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2018 Oklahoma Nurses Association
2018 TABLE OF CONTENTS
Convention Program
2018 ONA Convention Schedule at a Glance ........3
Convention Welcome ..........................5
Continuing Education Statement .................7
Hyatt Regency Tulsa Floor Plan ..................9
End Nurse Abuse in Oklahoma ..................11
Convention Sponsors .........................13
Nightingale Tribute ...........................15
Official Call to the HOD ........................19
Agenda ....................................21
Standing Rules ..............................23
Seating Assignment ..........................25
ONA Bylaws with Proposed Changes ............27
Resolution: Incivility, Bullying and
Workplace Violence .......................32
Poster Abstract Presentations ..................35
2019 Exhibitors ..............................39
Concurrent Sessions ..........................40
ONA Strategic Plan .............................48
ANA Strategic Goals ............................49
Board of Directors & Region Presidents .............54
2018 Annual Reports
President ...................................56
CEO .......................................58
Vice-President ...............................59
ONA Board of Directors Activity Report ...........60
Position Statements ..........................62
ONA Financial Reports ........................64
Legislative Agenda (with bill numbers) ............68
Political Activities Committee ...................70
Membership Development Committee ............71
Region Reports (1, 2, & 3) ......................72
Organizational Affiliates & Sponsors ...........75
The Association of Women’s Health, Obstetrics and
Neonatal Nurses. . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Faith Community Nurses ......................77
Oklahoma League for Nursing ..................79
Oklahoma Medical Reserve Corps Nurses .........80
Medical Advisory Committee ...................81
Community Relations Board ....................82
The Children’s Health Group ....................83
Nursing Education and Practice Advisory Committee. 86
Oklahoma Domestic Violence Fatality Review Board ..87
Nursing Scholarship Advisory Committee .........91
State Council on Aging ........................93
Oklahoma Healthcare Workforce Center ..........95
Code of Ethics .................................96
www.oklahomanurses.org
Published by:
Arthur L. Davis
Publishing Agency, Inc.
Printed and Published for the
Oklahoma Nurses Association by:
Arthur L. Davis Publishing Agency, Inc.
517 Washington St., P.O. Box 216,
Cedar Falls, Iowa 50613
(319) 277-2414
Oklahoma Nurses Association 6608 N. Western, #627 Oklahoma City, OK 73116
www.OklahomaNurses.org | 405-840-3476 | ona@oklahomanurses.org
1

2018 Oklahoma Nurses Association
2

2018 Oklahoma Nurses Association
2018 ONA CONVENTION SCHEDULE AT A GLANCE
Thursday, October 25
7:30 a.m. Registration Opens
Exhibits – 7:30 a.m. – 3:30 p.m.
Poster Session – Available all day
Room: Promenade B
Wednesday, October 24
7:30 a.m. Registration Opens
Poster Session – Available all day
9 a.m. – 12:00 p.m. End Nurse Abuse
in Oklahoma
o Panel discussion on strategies
and solutions to insure
workplace safety
o Understanding Dynamics of
Aggressive Behavior
o Defense and De-escalation Tactics
12:00 -1:00 p.m. Luncheon
1:30 – 4:00 p.m. House of Delegates
(View the HOD Packet at
www.oklahomanurses.org)
4:30 p.m. Networking Reception &
Meet the Poster Presenter
Room: Promenade B
Join us for a casual gathering with the
ONA Board of Directors. This is a great
opportunity to network with nurses
from across the state and visit with
this year’s Poster Presenters. Light
refreshments provided.
8-10 p.m. Evening Gathering Hosted
by Region 1
Not quite ready to call it a night? Join
convention attendees for a casual
evening gathering for drinks, light
refreshments and great conversation!
8:00 - 9:30 a.m. Understanding Health Disparities in Oklahoma
Room: Promenade C-D
o Short documentary, Clinica de Migrantes
o Panel Discussion with health care leaders who serve
vulnerable populations in Oklahoma
9:30 – 10 a.m. Visit Posters & Exhibitors
10– 11 a.m. Breakout I
1. Empowering the Nurse to Empower the Patient in Cannabis
Based Medicine - Pamela Street, BSN, RN:
Room: Promenade C-D
2. It’s Not You, It’s Me - Mindy Thompson, DNP, RN, CNE;
Brenda Scott, DNP, RN, NHDP-BC Room: Promenade A
11:15 a.m. – 12:15 p.m. Awards Luncheon
12:30 – 1:30 p.m. Breakout II
1. $11- $20 Million, The Range in the Top Ten Verdicts in Health
Care Cases - Kammie Monarch, RN, MSN, JD
Room: Promenade C-D
2. Diversity and Inclusion for Transgender Patients
Joseph Catalano, PhD, RN
Room: Promenade A
1:45 – 2:45 p.m. Breakout III
1. Investigations into Economic Class for Nursing Students -
Angela Martindale, PhD, RN Room: Promenade C-D
2. Hot Topics and Best Practices – Virtualizing Your Care
Practice - E. Lynette Gunn APRN, GCNS-BC, CWCN, CFCN
Room: Promenade A
3 – 4 p.m. Breakout lV
1. Man in the Mirror: Reviving the Joy at Work
Dr. Dean Prentice, Colonel, DHA, MA, BSN, NE-BC
Room: Promenade C-D
2. Implementing Evidence-Based Self-Care Guidelines for
Nurses - Meredith Hines, DNP-c, MSN, RNC-MNN, CNL
Room: Promenade A
4:30 – 5:30 PM – Oklahoma League for Nursing Reception
The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care
in all specialties and practice settings by working as a community of professional nurses.
3

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2018 Oklahoma Nurses Association
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4

2018 Oklahoma Nurses Association
Welcome to the Annual Convention of the Oklahoma Nurses Association!
Thank you for joining us for this year’s Convention, Empowering Nurses: Inspire. Innovate. Influence. You
will find detailed information about Convention and the House of Delegates packet in the front section of
this book, followed by the 2018 Book of Reports. We hope you take time to review the reports and see
what ONA Committees, Regions and Affiliate Organizations are doing to advance the profession of nursing in
Oklahoma.
This year, our Convention explores some of the most pressing healthcare issues facing Oklahomans and
how nursing can respond in proactive and productive ways. We will begin on Wednesday with a panel
presentation addressing Workplace Violence. This panel is comprised of regional nursing experts who have
faced workplace violence in their organizations. They will present evidence-based recommendations used to
address aggressive behavior, their real-life experiences, and lessons learned that will assist us as we work to
maintain safe workplace environments.
Wednesday afternoon, following the House of Delegates, stay and meet our Poster Presenters at our
Opening Reception. It is a great time to catch up with convention friends you have not seen since last year
and make new ones. ONA Board Members, poster presenters and speakers will be mingling, giving time to
get a preview of the posters that will be on exhibit Thursday.
Our Thursday sessions focus on current issues in practice: healthcare access, medical marijuana, gender
issues in providing healthcare, litigation and nursing care, technology, education, communication, and selfcare;
a wealth of topics to update your nursing knowledge. We hope that you enjoy your time at convention!
Thank you, ONA Members, for allowing us to serve as your president and vice president. We are looking
forward to 2019 and the exciting agenda of the nursing profession. Your willingness to share your ideas and
opinions is valued. We truly believe people support what they help to create! Thanks for your involvement in
ONA! Special thanks to the 2018 Convention Committee and the ONA staff for their work in organizing this
year’s Convention!
Joyce Van Nostrand, ONA President, 2016-2018 Elizabeth Diener, ONA Vice-President, 2016-2018
Oklahoma Nurses Association 6608 N Western, #627 Oklahoma City OK 73116
www.OklahomaNurses.org | 405-840-3476 | ona@oklahomanurses.org
5

2018 Oklahoma Nurses Association
6

Continuing Education Statement
2018 Oklahoma Nurses Association
It is the practice of the Oklahoma Nurses Association to ensure balance, independence, objectivity and
scientific rigor in all continuing nursing education activities. This educational session was developed without
interference or involvement from any commercial interest.
2018 Convention: Educational Purpose Statement
The purpose of this educational activity is to enhance the professional knowledge of Oklahoma Registered
Nurses in diverse practice settings by presenting evidence based research and innovative application
strategies in the areas of workplace violence and healthcare disparities. These educational sessions focus on
the unique position of nurses to inspire and influence care policy development and innovative nursing care
delivery practices in individualized professional care environments, as evidenced by self-reported planned
practice changes.
Notice of Requirements for Successful Completion:
In your packet you have a Certificate of Successful Completion and a Convention Evaluation. When you have
attended all of the sessions that you are planning to attend, please complete the information on both of
these forms and indicate the sessions that you attended. Turn in the forms at the ONA Registration desk.
Keep the white tear-off copy of the Certificate of Successful Completion for your records. Concurrent
sessions will have evaluations in each room. Please complete the evaluations and turn them in to the ONA
representative.
Conflicts of Interest:
The planning committee wishes to note that the integrity of the educational activities will not be
compromised.
Commercial Support:
This seminar received unrestricted educational grants from our Convention Sponsors. Please see the
sponsor listing elsewhere in this program.
Non-endorsement of Products:
The Oklahoma Nurses Association, the Texas Nurses Association and the ANCC COA do not endorse any
product displayed at this seminar.
Off-Label Use:
There is no off-label product use endorsed in conjunction with this seminar.
Approved Provider: #17-285890-B
This continuing nursing education was approved by the Texas Nurses Association – Approver, an accredited
approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care
in all specialties and practice settings by working as a community of professional nurses.
7

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2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
End Nurse Abuse in Oklahoma
Wednesday 9 am – 12 pm
Room: Promenade C-D
Our focus on Wednesday will be to localize ANA’s #EndNurseAbuse initiative by focusing on violence against
nurses in the workplace. Nurse violence ranges from incivility to physical assault with intent. Nationally, 1 in 4
nurses have experienced some kind of workplace violence and it is also happening in Oklahoma. This must
stop and ONA and its members must be part of the solution. We will divide this time period into the following
three components:
o
o
o
Panel discussion on strategies and solutions to insure workplace safety
Panelists Invited:
Cecily Anderson, RN, St. John Medical Center
Karyl James, MSN, RN, Chief Nursing Officer, Mercy Hospital
Carmen Nickel, MSN, RN, President, Oklahoma Board of Nursing
Cathy Pierce, MS, RNC, CENP, Chief Nurse Executive OU Medicine
Lisa Rother, MHA, BSN, RN-BC, System Admin. Director Clinical Education & Professional
Development, INTEGRIS Health
Lynn Sund, BSN, MBA, RN, Senior Vice President/Chief Nurse Executive, Saint Francis Health System
Understanding Dynamics of Aggressive Behavior
Captain Ronnie Johnson, Cleveland County Sheriff’s Office
Defense and De-escalation Tactics
Dee Dee Carter, Lieutenant, Public Safety Specialist, INTEGRIS Health
Learning Objectives: At the conclusion of this presentation the participant will be able to:
1. Describe the role nurses can play in ending nurse abuse.
2. Discuss workplace violence and potential solutions
3. Identify issues related to the workplace violence in health care settings
4. Describe solutions that hospitals are implementing to end workplace violence
5. Describe the effects of workplace violence on nurses and patient care
6. Discuss the “power wheel” and the dynamics of power
7. Explain a minimum of 2 ways to deal with aggressive behavior to de-escalate a situation.
11

