will not notice a change in the NP Forum. <strong>The</strong> annual<br />
Clinical Pharmacology Conference in the spring will continue to occur. <strong>The</strong><br />
NP Forum Board will continue to be elected for staggering two-year terms.<br />
<strong>The</strong> executive committee of the board will continue to be the president,<br />
vice-president and secretary/treasurer. <strong>The</strong>re will be five elected members<br />
to the board of directors. <strong>The</strong> APRN Representative to the WNA Board will<br />
have a voting seat on the NP Forum Board. This individual may not be a nurse<br />
practitioner as the seat is open to any APRN who would like to run for the<br />
WNA Board. <strong>The</strong>re will be a seat available for American Association of <strong>Nurse</strong><br />
Practitioner (AANP) State representative without a vote. To be a member<br />
of the NP Forum, an individual needs to be a member of WNA and a nurse<br />
practitioner.<br />
<strong>The</strong> NP Forum will continue to support and be a member of the APRN<br />
Coalition which is working on the APRN Modernization Act legislation for<br />
2019-2020 legislative biennium. <strong>The</strong> NP Forum will work with WNA’s Public<br />
Policy Council to provide feedback on legislative proposals that impact<br />
APRNs. <strong>The</strong> President of the NP Forum Board is a co-chair of the newly<br />
created WNA APRN Roundtable. <strong>The</strong> other co-chair is the WNA Board of<br />
Directors APRN representative.<br />
Benefits of being a member of the NP Forum are many. For $15 per month,<br />
a nurse practitioner will be a member of the American <strong>Nurse</strong>s Association<br />
(ANA), <strong>Wisconsin</strong> <strong>Nurse</strong>s Association (WNA), and the NP Forum of the WNA.<br />
As a member, you will also get a discount to join the American Association of<br />
<strong>Nurse</strong> Practitioners (AANP). It is always recommended to be a member of your<br />
state and national association.<br />
If you have any questions, please contact the WNA office or myself.<br />
Visit nursingALD.com today!<br />
Search job listings<br />
in all 50 states, and filter by<br />
location and credentials.<br />
Browse our online database<br />
of articles and content.<br />
Find events<br />
for nursing professionals in your area.<br />
Your always-on resource for<br />
nursing jobs, research, and events.
Page 16 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
Healthy <strong>Nurse</strong><br />
BP Connect: Improving follow-up after high blood pressures in specialties<br />
Researchers at the University of <strong>Wisconsin</strong> created an effective staff protocol<br />
to improve follow-up after high blood pressures (BP) in specialty clinics. <strong>The</strong><br />
protocol, called BP Connect, is designed to connect patients with high blood<br />
pressure in a specialty visit back to primary care for timely follow-up. In a recent<br />
study, BP Connect doubled rates of timely follow-up and lowered the number of<br />
rheumatology visits with high blood pressures recorded by 9%.<br />
BP Connect is a staff protocol performed by nurses or medical assistants<br />
during vitals assessment using a series of electronic health record (EHR) alerts<br />
advising staff to Check or re-measure high BPs, Advise with brief counseling,<br />
and Connect using a simple clickable follow-up order. It was created from<br />
an evidence-based primary care hypertension staff protocol, which was<br />
then adapted for use in specialty clinics. <strong>The</strong> short video here https://vimeo.<br />
com/212653638 demonstrates the protocol.<br />
<strong>The</strong> protocol was developed because high blood pressure is the most<br />
prevalent and reversible cardiovascular disease risk factor among adults with<br />
chronic conditions, who are often vulnerable to gaps between specialty and<br />
primary care. Increasing preventive services to address hypertension could<br />
prevent more early deaths than any other preventive service, such as lipid<br />
treatment, cancer screening, and pneumococcal or influenza vaccination (Farley<br />
Am J Prev Med, 2010).<br />
It is rare that high blood pressure is addressed in specialty visits. For example,<br />
in rheumatology visits even when a blood pressure of ≥160/100 was taken, blood<br />