2018 Oklahoma Nurses Association
12

2018 Oklahoma Nurses Association
SPECIAL THANKS TO THE FOLLOWING
2018 CONVENTION SPONSORS
KEYNOTE SESSION SPONSORS
Wednesday: Arthur L. Davis Publishing Agency, Inc.
Thursday: American Holistic Nurses Association
NETWORKING BREAK SPONSORS
Wednesday: Mercer Professional Liability Insurance
Thursday: Hillcrest Medical Center
CONVENTION SCHOLARSHIP SPONSORS
Factor110
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2018 Oklahoma Nurses Association
The Nightingale Tribute
Nursing is a calling, a lifestyle, a way of living. Nurses here today honor those listed below and their life as
a nurse. They are not remembered by their years as a nurse, but by the difference they made during those
years by stepping into people’s lives…by special moments.
They Were There
When a calming, quiet presence was all that was needed,
They were there.
In the excitement and miracle of birth or in the mystery and loss of life,
They were there.
When a silent glance could uplift a patient, family member or friend,
They were there.
At those times when the unexplainable needed to be explained,
They were there.
When the situation demanded a swift foot and sharp mind,
They were there.
When a gentle touch, a firm push, or an encouraging word was needed,
They were there.
In choosing the best one from a family’s Thank-You box of chocolates,
They were there.
To witness humanity’s beauty, in good times and bad, without judgment,
They were there.
To embrace the woes of the world, willingly, and offer hope,
They were there.
And now, that it is time to be at the Greater One’s side,
They were there.
Note: Pronoun can be changed © 2004 by Duane Jaeger, RN, MSN
We honor you this day and give you a white rose to symbolize our honor and appreciation for being our
colleague. ©
We Remember .
Katherine Adcock Choate 3/11/2018
Kay Adell Lawson 3/8/18
Alma Alene McIntire 7/7/18
Judith Ann Alexander 3/29/18
Margaret Ann Adkins. 9/8/18
Margaret “Marnie” Bauman Christman 1/5/18
Lynette Baumann 12/29/17
Janet Ruth Brian 2/3/18
Pauline Veronica Bruce 3/15/18
Ralph Edward Bruton 2/15/18
Mary Evelyn Casey 5/4/18
Emma Lee Cerny 3/1/18
Joann Margaret Chichura 11/5/17
Dr. Juanita Cusack Quinn 4/24/18
Betty Dennis 8/23/18
Joan Devilbiss 4/12/18
Brenda Donaho 12/8/17
Rachelt Duran 8/12/18
15

2018 Oklahoma Nurses Association
16

2018 Oklahoma Nurses Association
Rachel Durant 12/25/17
Pamela Edgerton 6/8/18
L. Francis Edmonds 12/25/17
Ralph Edward Bruton 2/15/18
Shirley Ann Egan 4/29/18
Heather Leigh Embrey 7/12/18
Heather Leigh Embry 7/12/18
Marcine Emmons 5/10/18
Melza “June” Evans 12/9/17
Maxine Fairene Ford 5/3/18
Betty “Rapier” Fanning 3/28/18
Jackie Fanning 5/5/18
Jane Carol Flynn 11/26/17
Kathie Ford 8/22/18
Maxine Fairene Ford 5/3/18
Tracey Forehand 6/27/18
Callie Mae Freeman 12/23/17
Zandra Gayle Prill 7/13/18
Marilyn E. Gorden 5/8/18
Edna Ruth Gray 4/29/18
Edna Ruth Gray Jones 4/29/18
Sally Lynn Griffin 4/3/18
Rep Claudia Griffith 7/14/18
Juanita Jean Griggs 4/2/18
Rebecca Lynn Grubb 3/26/18
Minnie Marjorie Hampton 8/13/18
Barbara Harbison 10/3/17
Lucinda "Cindy" Harmon 3/2/18
Gloria Hays 2/25/18
Rhonda Heflin 4/5/18
Blake Andrew Henry 7/7/18
Cindy Hill-Myers 5/3/18
Barbara Rose Hodges 2/18/18
Alan Hugh Holappa 10/3/17
Naomi Ruth Jackson Chasten 6/22/18
Connie Jean Fletcher
Edna Ruth Gray Jones 4/29/18
Patricia Keenan 4/5/18
Genavie “Jean” Kenyon 7/8/18
Marilyn Knoy 5/24/18
Theo LaFern Parker 3/19/18
Trudy Langley 2/28/18
Maxine Lanze 5/13/18
Katie Ann Largent Hall Brinkman 4/17/18
Teresa Jayne Lawson Marruffo 11/6/17
Betty Lee Porter 7/5/18
Gladys Teresa Lepley 5/2/18
Danna Mahoney Meador 11/29/17
Norma Martin 5/21/18
Norma Jean McCall 10/2/17
Dortha Mae McCullen 5/2/18
Alma Alene McIntire 7/7/18
Colleen McKee 10/24/17
Thomas Mcnamara 8/16/17
Michelle R. Menard 5/9/18
Emily “Hope” Merriman 11/16/17
Ernestine Miller 11/10/17
Thelma Elizabeth Moore 7/30/18
Darlene “Jan” Morley 4/6/18
Carolyn Virginia Mure 4/2/18
F. Carol Murray 5/29/18
Alice Ann Noah 10/11/17
Helena N. Norman 8/16/18
Elizabeth Nylander 8/26/18
Elizabeth Nylander 8/26/18
Maryanne O’Brian 10/12/17
Linda K. Orosco 6/16/18
Katherine Kristeeen Oxford Choate 3/10/18
Laura Faye Payne 2/20/18
Malinda Phillips 1/26/18
Judith C. Plummer 4/3/18
Marilyn Plummer 4/3/18
Mary Ruth Rampey 2/1/18
Dr. Charlotte Rappsilber Feb-18
Helen Reader 3/1/18
Nancy Riggs 4/10/18
Velma Darlene Roach 10/29/17
Bonita Rutherford 8/17/18
Edythe Schroeder 8/2/18
MaryAnn Shelton 3/31/18
Barbara Rose Spurrier 1/4/18
Sandra Jean Staves 3/22/18
Denise Streeter 10/13/17
Denise Renee Sullivan-King 2/19/18
Cheryl Tabor 4/1/18
Lillian R. Tadpole 8/28/18
Essie June Tennison 12/20/17
Leah Jane Topper 2/25/18
Donna Mae Ulrich-Musgrave 4/21/18
Theresa Valento 12/1/17
Anne Vinson Austin 3/5/18
Mary Louise Walker 8/13/18
Rose Westmoland 7/20/18
Phyllis Anita White 6/6/18
Dr. Mindy Whitten 8/28/18
Angie E “Ann” Williams 3/29/18
Glenda Jean Williams 7/6/18
Mary H. Wilson 11/20/17
Tebogo Johannesburg 4/22/18
Connie Barrow 9/3/18
17

2018 Oklahoma Nurses Association
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18

2018 Oklahoma Nurses Association
6608 N Western, #627
Oklahoma City, OK 73116
405/840-3476
www.oklahomanurses.org
Official Call to the Delegates
To Attend a Meeting of the ONA House of Delegates
Hyatt Regency, Tulsa Oklahoma
Wednesday, October 24, 2018, 1:30 – 4pm.
From— Polly Shoemake, BSN, MBA, RN, ONA Secretary/Treasurer
This notice constitutes the official call to meeting of the Meeting of the ONA House of Delegates. The
House session will be held Wednesday, October 24, 2018. The House of Delegates will convene at 1:30 p.m.
adjourning at 4pm. Credentialing closes at 1:15 pm so that we may start promptly at 1:30 p.m.
The representation of each Regional Nurses Association established for the 2018 House is as follows:
Region #01 ..............................32
Region #02 ..............................26
Region #03 ..............................27
Region #04 ..............................14
Region #05 ..............................16
Region #06 ..............................22
ONA Board of Directors ...................15
ONA Affiliates ............................11
Past ONA Presidents
The ONA House of Delegates is composed of member nurses duly elected through secret ballot by
constituent regional members. The House of Delegates also provides a courtesy seat to Past ONA
Presidents and one registered nurse participant from each organizational affiliate.
Each delegate must study the issues thoroughly and is encouraged to participate in Region sponsored
meetings prior to the ONA Annual Convention so that they may engage in open-minded debate, practice
active listening and use the extensive resources and collective knowledge made available throughout these
meetings to assist them in making informed decisions. A registration fee will be assessed for this day, as
lunch will also be included.
Members of the ONA House of Delegates are elected through a regional election process and have
a crucial role in providing direction and support for the work of the state organization. They come to
the House to work towards the growth and improvement of ONA and its constituencies. This requires a
professional commitment to the preservation and creative growth of the professional society at all levels of
the organization. Such a commitment will benefit the individual delegate, the Association and the nursing
profession.
19

2018 Oklahoma Nurses Association
Cherokee Nation, headquartered in beautiful Tahlequah,
Oklahoma, seeks Nurses to work at various Health
Centers & Hospital operated by Cherokee
Nation located throughout Northeastern Oklahoma.
RNs & LPNs –
Regular FT & PRNs
Benefits:
• Competitive pay
• Profitable 401k plan
• Affordable health insurance
• Eleven paid holidays
• Paid continuing education and
enrichment programs
• Fitness program
• Employee assistance program
Health Centers & Hospital:
Wilma P. Mankiller Health Center - Stilwell
AMO Salina Health Center - Salina
Sam Hider Health Center - Jay
Three Rivers Health Center - Muskogee
Redbird Smith Health Center - Sallisaw
Will Rogers Health Center - Nowata
Cooweescoowee Health Center - Ochelata
Vinita Health Center - Vinita
WW Hastings Hospital - Tahlequah
Interested Applicants Please Apply
Online at: www.cherokee.org
Cherokee Nation
Human Resources Department
P.O. Box 948
Tahlequah, OK 74465
(918) 453-5292 or (918) 453-5050
Employment with Cherokee Nation is contingent
upon drug test results. Indian preference is considered.
Cherokee Nation is an Equal Opportunity Employer (EOE).
© 2010 Cherokee Nation. All Rights Reserved.
www.cherokee.org
20

2018 Oklahoma Nurses Association
2018 ONA House of Delegates
Tentative Order of Business
1. Call to Order
2. Pledge of Allegiance
3. Report of the Credentials Task Force
4. Establishment of Quorum
5. Adoption of House of Delegates Standing Rules
6. Adoption of Agenda
7. Introductions
8. Appointment of Committee to Approve the 2018 House of Delegates Minutes
9. Appointment of Timekeeper
10. Address of the President 2016 – 2018
11. Treasurer’s Report and FY 2018 Financial Report
12. Chief Executive Officer’s Report
13. Adoption by General Consent of the 2017-18 Annual Reports
14. ONA Membership Update
15. Update on Nursing Workforce in Oklahoma
16. New Business
A. Consider Proposed ONA Bylaws
B. Consider Resolution on Workplace Violence
17. 2018 Election Report
18. Installation of 2018 – 2019 Board of Directors
19. Recognition of 2016 – 2018 President
20. Address of the President 2018 - 2020
21. Nightingale Tribute
22. Seating of the Delegates for the 2019 House of Delegates
23. Announcements
24. Adjournment
21