pressure was not discussed in two-thirds of the visits; only 1 in 10 received any<br />
advice to follow-up for high blood pressure.<br />
<strong>Wisconsin</strong>’s Diabetes Prevention Program<br />
Jean Roedl, FNP-BC, ADM-BC<br />
<strong>The</strong>re are more than 84 million people in the United States with prediabetes<br />
but only 11.6% of them have been told by a health professional they have it.<br />
According to the Chronic Disease Prevention Program in <strong>Wisconsin</strong> 9% of<br />
<strong>Wisconsin</strong> adults have diabetes and one quarter of them do not know they<br />
have it. What is more alarming is 34% of adults in <strong>Wisconsin</strong> have prediabetes.<br />
Prediabetes is a condition that leads to Type 2 diabetes and it also raises the<br />
risk for stroke and heart disease. Studies have shown that with a few lifestyles<br />
changes, such as reducing stress, losing 5% to 7% of body weight and adding 20<br />
minutes of physical activity to every day can help people delay or even stop the<br />
development of Type 2 diabetes. This can be a difficult change for people trying to<br />
improve their health.<br />
<strong>The</strong> Chronic Disease Prevention Program within the <strong>Wisconsin</strong> Department of<br />
Health Services uses a multidisciplinary approach. <strong>The</strong> approach parallels with the<br />
Center of Disease Control (CDC) and the National Diabetes Prevention Program<br />
for at risk adults. <strong>The</strong> National Diabetes Prevention Program (DPP) is a year-long<br />
evidence-based program focusing on long term lifestyle changes of weight loss,<br />
healthier food choices and lowering their risk of developing Type 2 diabetes. <strong>The</strong><br />
group support offers one-on-one guidance with trained lifestyle coaches.<br />
Participants make a long- termed commitment to achieve long lasting<br />
behavior changes. <strong>The</strong> one-year program consists of 16 one-hour weekly<br />
followed by 6 one-hour monthly classes the reemphasize the earlier lessons<br />
and help the participants to stay on track. <strong>The</strong> participants must fall into the<br />
categories listed to be eligible for participation in Lifestyle program: 1. Must<br />
have had a blood test with in the past year that indicates prediabetes or history<br />
of Gestational diabetes. 2. Overweight adults 18 or older with BMI greater of 24<br />
or greater (Asian Americans: 22 or greater) 3. Screen positive for prediabetes<br />
based on National Diabetes Prevention Program Risk Test. For information go to<br />
DOIHavePrediabetes.org.<br />
Since 2013, the program has trained over 130 lifestyle coaches in <strong>Wisconsin</strong><br />
and has been adopted by 12 health systems, three tribal nations, five communitybased<br />
organizations, three major employers and the <strong>Wisconsin</strong> Department of<br />
Corrections. -<strong>Wisconsin</strong> Department of Health Services 9/2017. On <strong>October</strong><br />
24, 2017, I was invited to be part of a State Engagement meeting was held in<br />
<strong>Wisconsin</strong> Dells to help create an actionable plan to increase awareness,<br />
screening, testing, referrals, availability of National DPP classes in the state, and<br />
increase both public and private coverage for the National DPP. Key speakers<br />
included Mark Wegner MD, Chronic Disease Medical Advisor-<strong>Wisconsin</strong><br />
Department of Health Services, Division of Health; Pat Schumacher MS, RD,<br />
Division of Diabetes Translation-CDC and Prevention, Bo Nemelka, MPH, Leavitt<br />
Partners and Joel Riemer, AMA. <strong>The</strong>re were several speakers that shared success<br />
in <strong>Wisconsin</strong> from perspective of Health care systems, the insurer, the employer<br />
and a National DPP provider at YMCA.<br />
Nationally, there are more than 1400 CDC-Recognized organizations that<br />
offer the National DPP lifestyle change program to over 100,000 participants.<br />
Several states provide coverage through Medicaid or state employers. Over 60<br />
commercial health plans provide some coverage for the program and Medicare<br />
will start to reimburse for the program April <strong>2018</strong>.-National Association for<br />
Chronic Disease Directors. An online National DPP Coverage Toolkit, launched in<br />