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2018 Oklahoma Nurses Association
House of Delegates Meeting
Proposed Standing Rules
1. Name badge and delegate ribbon shall be worn at all times by the credentialed delegate. The registration
badge is not transferable.
2. A delegate may speak only two (2) times to the same question on the same day. Speaking time is limited
to three (3) minutes per delegate however the delegate may be granted permission to speak longer by a
two-thirds vote of the delegation. A delegate may not speak a second time to a question until all other
delegates who wish to speak have done so a first time.
3. Non-delegate ONA members may speak one (1) time to a question for a maximum of two (2) minutes.
Non-delegate members must identify themselves as a non-delegate; provide their names and the regions
they represent.
4. All main motions and amendments from the floor shall be in writing signed by the maker and seconder,
and sent to the chair immediately after being proposed. Only credentialed delegates may propose or
vote on motions.
5. Resolutions and business items listed on the agenda shall be approved by a majority (>50%) of the
delegates present at the time of the vote.
6. All resolutions that are substantive, of a non-emergency nature and which have NOT been forwarded to
the ONA office nor listed on the agenda prior to the House of Delegate meeting must receive a threefourths
(3/4) vote for consideration and a two-thirds (2/3) vote for adoption by the House of Delegates.
7. Any subject that was not known prior to October 1 may be introduced as a main motion when the New
Business section is reached on the Agenda. Such motion shall be subject to the Standing Rules.
8. The total time allowed for debate for each proposed amendment to the Bylaws shall be limited to 15
minutes. Time may be extended with a two-thirds (2/3) vote.
9. The total time allowed for debate on each proposed resolution shall be limited to 20 minutes. Time may
be extended with a two-thirds (2/3) vote.
10. The total time allowed for debate on each proposed amendment to the rule and/or regulation shall be
limited to 20 minutes. Time may be extended with a two-thirds (2/3) vote.
11. House of Delegate business interrupted by a recess of the meeting shall be resumed at the point of
interruption.
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2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
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26

2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
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2018 Oklahoma Nurses Association
31

SUBJECT: Incivility, Bullying and Workplace Violence
2018 Oklahoma Nurses Association
Oklahoma Nurses Association
2018 House of Delegates
Resolution
INTRODUCED BY: ONA Board of Directors and the Committee on Professional Practice in the Workplace
Summary: Workplace violence consists of physically and psychologically damaging actions that
occur in the workplace or while on duty (National Institute for Occupational Safety and Health [NIOSH],
2002). The Bureau of Labor Statistics releases an annual report about injuries and illnesses resulting
in time away from work in the United States. In the health care and social assistance sectors, 13% of
days away from work were the result of violence in 2013, and this rate has increased in recent years
(U.S. Department of Labor [DOL], Bureau of Labor Statistics, 2014). Examples of workplace violence
include direct physical assaults (with or without weapons), written or verbal threats, physical or verbal
harassment, and homicide (Occupational Safety and Health Administration OSHA, 2015).
WHEREAS, 1 in 4 nurses have reported experiencing incivility, bullying, and workplace violence. These
acts include displays of uncivil or threatening acts to verbal and physical assault and everything in between.
Incivility can take the form of rude and discourteous actions, of gossiping and spreading rumors, and of
refusing to assist a coworker. Bullying is repeated, unwanted harmful actions intended to humiliate, offend,
and cause distress in the recipient, and, Workplace violence consists of physically and psychologically
damaging actions that occur in the workplace or while on duty, and,
WHEREAS, Incivility, bullying, and workplace violence harm a person’s intrinsic sense of self-worth and selfconfidence,
which may result in physical symptoms such as headaches, interrupted sleep, and intestinal
problems, and
WHEREAS, the ANA’s Code of Ethics for Nurses with Interpretive Statements states that nurses are required
to “create an ethical environment and culture of civility and kindness, treating colleagues, coworkers,
employees, students, and others with dignity and respect” (ANA, 2015a, p. 4), and
WHEREAS, RNs and their employers should acknowledge the various forms of Incivility, bullying and
workplace violence, as well as the extent to which each occurs in their work setting, and
WHEREAS, All RNs and employers in all settings, including practice, academia, and research, must
collaborate to create a culture of respect that is free of incivility, bullying, and workplace violence, and
WHEREAS, Decreased productivity can occur following incidents of incivility, bullying, or workplace
violence. Employee retention can also become more difficult however the total financial cost of such actions
is very difficult to calculate , and
WHEREAS, Relationships marred by incivility and bullying can contribute to unhealthy work environments
that ultimately have a negative impact on the quality and safety of care delivered (American Association of
Critical-Care Nurses, 2005). The establishment of positive, respectful relationships is crucial to preventing
incivility, bullying, and workplace violence, and,
32

2018 Oklahoma Nurses Association
WHEREAS, the Oklahoma Nurses Association advocates specifically for RNs, workplace violence is relevant
to other health care professionals and stakeholders who collaborate to create and sustain a safe and healthy
interprofessional work environment;
WHEREAS, Oklahoma already has statute law addressing the assaults of first responders which includes
nurses and those specifically working in the Emergency Department;
THEREFORE BE IT RESOLVED, that the Oklahoma Nurses Association will no longer tolerate violence of
any kind from any source. Nurses must be afforded the same level of respect and dignity as others;
BE IT FURTHER RESOLVED, that Nurses must make a commitment to—and accept responsibility for—
establishing and promoting healthy interpersonal relationships with one another and with all members of the
health care team, and
BE IT FURTHER RESOLVED, that nurses and employers in all settings, including practice, academia, and
research, must collaborate to create a culture of respect that is free of incivility, bullying, and workplace
violence.
a. Evidence-based best practices must be implemented to prevent and mitigate incivility, bullying,
and workplace violence; to promote the health, safety, and wellness of RNs; and to ensure optimal
outcomes across the health care continuum;
b. Inclusion of training and education programs for nurses and other health care workers that enable
them to recognize potential hazards and learn how to protect themselves, their co-workers, and their
patients.
BE IT FURTHER RESOLVED, that ONA advocate at the legislature for the following:
a. To increase penalties for those assaulting a nurse working ALL areas not just as first responders and/
or the emergency department; and,
b. For employers to implement a workplace violence prevention program as part of their security
program including training and education program for nurses and other health care workers that
enable them to recognize potential hazards and learn how to protect themselves, their co-workers,
and their patients.
The ANA Position Statement on Incivility, Bullying, and Workplace Violence contains background
information, specific recommendations for RNs and employers that are related to preventing and
mitigating incivility, bullying, and workplace violence and provides references: https://www.nursingworld.
org/practice-policy/nursing-excellence/official-position-statements/id/incivility-bullying-andworkplace-violence/
To see the full version of this resolution please go to oklahomanurses.org and click on House of
Delegates Packet
The document was developed and modified from the ANA Position Statement developed by the
Professional Issues Panel on Incivility, Bullying, and Workplace Violence. http://www.nursingworld.org/
Workplace-Violence-and-Incivility-Panel
33

2018 Oklahoma Nurses Association
Networking Reception & Meet the Poster Presenters
Wednesday 4:30 p.m. (After the House of Delegates)
Room: Promenade B
Join us for a casual gathering with the ONA Board of Directors. This is a great opportunity to network with
nurses from across the state and visit with this year’s Poster Presenters. Light refreshments provided.
Evening Gathering Hosted by Region 1 – Wednesday 8-10 p.m.
Not quite ready to call it a night? Join convention attendees for a casual evening gathering for drinks, light
refreshments and great conversation! *See the schedule hand out for the room number.
Let Your Voice Be Heard!
Mark your calendar:
Nurses Day at the Capitol
February 26, 2019
Nurses Day at the Capitol provides you with the opportunity to get involved and make a
difference in issues facing nursing and healthcare in Oklahoma.
ONA encourages all Nurses and Nursing Students to get involved in the legislative process
and to attend the Nurses Day at the Capitol.
Nurse of the Day 2019
Legislative Session: February – May
*Online registration beginning in December 2018.
34

2018 Oklahoma Nurses Association
2018 Poster Abstract Presentations
Wednesday & Thursday 8 a.m. to 4:00 p.m. Room: Promenade B
Thursday - Meet the Presenter/Poster Discussion 9:30 – 10:00 a.m.
*Listed in alphabetical order by lead presenting author
Experiences of Nurse Educators: Teaching Touch-Driven Care
Trista Anderson, MSN, RN; Cassandra Barrow, MSN, RN; Cherlynn Bowlan, MSN, RN; Katy Fisher-
Cunningham, MSN, RN; Phatcharapon Tulyakul, MSN; Elizabeth Diener, PhD, RN, CNE
The Effect of a Respiratory Algorithm in Successful Transition of the Newborns to Extra Uterine Life
Susan Bedwell DNP, MS, APRN, CCNS-N; Theresa Gibson, MS, RNC-IP
Use of a Dedicated PICC Team to Sustain Reduction of CLABSIs in the Neonatal Population
Susan Bedwell DNP, MS, APRN, CCNS-N
Sustainability of Low Nosocomial Infection Rates Using Very Low Birth Weight Trained Nurses
Susan Bedwell DNP, MS, APRN, CCNS-N
Clinical Nurse Specialist Use of Shared Governance to Influence Organizational Civility
Susan Bedwell DNP, MS, APRN, CCNS-N; Debbie Parris, DNP, MS, APRN, PCNS-BC
Improving Pediatric Dialysis Peritonitis Rates after joining SCOPE Collaborative
Kristi Booker, RN, MSN, CDN; Greg Lewis, RN, BSN
Finding Our Voice: Nurses as Advocates and Leaders
Angela Carroll, RN
Storytelling: An Innovative Teaching Strategy to Build Resilience in Nursing Students
Whitney Cole, BSN, MSN(c), RN
Addressing Incivility in the Workplace: Best Practices - Deescalating Incivility
Traci R. Davis, BSN, RN; Tiffany J. Hedrick, BSN, RN; Morticia Hurley, BSN, RN
Empowering Nurses to Positively Impact Fall Rates in a Medicine Specialty Unit
Katherine Espy, RN, BSN; Melinda Laird, RN, MS, CENP
Hanging Hub Caps
Rhonda Farris, MSN, RN, AG-CNS
35

2018 Oklahoma Nurses Association
2018 Poster Abstract Presentations
Wednesday & Thursday 8 a.m. to 4:00 p.m. Room: Promenade B
Thursday - Meet the Presenter/Poster Discussion 9:30 – 10:00 a.m.
Impact of a Urinary Catheter Alternative on Device Utilization and CAUTI Events for Female Patients
Laci Fleenor, RN; Mindy Miller, MBA, RN; Jerry Kelley, MBA, MSN, RN, NE-BC, CIC, CPHQ
Improving Nursing Student Success
Tina Jo Gordon, BSN, RN, CDE; Carmen Johnson, BSN, RN
The Effects of an Educational Intervention on Adherence to Dietary Habits to Reduce Risk for
Developing Diabetes and Promote Weight Loss in a Primary Care Setting
Nakeda L. Hall, DNP, APRN-CNP
Improving Nursing Communication with Patients in an Emergency Setting
Amanda Hoffpauir, DNP, RN-BC
A "Pawesome" Innovation: Expanding Pet Therapy to Create the First Facility Therapy Dog Program
in Oklahoma
Sara Jacobson, MBA, BA; Matthew Bay, MBA, RN, CPN
Does patient and family education regarding end-of-life processes improve the acceptance of endof-life
as evidenced by a decision to move to palliative/hospice care?
Victoria Price, BSN; James H. Johnson, BSN; Steven Elrod, BSN; Levi Schmidt, BSN; Francoise Kaane, BSN;
Dr. Carol Rogers PhD, RN, PHCNS-BC, CNE, FGSA
ICU Liberation: Participating in a National Performance Improvement Collaborative
Regina Ketts, APRN-CNS, MSN, CCRN, CCNS
The Use of Specialty Teams to Promote Professional Growth and Patient Quality in a Neonatal
Intensive Care Unit
Jamie Kilpatrick, MSN, RN; Susan Bedwell, DNP, APRN, CCNS-N
Addressing Incivility in the Workplace: Best Practices - Leadership Direction in No Tolerance Policy
Development for Incivility
Jasmine Kirkwood, BSN, RN
The Impact of a Dedicated Rapid Response Team on Cardiac Arrests for Hospitalized Patients
Melinda Laird, RN; Ami Williams RN
36

2018 Oklahoma Nurses Association
2018 Poster Abstract Presentations
Wednesday & Thursday 8 a.m. to 4:00 p.m. Room: Promenade B
Thursday - Meet the Presenter/Poster Discussion 9:30 – 10:00 a.m.
Recognizing, Referring and Managing Pediatric Autoimmune Neuropsychiatric Disorder Associated
with Streptococcus (PANDAS)
Rhea Ann Lee, MSN, RN
Improving Pediatric Dialysis CLABSI Rates after Joining SCOPE Collaborative
Greg Lewis, RN, BSN
Pediatric Sepsis: Implementing Evidence-Based Guidelines to Support the Nurse's Role in Early
Recognition
CAPT Cathy Lovelace, DNP, RN
Fostering Civility in Nursing Students
Barbara G Miller, PhD, RN, CNE
Big Changes in Small Packages - Implementation of Expedited Partner Treatment (EPT) in Oklahoma
Health Departments
Ivonna Mims RN, BSN, STD Nurse Consultant; Amber Rose MS, Statistical Research Specialist; Terrainia
Harris, MPH, HIV/STD Surveillance Manager; Kristen Eberly, MPH, HIV/STD Program Manager
Empowering Nurses to Decrease CAUTIs in an Academic Medical Center
Mandy Nelson, DNP, APRN-CNS, ACNS-BC, CCRN
Initiating a Nurse-Driven Palliative Care Protocol in a Medical Intensive Care Unit
Angela Nooner, MBA, MSN, APRN, ACCNS-AG, OCN
Prevalence of foot problems among Haitian sugar cane workers living in the batayes of the
Southeast Dominican Republic
Jennifer O'Connor, MS, RN, CFCN, CNE
A Standardized Approach to Patient and Family Involvement in Physician Rounds on a Pediatric
Inpatient Surgical Unit at an Academic Medical Center
Deborah Parris, DNP, APRN, PCNS-BC; Monica Kraft, RN, BSN, CPHON; Theresa Steckel, RN, MS
37

2018 Oklahoma Nurses Association
2018 Poster Abstract Presentations
Wednesday & Thursday 8 a.m. to 4:00 p.m. Room: Promenade B
Thursday - Meet the Presenter/Poster Discussion 9:30 – 10:00 a.m.
Enlarging the Box! CLABSI Elimination through Inclusive Collaboration
Jaye Lynn Robertson, MS, MA, DNP, RN, CNEP; Stephanie Montgomery, RRT-NPS, AE-C; Judy Owen, MS,
RN; Linda Perron, MSN, APRN, PCNS-BC, CCRN-K
Evaluation of undergraduate seminar learning in a research course
Carol E. Rogers, PhD, RN, CNE; Judy Ogans, DNP, RN, CNE; Helen M Farrar, PhD, RN, BC, CNE
Recruitment Strategies for Recruitment of Student Nurses for the Operating Room
Carol E. Rogers, PhD, RN, PHCNS-BC, CNE, FGSA; Victoria J. Robertson MS, RN, CAPA, CNE; Jeana
Wilcox, PhD, RN, CNS, CNE; Emma Kientz, DNP, APRN-CNS, CNE
Sound Masking System Utilization for Improvement of Quietness on an Acute Care Inpatient Unit
Mildred Twum, MSN, APRN, CNP; Connie Gargano, MSN, NE-BC, CCRN; Chandra Ross, RN
Senior Friendly ER
Paula Whitlow MSN, RN
Escape the Vape: Are Electronic Cigarettes Harmful?
Mary Jane Willard, BSN, MBA, MA, RNP, CCRN, CNRN
A Quantitative Comparison Between Competency Validation Methods for the NIHSS
Jana Williams, MS, RN, CCRN
Nursing Infallibility: Rejecting the Notion of Perfection
Vanessa Wright, PhD, MSN, RN
Benefits of Inpatient Mobilization
Kasey Yort, RN
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2018 Oklahoma Nurses Association
2019 Exhibitors
Browning & Associates
Carefirst Pharmacy
Chamberlain University
Cohesive Healthcare Management and Consulting
Economy Pharmacy
Express Mobile Diagnostic Services, LLC
Gideons International
Good Samaritan Health Services
Grand Canyon University
Kramer School of Nursing
Lice Clinics of America Tulsa
Northeastern State University
Northwestern Oklahoma State University
Oklahoma Association of Nurse Anesthetists
Oklahoma Baptist University
Oklahoma Faith Community Nurses
Oklahoma League for Nursing
Oklahoma Wesleyan University
Ottawa University
The University Of Oklahoma Health Sciences Center
Voalte
Your Patient Boards
39

2018 Oklahoma Nurses Association
Understanding Health Disparities in Oklahoma
Thursday 8:00-9:30 a.m.
Room: Promenade C-D
This session will include the short documentary film, Clinica de Migrantes, followed by a panel of nurse
leaders delivering care to populations facing health disparities.
Panelists Invited:
Sandra Dietz, MSN, FNP-C, APRN-CNP, Nurse Practitioner, Bedlam Clinic
Rachel Bardgett, BSN, RN, Good Samaritan Clinic
Jo Leslie Petty, MS, APRN-CFNP, Family Nurse Practitioner, Tulsa Day Center for the Homeless
Melinda Scantling, MS, APRN-CNP, Immigrant Clinic
Learning Objectives: At the conclusion of this presentation the participant will be able to:
1. Identify issues related to the health disparities
2. Discuss health disparities and the effect it has on Oklahoma’s health outcomes
Clinica de Migrantes: Life, Liberty and the Pursuit of Happiness (2016; 39 minute film)
Puentes de Salud is a volunteer-run clinic that provides free medical care to undocumented immigrants in
south Philadelphia. Here, doctors and nurses work for free to serve people who would otherwise fall through
the cracks. Clinica de Migrantes, a potent film by Maxim Pozdorovkin, follows the workers and patients of
Puentes through months of routine care and growth. Along the way, the film puts a face to the millions of
people who exist on the margins of society: people displaced from their homelands, separated from their
families, unfamiliar with the customs, unable to obtain health insurance and terrified to come forward to
seek medical help. Along with revealing these patient stories, Clinica is also a look at the heroic doctors and
nurses who work pro bono to ensure these people receive care, offering a deeply moving look at the limitless
potential of humanity.
The Good Samaritan Bus Tour
Please plan to visit Good Samaritan’s traveling clinic, “Little Sam” to see how this Good Samaritan takes the
clinic to those in need it. Little Sam will be out in front of the hotel (2nd Street) from 9:30 a.m until 3 p.m.
Good Samaritan Health Services is a faith-based non-profit providing compassionate, high quality primary
health care to those with limited access to health care. Good Samaritan is 100% funded by donations from
the public and grants. All services are provided free of charge.
40

Concurrent Sessions
Thursday 10:00 – 11:00 a.m.
2018 Oklahoma Nurses Association
Breakout Session I
Empowering the Nurse to Empower the Patient in Cannabis Based Medicine
Presented by: Pamela Street, RN; Leslie Collum, RN, CCM
Room: Promenade C-D
Nurses will continue to assess the many diseases of oxidative stress and neurodegeneration. Interestingly,
cannabinoids have been cited to prevent and treat these conditions due to the strong anti-inflammatory,
antioxidant and neuroprotective properties of cannabinoids. Endogenous or supplemented, cannabinoids
work with the bodies Endocannabinoid System to promote homeostasis and considered throughout history
to be a non-lethal therapeutic. Nursing care plans will require we respect the physician/patient choice, seek
support and swiftly educate ourselves to the growing body of evidence, teach and empower patient, evaluate
by patient report and nursing assessment, and easily adapt nursing principals to kinder medicine.
Learning Outcomes:
1. The nurse/learner will be able to discuss the nursing role and care plan considering cannabis based
medicines.
It's Not You, It's Me
Presented by: Mindy Thompson, DNP, RN, CNE; Brenda Scott, DNP, RN, NHDP-BC
Room: Promenade A
It's Not You, It's Me...have you ever heard this before? While we are not referring to your last break-up with
a significant other, we are concerned with the integrity of the relationships in the health care setting. Do
you find fault in others, but have a hard time recognizing your own areas of opportunity? We cannot control
the actions of others, but have full control over our own behavior. We will present strategies to improve
self- awareness, promote self-care, and mitigate incivility while forming mentor relationships as a means to
facilitate intraprofessional collaboration. Trust and respect among colleagues is the foundation of positive
organizational culture. Organizational culture is the responsibility of each individual during every interaction.
Like any healthy relationship, each individual plays a key role in the success or failure. The ability to control
your own reactions and behaviors allows you to determine who is in control. This interactive presentation will
provide time for self-reflection, group discussion, and selection of actionable strategies to take back to your
healthcare setting.
Learning Outcomes:
1. Identify traits of incivility.
2. Implement intraprofessional collaboration strategies.
3. Investigate self-care needs.
4. Appraise the impact self-care has on nursing practice.
5. Recognize the value of mentor relationships to mitigate incivility and promote intraprofessional
collaboration.
41

Concurrent Sessions
Thursday 12:30 – 1:30 p.m.
2018 Oklahoma Nurses Association
Breakout Session II
$11- $20 Million the Range of the Top Ten Jury Verdicts in Health Care Cases-
2016 and 2017: Impact for Nurses
Presented by: Kammie Monarch, RN, MSN, JD
Room: Promenade C-D
In 2016 and 2017, the top ten jury verdicts rendered in health care cases ranged from $11 million to $50
million. These cases will be reviewed; litigation trends discussed, as well as steps that can nurses can take to
practice prudently in light of these trends. In addition, health care cases tried in Oklahoma will be discussed,
as well as provider and health care organization trends associated with Medicare fraud penalties being
issued by the HHS Office of Inspector General.
Learning Outcomes:
1. Identify at least 2 litigation trends
2. Describe at least 3 ways to document wisely
42