2017 by National Association for Chronic Disease Directors and Leavitt Partners<br />
and funded by the CDC can help organizations with offering the program as a<br />
covered benefit. www.NationalDPPCoverageToolkit.org<br />
This may be due, in part, to the perception that specialists do not consider<br />
blood pressure care to be within the purview of their practice. Specialty clinic<br />
visits comprise 49% of United States ambulatory visits, and specialty physicians<br />
outnumber primary care physicians. As such, specialty clinics have the<br />
opportunity to improve cardiovascular care for patients most at risk.<br />
<strong>The</strong> BP Connect staff protocol was developed at three rheumatology clinics at<br />
a large academic health system. Dr. Bartels and her multidisciplinary team used a<br />
participatory work system redesign to develop the protocol, and held focus group<br />
sessions with medical assistants (MAs) and nurses to (a) assess current processes<br />
and needs, and (b) develop an EHR-supported blood pressure alert and referral<br />
process.<br />
Dr. Bartels’ team then conducted a study on the effectiveness of the BP<br />
Connect Health protocol (Bartels et al. Arthritis Care and Research, <strong>2018</strong>) and<br />
found that after implementing the protocol, the odds of patients receiving timely<br />
primary care follow-up for high blood pressures doubled, and the median time<br />
to follow-up declined by nearly half, dropping from 71 to 38 days. Additionally,<br />
rheumatology visits with high blood pressures recorded declined from 17% to<br />
8% over a 2-year period, suggesting that the protocol helped reduce high blood<br />
pressures in this population.<br />
A toolkit that contains the BP Connect protocol and a variety of resources<br />
to enable organizations to implement it effectively is available for free on<br />
HIPxChange.org. <strong>The</strong> toolkit can be used by health care administrators, clinicians,<br />
and/or researchers who seek to improve follow-up care when high blood<br />
pressure is identified in specialty clinics.<br />
While the original implementation of BP Connect Health was in rheumatology<br />
clinics, it could also be used in other specialty clinics. <strong>The</strong> program would be<br />
particularly relevant to specialties associated with high cardiovascular disease<br />
risk (e.g., status post-cancer, HIV care, etc.) where high blood pressures are not<br />
addressed routinely (e.g., non- cardiovascular specialty clinics).<br />
In addition to the BP Connect program, Dr. Bartels has developed other<br />
protocols to improve the cardiovascular health of patients in specialty care. Quit<br />
Connect is a specialty protocol to improve referrals to tobacco quit lines, and<br />
materials to implement the protocol are also available for free on HIPxChange.<br />
org. Fit Connect is currently under development and uses an electronic health<br />
record referral system to connect arthritis patients to an evidence-based arthritis<br />
activity program.<br />
More Information and Resources<br />
• https://www.hipxchange.org/BPConnectHealth Contains the BP Connect<br />
protocol and tools to implement it effectively<br />
• Bartels CM, Ramly E, Johnson HM, et al. “Connecting rheumatology<br />
patients to primary care for high blood pressure: specialty clinic protocol<br />
improves follow-up and population blood pressures.” Arthritis Care Res<br />
(doi: 10.1002/acr.23612. [Epub ahead of print]). https://www.ncbi.nlm.nih.gov/<br />
pubmed/29856134<br />
• For more information, contact Dr. Bartels via email at cb4@medicine.wisc.edu<br />
Million Hearts<br />
For the last five years, WNA has partnered<br />
with the Department of Health Services,<br />
Chronic Disease Prevention Unit for a grant that<br />
was awarded to support the efforts to promote<br />
health and prevent and control chronic diseases<br />
and their risk factors. <strong>The</strong> funding supports the<br />
implementation of evidence and practice-based<br />
interventions for reducing the prevalence of<br />
hypertension in <strong>Wisconsin</strong>.<br />
Hypertension (high blood pressure) significantly increases the risk of heart<br />
disease and stroke, which account for 1 in every 3 deaths in WI. (<strong>Wisconsin</strong><br />
Department of Health Services. Set Your Heart on Health Toolkit. DHS<br />
publication No. P-02154, Madison, WI; <strong>2018</strong>.)<br />
Outcomes related to the grant include:<br />
• WNA successfully implemented “<strong>The</strong> Healthy <strong>Nurse</strong>” to assist RNs to<br />
ensure interventions to control their own blood pressures and sustain a<br />
journey to individual health.<br />
• WNA facilitated partners to build a culture of Patient Centered Team-<br />
Based care.<br />
• WNA convened an expert panel to discuss Hypertension and a<br />
publication was created to discuss the outcomes.<br />
• WNA hosted a Symposium on Hypertension to discuss strategies for<br />
reducing hypertension in WI.<br />
Currently, the grant has been expanded to obtain information related to<br />
Hyperlipidemia (High Cholesterol). WNA will be sending a survey related to<br />
RN knowledge about cholesterol. Watch for an educational webinar that will<br />
be available on the WNA Website.<br />
You are invited to access the link on the WNA website that has informative<br />
materials related to the grant at https://wisconsinnurses.org/wna-co-leadssymposium-to-address-hypertension-in-wisconsin/
Online Programs convenient for<br />
Working <strong>Nurse</strong>s<br />
RN to BSN Completion for <strong>Nurse</strong>s<br />
with an ADN or Diploma<br />
MSN Leadership & Management in<br />
Health Systems<br />
• Online classes fit your schedule<br />
• No campus presence required<br />
• Affordable, competitive tuition<br />
• Nationally Accredited<br />
• RN to BSN students may transfer up to 90 of the<br />
120 required credits and take courses full or parttime<br />
at a pace comfortable for you.<br />
• MSN program requires 34 credits that can be<br />
completed in as little as 2 years and features a<br />
Leadership Project in a health care setting.<br />
No entrance exams are required for admission.<br />
Call 920-465-2826 or email nursing@uwgb.edu<br />
Consult our website: www.uwgb.edu/nursing
Page 18 <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>October</strong> <strong>2018</strong><br />
<strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong><br />
Varga Named Dean of JoAnn McGrath<br />
School of Nursing and Health Professions<br />
Milwaukee, (Aug. 16,<br />
<strong>2018</strong>) – Patricia Varga,<br />
Ph.D., MSN, RN, CNE,<br />
has been named dean<br />
of Alverno College’s<br />
JoAnn McGrath School<br />
of Nursing and Health<br />
Professions, President<br />
Andrea Lee, IHM,<br />
announced.<br />
Varga, an associate<br />
professor of nursing<br />
who has been at Alverno<br />
since 2004, will lead the<br />
implementation of the<br />
college’s ambitious strategic plan, which seeks to<br />
expand on its widely admired history in nursing<br />
and make a significant contribution in the evolution<br />
of health care to improve access, increase quality<br />
and lower costs. Varga also will lead college efforts<br />
as it makes final preparations for accreditation<br />
renewal by the Commission on Collegiate Nursing<br />
Education, the national agency devoted exclusively<br />
to accrediting baccalaureate and higher-degree<br />
nursing education. Previously, Alverno was granted<br />
the maximum 10-year accreditation period,<br />
extending from December 2009-December 2019.<br />
Margaret Rauschenberger, MSN, RN, CCHP, who<br />
has served as associate, interim dean and dean of<br />
the JoAnn McGrath School of Nursing and Health<br />
Professions since 2012, will return to the faculty and<br />
assist in the leadership of Alverno’s strategic plan<br />
initiatives. Lee named her dean emerita of Nursing.<br />
Rauschenberger’s professional experience as<br />
a mental health nurse will be particularly valuable<br />
in the college’s work. Under Rauschenberger,<br />
Alverno launched a doctorate of nursing practice; a<br />
graduate clinical nurse specialist program, graduate<br />
family nurse practitioner program, graduate clinical<br />
nurse specialist program and graduate adult<br />
geriatric primary care nurse practitioner program;<br />
and RN to BSN program. Rauschenberger will<br />
partner with Varga during her transition into the<br />
dean’s role.<br />
“We are thrilled to have a dean of Dr. Patricia<br />
Varga’s caliber as the college expands its footprint<br />
of excellence in nursing and health care,” Lee said.<br />