Concurrent Sessions
Thursday 12:30 – 1:30 p.m.
2018 Oklahoma Nurses Association
Breakout Session II
Diversity and Inclusion for Transgender Patients
Presented by: Joseph T. Catalano, PhD, RN
Room: Promenade A
As the acceptance of transgender lifestyles increases, more and more transgender individuals will be
seeking health care with regular providers and at general institutions rather than the select few providers
that specialize in transgender care. The Code of Ethics for Nurses demands that all nurses be advocates
for all patients. Many transgender individuals have become highly sensitized to subtle prejudice and bigotry
resulting from a lifetime of negative experiences living as a transgender person. The elderly transgender
person in particular, who was transgender at a time when it was considered socially unacceptable, a sin,
or even a crime, may have extensive psychological issues. Because of past encounters with health care
workers’ ignorance and bias, they have inadvertently experienced humiliation, judgment, intimidation and
mistreatment. They often delay seeking health care at all. Nurses should be at the forefront of providing
transgender patients with inclusive, sensitive and compassionate care. The word “transgender” is often used
as an umbrella term, however, is not monolithic. There are multiple components that must be understood
and addressed. For nurses who have had little exposure to the transgender lifestyle, the terminology and
language used to describe its multiple facets can be puzzling. This presentation defines and discusses
the many often confusing terms and speech used to describe the various components of the transgender
community. Transgender patients also require nurses who are able to make appropriate adjustments in care
to decrease the transgender patients’ anxieties and fear of being criticized and humiliated. This presentation
includes a number of strategies that can be used when caring for transgender patients that will increase their
trust in the nurse and insure the highest quality care possible. As one of the more vulnerable populations,
transgender patients need nurse advocacy as much as any other vulnerable population. The goal of this
presentation is to help educate nurses in the key aspects of transgender care so that they can serve as allies
and make positive contributions quality of transgender health care. These elements of transgender care need
to be addressed at all levels, ranging from the admissions personnel to the top levels of management. Health
care institutions should address transgender issues in their policy and procedure manuals.
Learning Outcomes:
1. Discuss and elucidate the terminology used in the care of and by the transgender patient.
2. Use their increased knowledge of the key care aspects of transgender patients to reduce the patient's
anxiety and fear of receiving care
3. Become advocates for transgender patients and educators for their health care colleagues.
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Concurrent Sessions
Thursday 1:45 – 2:45 p.m.
2018 Oklahoma Nurses Association
Breakout Session III
Investigations into Economic Class for Nursing Students: A fundamentally
unique approach to retention.
Presented by: Angela Martindale PhD, RN
Room: Promenade C-D
An effort to retain nursing students is the focus of many educators of nursing. Some of the approaches
for retaining nursing students have been unsuccessful mostly because the focus has been on one or two
variables related to retention. A multi-dimensional approach to retention has shown to be more beneficial
in retaining nursing students (Harris, Rosenberg, & Grace O’Rourke, 2014; Smith, 2013; Fontaine, 2014;
Donnell, 2015). A multi-dimensional approach that addresses barriers of first-generation college students,
minorities, and ESL students would be ideal. The Martindale Multi-Dimensional (MMD) approach to nursing
student success incorporates fours theories combined to form a Grand Theory as the framework for the
Investigations course. Investigations into Economic Class for Nursing Students, as a course for beginning
nursing students has demonstrated having the potential to improve retention rates. In this presentation,
learners will review a research study, a grand theory, and the results demonstrating improved retention rates
of nursing students. Participants will also learn how to incorporate an Investigations course for credit in
their programs and discuss future implications and opportunities. This presentation will discuss a research
study and findings using Investigations as a course with first and second semester nursing students. The
discussion will contain topics of experience from the researcher in teaching the course and implementing a
course for college credit. The presenter will engage the audience using open discussion and group activities
to facilitate the learning of the objectives.
Learning Outcomes:
1. Discuss the Grand Theory and concepts of Investigations course.
2. Review research and statistics regarding Investigations course as a study.
3. Discuss future implications and opportunities for Investigations as a college course.
44

Concurrent Sessions
Thursday 1:45 – 2:45 p.m.
2018 Oklahoma Nurses Association
Breakout III
Hot Topics and Best Practices – Virtualizing Your Health Care Practice
Presented by: E. Lynette Gunn, APRN, GCNS-BC, CWCN, CFCN
Room: Promenade A
The infusion of technology into our daily lives has impacted everything from how we communicate, to
how we shop as well as other key life activities. Health care delivery has also transformed along with care
expectations of patients and providers. Considering the projected Provider shortage and the need to provide
care to rural communities, Telehealth is one viable option to consider. The use of technology is more than
mere convenience. With proper and safe implementation it will mean the difference between having Primary
Care/Urgent Care available versus driving long distances or even having nothing at all. Utilizing a case study
approach this presentation will explore strategies necessary for the development and maintenance of a
successful telehealth practice. Participants will also be provided resources to explore technology platforms
and business sources to assist in transitioning their practice from one that is primarily in-person to virtual.
Learning Outcomes:
1. Describe key strategies and processes needed to start and maintain a Telehealth program of
excellence.
2. Identify key technical requirements that will allow for the development of a Telehealth program of
excellence and high performance.
3. Utilizing a case study approach, identify key drivers in which Telehealth produced positive clinical
outcomes.
4. Discuss the opportunities and challenges for communities (urban and rural) regarding the transition
from primarily in person health care to safe Telehealth/Virtual care.
Follow ONA on Twitter
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45