“At the same time, we thank Peg Rauschenberger<br />
for her years of principled, high-energy leadership<br />
and are fortunate that she will continue her<br />
excellent work at Alverno.”<br />
Aspirus Wausau Hospital<br />
has been a Magnet hospital<br />
since 2005, affirming our<br />
commitment to quality of<br />
care, teamwork, patient<br />
outcomes, staff development,<br />
progressive leadership, and<br />
research initiatives.<br />
Patricia Varga<br />
Great place to start your nursing<br />
career to advance your skills,<br />
deepen your experience and<br />
make a real impact in a culture<br />
that promotes excellence.<br />
• <strong>Nurse</strong> Residency Program<br />
• Stability of a growing system<br />
• Commitment to quality<br />
• Healthy work environment<br />
• Culture that values education<br />
• Continuous opportunity for advancement<br />
Varga received her doctorate in nursing from<br />
Marquette University. Her areas of expertise<br />
include community health, nursing education<br />
and leadership, and parish nursing. Her area of<br />
scholarly research focuses on the factors impacting<br />
diverse students in nursing programs. Working<br />
with a team of Alverno faculty and students, she<br />
served as primary investigator on a grant-funded<br />
program through the college’s Center for Academic<br />
Excellence. It extends the topic of her dissertation,<br />
which proposed a new model and theory: the<br />
<strong>The</strong>ory of Diverse Student Faculty Partnerships.<br />
Using findings from these two studies, she<br />
anticipates testing interventions aimed at attracting<br />
students from diverse populations and successfully<br />
retaining them through graduation.<br />
“This is an exciting time at Alverno College,”<br />
Varga said. “I look forward to building on our<br />
strong history in nursing and embracing bold<br />
approaches that address primary care needs and<br />
engage in cutting-edge advances in access and<br />
delivery for the community.”<br />
About Alverno College<br />
Alverno College promotes the academic,<br />
personal and professional development of<br />
its students in a collaborative and inclusive<br />
environment. Undergraduate programs for<br />
women are offered in more than 60 areas of study,<br />
and graduate programs in education, nursing,<br />
community psychology and business are open to<br />
women and men.<br />
A leader in higher education innovation, Alverno<br />
has earned international accolades for its highly<br />
effective ability-based, assessment-as-learning<br />
approach to education, which emphasizes handson<br />
experience and develops in-demand skills. <strong>The</strong><br />
College has consulted with three U.S. presidential<br />
administrations on accountability and outcomes<br />
in higher education and for the past eight years<br />
has been ranked one of the top five schools in<br />
the Midwest doing “the best job of educating<br />
undergrads” by U.S. News & World Report. Alverno<br />
is <strong>Wisconsin</strong>’s sole Hispanic-Serving Institution, a<br />
national designation that provides access to federal<br />
grants and scholarships to not-for-profit institutions<br />
of higher learning that serve a significant<br />
population of Hispanic students.<br />
Based in Milwaukee, Wis., Alverno College is<br />
a four-year independent, Catholic, liberal arts<br />
college.<br />
Learn about career opportunities<br />
at one of our 8 hospitals and over<br />
55 clinics in Central WI and Upper MI.<br />
Visit aspirus.org/careers<br />
For more information call or email:<br />
Julie Riemer RN, BSN<br />
Talent Acquisition Specialist<br />
Phone 715-847-2383<br />
Julie.Riemer@aspirus.org<br />
What’s the Plan?<br />
SueAnne TeStrake, MSN, RN-C<br />
President <strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong><br />
It’s inherent, the day of admission the plan<br />
begins for discharge. Every patient has a person<br />
centered plan of care. <strong>The</strong>re is a plan in place for<br />
emergencies, triage, and staffing – everything<br />
being contingent on the situation, circumstance<br />
or condition at the moment. Planning is an<br />
essential part of our nursing process, and<br />
communication of the plan of care contributes to<br />
smooth transition of care.<br />
We also make personal plans in our daily<br />
lives. Plans that include education, choice of<br />
partners, vacations, travel, work place specialty,<br />
finances, retirement, even our menu plans, are<br />
also contingent on the situation, circumstance<br />
or conditions at the time. Plans change and we<br />
often need to be flexible and come up with a<br />
Plan B. That picnic planned for Thursday just got<br />
changed to indoor miniature golf due to rain.<br />
Some of the more difficult plans to make are<br />
the plans for our survivors. Life is a continuum,<br />
none of us will live forever, the end comes<br />
sometimes when least expected and even when<br />
expected, it is still a traumatic loss.<br />
It is beneficial for our survivors to know what<br />
we want at the end of our days, both in care,<br />
treatment and memorials. Thinking that far ahead<br />
is challenging, more challenging than planning<br />
your wedding or your retirement because it’s a<br />
painful process, but such a necessary process for<br />
yourself and your survivors. It creates a peace of<br />
mind.<br />
Establishing a living will outlines to medical<br />
personnel your choices should you not be able<br />
to express them at the time. Having a discussion<br />
with your family and care provider before an<br />
event is the most ideal, when the situation is not<br />
overlaid with grief.<br />
Establishing a trust or planning your estate<br />
also contributes to a smooth transition for your<br />
survivors. Outlining your wishes improves your<br />
survivors’ chances to grieve without having to<br />
be overloaded with making decisions. Putting<br />
together a simple will is not expensive and it is<br />
something that can be done through the Internet.<br />
If someone dies without a will in <strong>Wisconsin</strong>,<br />
the estate is handled via intestate succession.<br />
(Chapter 852 of the <strong>Wisconsin</strong> Statutes).<br />
I have learned a lot about trusts, wills, estates,<br />
funeral planning, probate issues—more than I<br />
ever wanted to know, in the past two years since<br />
the loss of my son, my spouse and my Mother.<br />
Learning what I have though, has helped me act<br />
and put in writing plans for those who survive<br />
me. I worked with an estate planner who was a<br />
tremendous help getting things in order.<br />
<strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong> (NFW) offers<br />
for your planning, an opportunity to have the<br />
Nightingale Tribute service along with the poem,<br />
“She or He was there” read at memorial services<br />
for nurses. We recite this Tribute at our annual<br />
meetings to honor nurses who have passed that<br />
year. We also offer the opportunity to donate<br />
funds to the NFW in memory of a loved one, for<br />
the purpose of nursing scholarships and grants.<br />
Supporting the future of nurses in <strong>Wisconsin</strong><br />
supports nursing education and research and<br />
enhances nursing’s’ impact of health care.<br />
<strong>Wisconsin</strong>nurses.org/Nightingale Tribute<br />
At our September meeting the NFW board of<br />
directors will map out our strategic plan, appoint<br />
a new president and continue our work of<br />
increasing the visibility of the NFW.<br />
HRADS-007
<strong>October</strong> <strong>2018</strong> <strong>The</strong> <strong>Wisconsin</strong> <strong>Nurse</strong> Page 19<br />
ANA Updates<br />
Practice Matters FROM YOUR ANA PRESIDENT<br />
<strong>The</strong> Nursing Now campaign launches<br />
Reprinted from American <strong>Nurse</strong> Today,<br />
Volume 13, Number 5<br />
Investing in nurses to achieve<br />
global health.<br />
Health should be a recognized universal right.<br />
Having an equitable health system should be a<br />
universal standard. And having highly skilled nurses<br />
recognized for their expertise in providing care and<br />
leading efforts to transform a nation’s health and<br />
health system should be a universal practice.<br />
U.S. nurses are not alone in our quest to be a<br />
prominent voice at all tables in determining how<br />
to best shape and deliver healthcare. Just a few<br />
months ago, a three-year, global campaign was<br />
publicly launched called Nursing Now under<br />
the auspices of the Burdett Trust for Nursing in<br />
collaboration with the International Council of<br />