Concurrent Sessions
Thursday 3:00- 4:00 p.m.
2018 Oklahoma Nurses Association
Breakout Session IV
Man in the Mirror: Reviving the Joy at Work
Presented by: Dr. Dean L. Prentice, DHA, MA, BSN, NE-BC
Room: Promenade C-D
“I’m starting with the man in the mirror.” Not just a great line in a song, but part of an anthem for regaining
your joy at work, to improve your job satisfaction. Leaders and staff who find joy at work are more
productive, feel physically and mentally safe, engage more with the organization, and have increased job
satisfaction. It’s time to go from surviving to thriving at work with proven actions to help improve your joy
at work. Participants in this session will take an opportunity to learn about the competencies of Joy. Then
they will compare them to their personal need for job satisfaction and asses how they can revive the joy in
their work. Literature has plenty to say about the power of leaders and workers and the impact when they
find joy in the profession they have chosen. Joy at work brings engagement, camaraderie, focus on mission,
improved effectiveness in work, and solidifies purpose of work. Imagine the impact on patient care if leaders
and nurses found joy in their work. We will share principles and techniques that enable you to truly thrive at
work, not just persevere!
Learning Outcomes:
1. Identify 5 Competencies of Joy which impact you the most at work.
2. Demonstrate knowledge by comparing the Competencies of Joy with variables which cause you
positive job satisfaction.
3. Apply the knowledge you gained by comparing what Competencies of Joy you need so you can
revive your joy at work.
Mark your calendars now for the
ONA 111th Annual Convention
October 2nd & 3rd 2019
Embassy Suites ~ Norman, OK
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Concurrent Sessions
Thursday 3:00- 4:00 p.m.
2018 Oklahoma Nurses Association
Breakout Session IV
Implementing Evidence-Based Self-Care Guidelines for Nurses
Presented by: Meredith Hines, DNP-c, MSN, RNC-MNN, CNL
Room: Promenade A
Background: Over 30% of new Registered Nurses (RNs) leave the bedside within the first two years (Duffield,
Roche, Homer, Buchan, & Dimitrelis, 2014). Job stress and burnout have been found to be related to job
satisfaction and organizational commitment (Sherman, 2015). Stress management education can enable
nurses to achieve physical and mental health and have greater accomplishments (Halm, 2017). Engaging
in self-care behaviors to promote health and wellness can lead to overall well-being (Richards, Sheen, &
Mazzer, 2014). Practice Problem: Over 25% of new graduate nurses (less than 1-year experience) left the
project hospital in 2017. Self-care activities to decrease stress have been found to be lacking in the project
hospital. Methodology: N= 20. Single group quasi-experimental pretest-posttest design over an 8-week
period. The group of nurses were educated on stress and stress related to nurse burnout and turnover.
The American Nurses Association’s self-care guidelines (Richards, Sheen, & Mazzer, 2014) were taught to
the group of nurses. Two of the six self-care pathways were selected to practice each day over the 8-week
period. The nurses’ stress was measured using French’s et al. (2000) Expanded Nursing Stress Scale (ENSS)
pre and post implementation.
Learning Outcomes:
1. Identify areas of stress in nursing
2. Identify self-care guidelines and strategies
3. Discuss the self-care doctoral scholarly project
4. Compare levels and sources of stress pre and post self-care guideline implementation
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2018 Oklahoma Nurses Association
2018 BOARD OF DIRECTORS
& REGION PRESIDENTS
Elected Officers
PRESIDENT- 2016 - 2018
Joyce Van Nostrand, PhD, RN
VICE PRESIDENT – 2017 - 2019
Elizabeth Diener, PhD, BSN, MSN
PRESIDENT-ELECT – 2016 - 2018
Karen Ann Taylor, DNP, APRN-CNP, PMHNP-BC
SECRETARY/TREASURER 2016-2018
Polly Shoemake, RN
MEMBERSHIP DEVELOPMENT DIRECTOR
Shelly Wells, PhD, MBA, APRN-CNS, ANEF
EDUCATION DIRECTOR
Amy Hutchens, PhD, MS, RN, CNE
EMERGING NURSE DIRECTOR
Jennifer Booms, RN
POLITICAL ACTIVITIES DIRECTOR
Megan Jester, MS, RN
Region Reps/Presidents
REGION 1 President/Rep
Lucas Richardson-Walker, BSN, RN
REGION 2 President
Donna Fesler, RN
REGION 3 President
Bertha Kassinger, RN
Region 3 Representative
Angela Martindale, PhD, MS, RN
REGION 6 President/Rep
Viki Saidleman, RN
REGION 4 and 5 VACANT
EXOFFICIO MEMBERS
ONA Consultant to ONSA
Dean Prentice, DHA, Col, USAF, NC BSN, MA, NE-BC
PRACTICE DIRECTOR
Scott Flanagan, RN
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2018 Oklahoma Nurses Association
ONA COMMITTEES
Elizabeth Diener, Chair
Phyllis Browning
Catherine Cox
Convention Committee
Angela Elmore
Eileen Grubbs
Linh Pham
Diane Smith
Joyce Van Nostrand
Vanessa Wright
Nominating Committee
Jessica Johnson, Chair 2018
Linda Merkey
Theresa Gray Carol Robison - 2019
Marla Smith, Chair 2019
Megan Jester, Chair
Jenny Barnhouse
Lana J. Bolhouse
Joe Catalano
Judy Clark
Melissa Ann Craft
Patricia Darnel
Christine Diltz
Susan Dresser
Susan Dresser
Loraine Eden-Davis
Melissa Franco
Kim Glazier
Martha Hernandez
Susan Hollingsworth
Teressa Hunter
Megan Jester
Government Activities Committee
Melissa Kelly
Marcus Kesler
Katie Lamar
Victor D. Long
Cindy Lyons
Leah Melton
Dianne K. Miller-Boyle
Deborah Ellen Morgan
Gina Newby
Paige Potter
Robin Potter-Kimball
Toni Pratt Reid
Julia Profit
Heather Reed
Amy Richards
Lucas Richardson-Walker
Maria Robertson
Traceee Rose
Melinda Scantling
Jenny Schmitt
Rosemary Spring
Karen A. Taylor
Mindy Thompson
Wendy Van Matre
Joyce Van Nostrand
Pat Vavricka
Jackye Ward
Susan Ward
Shannon Ware
Shelly Wells
Larcile White
Vickie White Rankin
Kim Williams
Scott Flannagan, Chair
Kay Lee Barnes
Cindy L. Barnhill
Karen D. Cotter
Linda T. Fanning
Rebecca G. Frender
RuthAnn Fritz
Ragina L. Holiman-James
Angie Kamermayer
Practice Committee
Kim M. Lynch
LaTonya Mason-Wilson
Leah Melton
Lori Ornsby
Debbie Parris
Kim Pointer
Lisa M. Rother
Teri R. Round
Lynn Sandoval
Margaret Selby
Gina Stafford
Angie Tomlinson
Jackye L. Ward
Shannon D. Ware
Larcile White
Jamesha R. Williams
Kimberly A. Williams
Larcile White
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2018 Oklahoma Nurses Association
PRESIDENT’S REPORT 2017-2018
Again, this past year zipped by! ONA was active at the national, state, and local/regional
levels. The focus was on challenges, identified needs, and new ventures. Here are some
significant highlights.
At the January retreat, the board members updated the strategic plan. Progress and
attainment of outcomes were reflected in a Dashboard Report at each board meeting.
Establishment of a virtual office was first thoroughly evaluated and then established. A
financial plan for the next four years was developed that includes repayments to ANA,
reduction of expenses, and exploration of existing and new revenue sources.
Engagement of members was evident in the social media and local areas. Facebook numbers and shares,
plus Twitter followers continued to increase. Membership numbers grew. ONA staff and board members
responded to requested presentations, meetings, and interviews. Active regions offered meetings,
speakers, and activities. Member engagement was also seen in the wellness, political, and board/committee
appointments areas.
A Culture of Wellness reflected the ongoing Healthy Nurse, Healthy Nation (HNHN) effort. For this second
year, each board member modeled their support and adoption by updating a personal and professional
goal, and identifying outcome measures. These were shared in the last issue of The Oklahoma Nurse (TON).
Monthly topics, resources, and webinars were shared at board and regional meetings, and in TON. Healthy
work environments were promoted, and information about current work concerns was gathered from ONA
voters submitting a candidate ballot. Nurses were encouraged to address violence in the workplace and join
#EndNurseAbuse. The House of Delegates will consider a Workplace Violence Resolution.
Empowering nurses to advance the profession was a huge area of ONA work. Within the political arena,
numerous nurses engaged legislators, particularly new ones, at the local and state levels. The APRN toolkit
assisted all nurses in advocating for full practice authority (FPA). Many nurses volunteered to be Nurse
of the Day at the State Capitol. Nurses Day at the Capitol was again a success regarding learning vital
communication tips and strategies from our ONA lobbyist, Vickie White-Rankin, and then practicing them by
visiting legislators at the Capitol. She also moderated a panel of some gubernatorial candidates; this Q & A
was an added educational highlight.
Some other empowerment efforts deserve mention. Several regions expressed initial interest in becoming
active. The ONA Board held one meeting in Enid and interested ONA members attended. Guidelines
and example by-laws developed for creating chapters within regions by the Membership Development
Committee were shared. ONA also submitted candidate names for appointments to various boards and
committees.
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ONA was also active at the ANA level. At Membership Assembly (MA), practice issues and position
statements were discussed, and subsequent recommendations and activities were identified for ANA work
during the next year. ONA CEO, Jane Nelson, served voluntarily on four post-assembly committees focused
on issues and relationships between the state constituents and ANA. Additionally, an Oklahoma team
visited our Oklahoma legislators at the federal level, and lobbied for workplace safety, staffing, full practice
authority, and Title VIII funding. The H.R. 6 package, the Substance Use-Disorder Prevention that Promotes
Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act was also supported. Section
303 permanently authorized NPs and PAs to prescribe medication assisted treatments (MATs), and added
a five-year provisional authorization period for certified nurse midwives (CNMs), certified registered nurse
anesthetists (CRNAs), and clinical nurse specialists (CNSs). The House passed H.R. 6 while the MA met!
As evidenced by these highlights, ONA was quite active. Guided by the strategic plan and this convention’s
Empowering Nurses: Inspire, Innovate, Influence theme, individual and collaborative ONA efforts will
continue this next year, particularly as related to FPA, membership, budget, and wellness under your new
President. Although new chapters/active regions weren’t achieved, the seeds have been planted! Since Full
Practice Authority will again be on the legislative agenda, it is so important that all nurses and nursing groups
work together and present a united front and plan. Also, continue to spread the word about ONA and its
value, and assist colleagues to join in and benefit from our ONA efforts!
Lastly, many thanks go to the ONA staff, Candice and Jane, the Board of Directors, and all of you ONA
members who supported ONA this past year. Each one of you was directly or indirectly essential in what was
accomplished. Remember, together we can engage members, promote a culture of wellness, and empower
nurses to advance the profession!
Joyce A. Van Nostrand, PhD, RN, CNE
President, Oklahoma Nurses Association
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CEO REPORT
Life can only be understood backwards; but it must be lived forwards.
Søren Kierkegaard
In reflecting on our year since last Convention, there have been changes operationally much
of it hard work to right size our organization, thus solving our financial issues for the long
term. We promised last year that this would be a priority. In reflecting on where we’ve been
and where ONA is headed, I found this quote by Danish philosopher, theologian, poet,
social critic, Søren Kierkegaard (SORR-en KEER-ke-gard), “Life can only be understood
backwards; but it must be lived forwards.” We are working to move forward but to
understand what we have accomplished in the last 12-months, we must look backwards.
The focus of our board retreat began our journey to Ensuring Long-Term Sustainability.
Our discussion centered on ONA’s current financial situation, along with our historical struggles to make
ends meet as the last three consecutive years have ended with a budget deficit (one was offset by the sale of
the building). Board priorities for ONA were considered, along with possible solutions. The board considered
a list of priorities and ranked them as follows:
1. Membership Engagement & Events
2. Legislative Advocacy
3. Dedicated Staff
4. Physical Office
As a result of the financial priority ranking and the potential to save money and to establish a repayment
plan to ANA, the board asked staff to research the financial implications of terminating the current office
lease and exploring the cost associated with having a virtual office. Preliminary numbers and options were
presented to the Board at the February conference call. As a result of this research, the board authorized
staff to move forward on the virtual office. This information is detailed in the Board’s Activity Report.
In addition to looking at expenses, we also began to research ways to grow ONA’s non-dues royalties.
Focus was placed on areas where there was potential, such as our Career Center, Professional Liability and
student loan refinance. ONA has signed a new agreement for our Career Center that will be implemented
as of January 2019. The board reviewed proposals for Professional Liability insurance from Mercer and
NSO determining that Mercer had more potential for increased revenue and also reviewed a proposal from
SoFi, one of the leading school loan consolidation companies. Other areas we have focused on included
modernizing other revenue raising programs, such as sponsorships. Fundraising and increasing membership
are also a vital component of ways to increase revenue. We continue to develop ways for nurses to engage in
ONA, ultimately with the goal of building local chapters in our large Region areas such as Region 4, 5 and 6.
We are still moving forward to Ensuring Long-Term Sustainability for ONA, as this will take time. Hopefully
you are pleased with the direction we are moving as we still have a long way to go. It will be next year before
you can see the changes in our financial report since when the lease buyout was added to our expenses
but the since the funds to cover the buyout came from investment not revenue isn’t reflected in the revenue
portion of the financial report.
Ensuring Long-Term Sustainability is a priority for the ONA Board and staff; we will continue to work
to grow ONA, both in membership and non-dues revenue. As always, your continued support of ONA is
instrumental in ONA fulfilling our mission of advancing the profession of nursing. We encourage you to be
involved in your Region/Chapter and to invite your colleagues to become ONA Members.
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VICE PRESIDENT’S REPORT