<strong>Nurse</strong>s (ICN) and the World Health Organization<br />
(WHO). More than 30 countries, including the<br />
United Kingdom, Switzerland, South Africa, and<br />
the United States, were represented at launchday<br />
activities held around the world. Catherine,<br />
Duchess of Cambridge, served as the official<br />
patron.<br />
<strong>The</strong> Nursing Now campaign is focused on<br />
improving health globally by raising the profile<br />
and status of nurses worldwide. <strong>The</strong> agenda is<br />
ambitious, but it’s critically important and can<br />
be accomplished with real investment in nursing<br />
and ongoing support. <strong>Nurse</strong>s and midwives make<br />
up the largest segment of the health workforce<br />
worldwide, and they can have a great impact<br />
on the health and well-being of individuals and<br />
communities because of their expertise and<br />
extensive reach through<br />
their varied roles and<br />
settings.<br />
That said, we’re facing<br />
a global shortfall of nine<br />
million nurses and midwives projected by 2030. <strong>The</strong><br />
WHO Triple Impact report, whose findings helped<br />
initiate the campaign, also noted that although<br />
there is “enormous innovation and creativity in<br />
nursing,” nurses “are too often undervalued and<br />
their contribution underestimated.”<br />
To achieve its vision, the campaign has<br />
developed goals that are similar to those outlined<br />
in the U.S.–focused Institute of Medicine report,<br />
<strong>The</strong> Future of Nursing: Leading Change, Advancing<br />
Health. Both the campaign and the report address<br />
advancing nurses’ education and professional<br />
development, including leadership skill-building<br />
and their ability to effectively function in rapidly<br />
evolving healthcare environments. <strong>The</strong> campaign<br />
and report also call for increasing nurses’ influence<br />
on health policy and engaging nurses in leadership<br />
roles at all levels. And both serve as clarion calls<br />
for investing in the nursing workforce and viewing<br />
nurses as the key to solving many healthcarerelated<br />
issues.<br />
Lord Nigel Crisp, former chief executive of<br />
the National Health Service in England, and cochair<br />
of the international board leading Nursing<br />
Now, recently met with the ICN Executive<br />
Committee. In discussing ICN’s action plans for<br />
the campaign, Crisp reinforced the importance<br />
of engaging the world’s nursing leaders to make<br />
an indelible impact on global health, saying, “I<br />
believe that strengthening nursing is one of the<br />
single biggest things we can do to improve health<br />
globally. <strong>Nurse</strong>s, wherever they are, are the health<br />
professionals closest to the community and are<br />
invaluable in promoting health and preventing<br />
diseases as well as providing care and treatment.”<br />
As the U.S. representative from the American<br />
<strong>Nurse</strong>s Association to ICN and its first vicepresident,<br />
I have the privilege of talking with nurses<br />
from many of the 130-plus member countries. I’ve<br />
learned that no matter our country of origin, nurses<br />
share the ability to identify patient and population<br />
needs; implement effective, and sometimes very<br />
creative, interventions; and understand that health<br />
promotion and preventive measures are critical to<br />
raising the health of patients, communities, and<br />
nations. Many of us also share similar struggles,<br />
although to varying degrees: staffing shortages,<br />
workplace and societal violence, emerging<br />
infectious diseases, and barriers to practicing to<br />
our full education and expertise. Addressing these,<br />
too, will help achieve the impact we want on global<br />
health.<br />
<strong>The</strong> Nursing Now campaign will run to the end<br />
of 2020, which coincides with the 200th anniversary<br />
of Florence Nightingale’s birth and a worldwide<br />
celebration of nurses. I encourage all nurses to<br />
learn more about the campaign at nursingnow.org<br />
and to support each other in leading the way to<br />
helping people achieve health.<br />
Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN<br />
President, American <strong>Nurse</strong>s Association
Change language