Elizabeth Diener, PhD, RN, PNP, CNE
Election years are so exciting…… and terrifying! So much about healthcare seems to depend on whom we
elect into office and our hopes that we choose wisely. One thing is for certain if you do not vote, you have no
voice. ONA does its best to present the legislation that will impact nursing practice and to support all levels
of nursing preparation and the breadth of nursing practice. So I urge you to make yourself informed and
VOTE!!
This year our convention explores some of the most pressing healthcare issues facing Oklahomans and how
nursing can respond in proactive and productive ways. Empowering Nurses: Inspire, Innovate, Influence
begins with a panel presentation on Wednesday addressing Workplace Violence. This panel is comprised
of regional nursing experts who have faced workplace violence in their organizations and present evidencebased
recommendations used to address the behavior, their real-life experiences, and lessons learned that
will assist us as we work to maintain safe workplace environments.
Wednesday afternoon, following the House of Delegates, stay and meet our Poster Presenters at our
Opening Reception. It is a great time to catch up with convention friends you have not seen since last year
and make new ones. Poster presenters and speakers will be mingling with us as well, giving time to get a
preview of the posters that will be on exhibit Thursday.
Our Thursday sessions focus on current issues in practice: healthcare access, medical marijuana, gender
issues in providing healthcare, litigation and nursing care, technology, education, communication, and selfcare;
a wealth of topics to update your nursing knowledge!
Every year a Convention Committee forms and performs the work of choosing a convention theme, choosing
topics, then speakers, and crafting the convention agenda. We try hard to find volunteers from each region
to serve on the committee. The committee list is included in this program.
Following each convention, we anxiously wait for your evaluations: Did you like the sessions? How can we
make this a better convention? What do you want more of (and less of)? Last year we received so many
positive comments about the sessions, that we are striving to offer more and better this year!
I am now in my second term as your Vice-President and love working for all of you and representing the
nurses of Oklahoma. I do not think I could have ever anticipated how satisfying this position could be as I
meet and work with you. To all of you, my fellow nurses, you make me proud! I hope each and every one of
you will find a gift in this year’s Convention proceedings as my thank you.
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ONA BOARD OF DIRECTORS ACTIVITY REPORT
The ONA Board of Directors Meetings:
• Board Retreat, December 2017
• Bi-monthly board meetings: February 3, April 14, June 9, August 4 and October 6, either face to face or
via conference call.
ONA Board Outcomes:
o Review and updated the ONA Strategic Plan, which included an update of goals and strategies to
accomplish the goals.
o ANA terminated the agreement for back office support in the areas of finance, operations, and technology
as of December 2017.
o Engaged previous bookkeeper, Lanita Lukens for financial back office support.
o Initiated agreement for non-dues revenue with SoFI a loan repayment program that benefits ONA
members as well as ONA.
o Signed new agreement with Adicio for a new Career Center to begin January 2019.
o Increased ONA/ANA membership by 6 % since January 2017.
o Reviewed ONA convention evaluations, schedule and provided feedback and recommendations for 2018
convention changes.
o Continued as an Approved Provider of the Texas Nurses Association. ONA has worked with several
entities to Joint-Provide continuing education activities for Registered Nurses. To Joint-Provide an
educational offering, an ONA Nurse Planner must be involved with the planning of the event.
o “Dashboard” updates reviewed at each board meeting tracking ONA BOD Strategic Plan progress on
initiatives.
o Accepted Amy Richards resignation as ONA Practice Director and appointed Scott Flanagan to serve the
remaining term.
o ONA involved in recommending nurse appointments to Oklahoma Board of Nursing (1 RN) and the BON
Nursing Practice & Education Committee.
o Working on obtaining names to be considered for appointment to the Opioid Fatality Review Task Force
by the Attorney General.
o Organizational Partner of the Oklahoma Women’s Coalition.
o Following legislative issues and regulatory rule changes pertinent to nursing practice, patient advocacy
and health of Oklahomans.
o Continued having each region treasurer complete a financial inventory as required by ONA Policies and
Procedures. This provides the ONA BOD information on each region’s financial status, financial institution
used and records necessary for IRS purposes.
ONA Financial Shifts:
o Cut office expenses by shifting from physical office to virtual office. To exit office lease a buyout
of $21,414 was negotiated for remaining 30 months providing a potential savings of $34,575 for the
remainder of the 30 month lease.
o Transition from physical office to virtual office reduces expenses by $14,000 for FY 2019.
o Utilized $ 19,251.72 from Merrill Lynch account for lease buyout of $21,414.
o Negotiated repayment of financial amount of $147,860.06 carried by ANA with $25,000 coming from the
Merrill Lynch account and $25,000 from cash reserves. Remainder to be paid monthly for 48 months (June
2022). This was a result of the terminated financial agreement with ANA for services.
o Continued to develop financial targets for all projects to ensure revenue generating initiatives; the ultimate
goal is to increase membership, non-dues revenue and sponsors.
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2018 Oklahoma Nurses Association
Office Expense Per Year as of 6/1/2018
Estimated shift
Virtual
Actual Shift to Virtual
as of 6/1
Lease: $11,610 $22,736 Buyout $21,414
Buyout incls insurance
Projected Costs for
FY2019
N/A
Copier: $4,532 $4,590 $4,008 $4,008
*Copier fees: $625 $625 $500 $500
Phones: $2,700 $300 $948 $948
$1,629 $1,375
Broadview Buyout
Internet: $1,680
PO Box $180 $260 $260
Storage $480 N/A N/A
Cell Phone
Reimbursement
$300 $600 $600 $1,200
Total: $20,522 $31,140 $29,105 $6,916
*copier fees = extra copies above our contracted number. The combined copy expenses equal the total
spent in the last 12 months. New contract charges $.01/B&W and $.10 for Color
ONA Board topics in discussion process:
o Encouraging ONA members to serve in region, state, and national positions.
o Membership Engagement and Connectivity
Implementation of House of Delegates Directives:
o Approved position statement for:
§ Opioid Overdose
§ Substance Use Disorder
Submitted by
Polly Shoemake, BSN, MBA, RN
ONA Secretary-Treasurer 2016-2018
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Position Statement - Substance-use disorder: Alternative to disciplinary action.
Deaths from drug overdoses have risen steadily over the past two decades and drug overdose has become
the leading cause of injury death in the United States. According to the U.S. Centers for Disease Control and
Prevention opioids, including prescription painkillers, were factors in more than 33,000 deaths across the
U.S. It is estimated that the yearly economic impact of substance misuse is $249 billion for alcohol misuse
and $193 billion for illicit drug use.
In 2015, more than 20 million individuals were diagnosed with a substance-use disorder (SUD) which is defined
by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as “recurrent use of alcohol or other
drugs that causes clinically and functionally significant impairment, such as health problems, disability, and
failure to meet major responsibilities at work, school, or home” (Surgeon General, 2015), ranging from abuse
to dependency. The American Society of Addiction Medicine has defined addiction as “a primary, chronic
disease of brain reward, motivation, memory, and related circuitry…[that] leads to characteristic biological
psychological, social, and spiritual manifestations.” SUD is a progressive and chronic disease that left untreated
can be fatal. It does not discriminate according to economic class, age, ethnic background, or gender.
Evidence suggests the prevalence of substance use disorder among nurses is similar to that of the general
population potentially placing patients, the public and nurses themselves at risk for serious injury or death.
New research on alcohol and drug use, and addiction, has led to an increase of knowledge and to one
clear conclusion: Addiction to alcohol or drugs is a chronic but treatable brain disease that requires medical
intervention, not moral judgment. Addiction is not personal weakness, a lack of character or willpower. Drug
diversion, in the context of personal use, should be viewed primarily as a symptom of a serious and treatable
disease and not exclusively as a crime.
The National Council of State Boards of Nursing released a manual to provide practical guidelines for clinicians,
educators, policymakers and public health professionals to implement an approach that focuses on an
alternative-to-discipline (ATD) programs. The ATD approach has shown to be effective in treatment of health
professions with substance-use disorders, and are considered a standard for recovery, with high rates of
completion and return to practice. In addition, ATD programs have shown to identify and enroll more nurses
with SUDs, with potentially greater impact on protecting the public than disciplinary programs. This approach
allows nurses to remain active in nursing while being monitored and to continue to work which enhances their
financial status, further supporting recovery. Oklahoma’s Alternative-to-Discipline program is known as the PEER
Assistance and is managed by the Oklahoma Board of Nursing. The PEER Assistance program is designed for
evaluation and treatment, monitor the nurse’s compliance with treatment and recovery recommendations, monitor
abstinence from drug or alcohol use, and monitor their practice upon return to work.
It is the position of the Oklahoma Nurses Association to:
• Ensure that nurses in Oklahoma continue to have access to the PEER Assistance program a proven
and effective Alternative-to-Discipline program.
• Encourage health care facilities to provide education to nurses and other employees regarding
alcohol and other drug use, and to establish policies, procedures, and practices promoting safe,
supportive, drug-free workplaces.
• Advocate that health care facilities adopt alternative-to-discipline (ATD) practices that provide for
retention, rehabilitation, and re-entry into safe, professional practice for the nurse.
• Ensure that nurses are aware of the risks associated with substance use, impaired practice, and drug
diversion, and have the responsibility and means to report suspected or actual concerns with out fear
of retribution by facility administration.
Background – See the following:
• http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environment/Opioid-Epidemic
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Position Statement - Opioid Epidemic: Addressing the Growing Drug Overdose Problem
Opioid dependence and associated drug-related overdose and deaths are serious public health problems
that are catalyzing lawmakers across the political spectrum to demand action. Deaths from drug overdose
have risen steadily and have become the leading cause of injury death in the United States. According to the
U.S. Centers for Disease Control and Prevention opioids, including prescription painkillers, were factors in
more than 33,000 deaths across the U.S. in 2015, and opioid overdoses have more than quadrupled since
2000. Since 2009 more Oklahoma residents have died from opioid-related deaths than in vehicle crashes
according to the Oklahoma Attorney General Mike Hunter. Naloxone (Narcan) is a life-saving medication that
rapidly blocks the effects of opioids when signs and symptoms of a prescription opioid or heroin overdose
first appear, which is currently available without a prescription in the state of Oklahoma.
Oklahoma is one of the leading states in prescription painkiller sales per capita, with 128 painkiller
prescriptions dispensed per 100 people in 2012 according to an Oklahoma State Report entitled, 2016
Reducing Prescription Drug Abuse In Oklahoma. Oklahoma Attorney General Mike Hunter sued more than
a dozen manufacturers of opioid pain medication, alleging that deceptive marketing campaigns by the drug
makers have fueled the state's opioid epidemic.
In 2017 the Oklahoma Commission on Opioid Abuse was created by the Legislature to develop a
comprehensive plan that will deal with prevention, interdiction and access to treatment. This commission
was chaired by AG Mike Hunter and issued a report in January 2018. The report is available here: http://www.
oag.ok.gov/Websites/oag/images/Oklahoma%20Commission%20on%20Opioid%20Abuse%20Final%20R
eport.pdf The report recommendations included electronic prescriptions to be issued for Opioids and the
creation of the Opioid Fatality Review Board that includes the appointment of a nurse.
Registered nurses are on the front lines of addressing this problem, helping patients to understand the risks
and benefits of pain treatment options, including ones that do not involve prescription pain medications.
Advance Practice Registered Nurses whose advanced education (including advanced pharmacology)
prepares them to assume responsibility and accountability for assessment, diagnosis, and management of
patients’ problems (including the use and prescription of pharmacologic interventions), play a critical role.
Advance Practice Registered Nurses (APRN) could significantly increase access to medication-assisted
treatment (MAT) if certain restrictions were lifted. The U.S. Department of Health and Human Services (HHS)
has identified the opioid abuse problem as a high priority and launched an initiative focused on three broad
goals: 1) reducing opioid overdoses and overdose-related mortality; 2) decreasing the prevalence of opioid
use disorder; and, 3) advancing non-opioid pain management alternatives.
The Oklahoma Nurses Association (ONA) has supported the Governor’s efforts to reduce prescription drug
abuse in Oklahoma and worked with regulatory entities and licensing boards to encourage prescribers to
enroll in the Oklahoma Prescription Monitoring Program.
It is the position of the Oklahoma Nurses Association to continue to work and advocate in the following areas:
• Opioid prescribing practices to reduce opioid use disorders and overdose;
• Expansion in the use of Medication Assisted Treatment to reduce opioid use disorders and overdose, and
• State funding for behavioral health services
Background – See the following:
• ANA Issue Brief on The Opioid epidemic: Addressing the growing Drug Overdose Problem
• Oklahoma State Report, 2016 Reducing Prescription Drug Abuse In Oklahoma
• http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work- Environment/
Opioid-Epidemic
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LEGISLATIVE AGENDA
Oklahoma Nurses Association is the professional association representing the state’s registered nurse
population. ONA is involved in the shaping of public policy relating to health care, which is consonant with
the goals of nurses, nursing and public health. ONA is committed to ensuring that the registered nurse is
an essential provider in all practice settings and advocates for access to quality health care services for all
individuals.
The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care in all
specialties and practice settings by working as a community of professional nurses.
Therefore, Oklahoma Nurses Association will support legislation and health care policy which:
• Facilitates the development of a system of health care delivery that emphasizes prevention, health
promotion and appropriate monitoring of quality and user satisfaction
• Supports a basic core of essential health care services that are accessible to all citizens of Oklahoma
• Incorporates nurses at all levels of policy-making and decision making regarding the health care system
• Assures funding to meet health care needs including recognition and remuneration for services
rendered by nurses
• Assures the delivery of health care by duly qualified providers as a means to protect the consumer
• Recognizes the Oklahoma Board of Nursing as the sole regulatory authority for professional nursing
practice, including adequate resources for the agency
• Promotes funding for professional nursing education and research at both the basic and advanced levels
2018 Legislative Priorities
Funding
Ensure adequate funding for vital health care related services, including direct care, illness prevention
and health outcomes. Shortfalls in funding for health and behavioral health services will increase costs
in other areas of the state’s budget, and will lead to dire negative consequences for individuals, families,
and communities, placing all at risk. When funding falls below critical levels, every other health priority
for Oklahomans and nurses is negatively impacted. Nursing is one of the few professions in Oklahoma
providing care to our citizens from cradle to grave.
ONA supported a number of Revenue Raising Measures including the Step-Up Plan and other similar
bills. The Step-Up Plan would have raised more revenue then HB1019XX that ultimately passed raising
the GPT to 5%, Cigarette Tax increase of $1 etc.
Governance
Preserving the Board of Nursing’s oversight and regulation of nursing practice
Nursing is the largest group of healthcare providers including LPN, RN and APRN, each one with its
own unique scope of practice. The Oklahoma Board of Nursing is already a consolidated licensure
and regulatory entity governing nursing practice. Ensuring professional nursing oversight of this board
provides for the critical health and safety of the public. This self-sustaining, non-appropriated Board
contributes revenue to the state general fund while providing for efficient, focused regulation of the
nursing profession.
HB2933 Mulready/David: Provides for waiver of licensure fees for those below a percentage of
poverty. Health professions are excluded. Signed by the Governor.
SB 1475 Pugh/Osborn, M: Created the Occupational Licensing Review Act that reviews all licensure
boards under the direction of the Labor Commissioner. Signed by the Governor
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2018 Oklahoma Nurses Association
Nursing Practice
Access to efficient, competent health care is supported when ALL licensed Nursing professionals
practice to the full extent of their scope of practice. Competent nursing practice improves the health and
safety of every Oklahoman. Evidence demonstrates that state health rankings are higher when nurses
practice to the full extent of their license.
HB1013 – Cockroft/Griffin: APRN full practice authority. Introduced in 2017 and passed the House
but never heard in the Senate. Unable to get a committee hearing in the Senate in 2018.
SB570 – Griffin/Cockroft: Was granted a hearing in conference committee with new language for
APRN full practice authority. Never signed out of conference committee.
Improving Oklahomans’ Health Status
Improving the physical, mental, and economic well being of the individual, the family, and the community
increases Oklahomans’ health status.
HB 2514 Munson/Yen: Expanded Alzheimer’s Training to include hospice. Failed in the Senate
Health and Human Services Committee.
HB 2931 Mulready/Griffin: Electronic prescribing for schedule drugs – recommendation from Opioid
Task Force. Signed by the Governor
HB 2798 Downing/Griffin: Opioid Overdose Fatality Review Board – includes a nurse. Signed by the
Governor
Education
Support only those educational proposals that promote the emotional, mental and physical well being of
school children.
Nursing education is an important and critical component in the development of Oklahoma’s nursing
workforce, but also in ensuring lifelong learning and continued competency for all nurses in Oklahoma.
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2018 Oklahoma Nurses Association
POLITICAL ACTIVITIES COMMITTEE
The Political Activities Committee (PAC) plays a pivotal role in advocating for patients and the nursing
practice at the local, state, and national levels. As your 2018-2020 PAC Director, my primary goal is to
encourage voter participation during every election. When we show up to the voting booth, we make our
presence known and the conversation begins to shift.
The 2018 legislative session proved to be historic, with individuals and agencies facing budget cuts, potential
elimination of access to healthcare services, and the teacher walkout. ONA was well-represented by our
lobbyist, Vickie White-Rankin, and many of you who took the time to speak to legislators. While several items
related to our 2018 Legislative Agenda did not proceed, that will not stop us from continuing to advocate for
legislation that not only provides for the citizens of Oklahoma, but allows us to practice at the highest levels
of our licenses.
Below is a summary of activities for 2018, and ways you can become involved in 2019!
Nurse of the Day. This is a wonderful opportunity to serve, develop relationships with legislators across the
state, and network with other citizens. The 2018 legislative session ended early and not every nurse was able
to serve, but we saw an increase from 2017 in nurses signed up to serve as Nurse of the Day. A 2019 goal is
to have the Nurse of the Day role filled for the first 30 days of the legislative session. The 2019 session begins
on Monday, February 4, and you may sign up through the ONA website!
Nurses Day at the Capitol. The 2018 event was highly successful, in which student nurses heard from a
panel of gubernatorial candidates. We not only encouraged students to become more involved in legislative
and healthcare policy, we brought attention to the issues that affect nursing practice to the candidates.
Everyone is able to attend this event, which will be held on Tuesday, February 26, 2019.
PAC Meetings. If you are interested in joining weekly phone conversations during the legislative session,
please contact myself or the ONA office. These phone conversations are a great way to stay informed about
the progression of legislation through Oklahoma’s House and Senate.
Stay Informed. Use the “Advocacy” tab on the ONA website to learn more about the Legislative Agenda,
and links for resources such as tracking state legislation and locating and speaking with your legislators.
Also, subscribe to the American Nurses Association Capitol Beat blog, so you can receive current
information on how ANA is representing you nationally. We work closely with ANA on state and national
legislation and will provide that information to you through ONA emails.
It is my privilege to represent you as the PAC Director for ONA. We hope to see you at the Capitol and at the
voting booth!
Megan Jester, MS, RN, RYT-200
PhD Candidate
Political Activities Director
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MEMBERSHIP DEVELOPMENT COMMITTEE
The Membership Development Committee received no proposals for new Chapter development in 2018. No
requests were made for Membership Development funds in 2018.
Several phone meetings were held with nurse leaders in Region 5 in attempts to reactivate the Region. The
challenge with the geographic size of the region was discussed and the idea of starting Chapters in several
key locations (Weatherford, Lawton, Duncan, Clinton) was presented on different occasions.
On April 14, 2018, the ONA Board of Directors invited members of Region 4 to attend an information session
held in conjunction with a scheduled Board Meeting on the campus of Northwestern Oklahoma State
University in Enid. The session was attended by 8 nurse members in the region in addition to the ONA Board
members. The benefits and challenges of an active ONA region were shared and again the prospects of
starting Chapters in key locations (Enid, Woodward, Stillwater) within the region were discussed. Follow up
with these nurse members has not produced further development interest to date.
Regions 1, 2 and 3 continue to meet on a regular basis.
Respectfully submitted by Shelly Wells, Membership Development Chair
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2018 REGION 1 REPORT
2017-2018 Region 1 Officers:
• President: Lucas Richardson-Walker, BSN, RN
• President-elect: Vacant
• 1st Vice-President: Ceceila Armstrong, MSN Ed, RN
• 2nd Vice-President: Jessica Cochran, RN
• Secretary: Marcus Kesler, MSN, RN
• Treasurer: Susan Reid, MSN, RN
• Past President: Teressa Hunter, PhD, RN
Region 1 has had a busy and productive year. We have had the opportunity to invite a number of different
speakers to our regional meetings, and to present on a variety of topics of interest to nurses in our
community. Speakers are able to present their information to a targeted and specialized audience, and our
members are able to gain new insights from and engage with professionals with different specializations or
even from different disciplines. We have received good feedback from attendees, as well as from speakers,
and we are pursuing several opportunities to increase the value of the speaker series. We are exploring
the opportunity to provide CEUs through this program, to assist nurses in our community with meeting
continuing education requirements for employment, licensure, or board certifications. To better prepare our
next generation of nurses we are also exploring the opportunity to work with local School’s of Nursing to
provide a venue for nursing students to present original research and to assist them with their professional
development. Least, but certainly not last, we are also in the process of engaging with local colleges and
employers to enable us to rotate the locations of our monthly meetings within the community. Currently
Region 1 meetings are primarily held on the Oklahoma City University campus, but we realize that nursing is
a 24-hour profession and that many of us have families and/or school in addition to our primary employment.
By rotating the location of our meetings, we are aiming to bring Region 1 to the nurses in our community in
order to better engage and interact with all the nurses in our region.
In June, Region 1 held a Family and Friends picnic at Will Rogers Park to celebrate our nurses, the
graduating nursing class of 2018, and all our families and friends without whose support we would not
be able to do what we do. During the picnic we were able to promote the “Healthy Nurse/Healthy Nation”
initiative with walks through the gardens and a Zumba demonstration.
Meeting Topics:
• January 2018: Discussion on Multi-State Licensure and information on serving as Nurse of the Day at
the Capitol.
• February 2018: Caring Circle and guided meditation.
• March 2018: The Oklahoma Medical Reserve Corps
• April 2018: Cultural Competence and Cultural Congruence: Moving from Definitions to
Implementation.
• May 2018: A Conversation About Post-Traumatic Stress Disorder.
• June 2018: Family and Friends Picnic
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2018 REGION 2 REPORT
This past year has been a busy one in Region 2. We have continued with our tradition of offering General
Membership meetings with guest speakers and CE credit. This year’s topics and speakers included “Nurse
Navigators” by Libby Stewart and Lindsay Rehm, “Unconscious Bias” by Tonie Metheny, and “Mindset and
the Health Nurse” by Rhonda Lawes. At our Spring Luncheon we honored all the new nursing graduates for
the year, as well as had a “DNP Panel Dicussion,” with Brenda Nance, DNP, RN, CNE, Janet Jackson, DNP
APRN-CNS-BC, CCRN, CPHRM, and Bryan Wesson, DNP, RN. Overall, our events were well-attended.
The Region voted this year to provide members with financial rewards when they win our Region sponsored
awards including the Nightingale Award for Excellence in Nursing. This year’s winners of our Region awards
were: Su Phipps, Nursing Research Award; Lisa Gerow, Nursing Impact on Public Policy; Chris Toman,
Nightingale Award of Nursing Excellence; St. Francis Hospital South, Excellence in Workplace Environment.
Region 2 also offered stipends to members who have chosen to complete their education by earning their
BSN, Master’s or Doctorate degrees.
We would like to thank our outgoing Region Officers – Brandi Payton – President; Chris Thoman – Secretary;
and Marla Smith – Director at Large. We truly appreciate your hard work in supporting our Region. We look
forward to the 2018-19 year with our new officers: Donna Fesler – President; Brenda Nance – President Elect;
Michelle Isaacs – Secretary; Program Director – Cathy Lovelace; and new Director at Large – Nathan Paris.
We also look forward to the 2018-2019 year with continued officers: Pam Price-Hoskins – Treasurer; Betty
Kupperschmidt, Julia Profit, Donna Calvin – Directors at Large; and Helen Farrar – Nominating Committee
Chairperson.
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2018 REGION 3 REPORT
We have an excellent group of dedicated nurses who are part of the Green Country Chapter and I am
grateful to serve with them. Our meetings are on the second Thursday of the month except for June-August.
What an awesome year. We held a regional conference geared at finding alternatives to the opioid crisis in
March. This was a great turnout and many local agencies have already requested us to hold another one this
year.
The 2017-2018 year brought many exciting and knowledgeable speakers to our meetings including:
September: Planning meeting
October: True Colors: Treasure McKenzie
November: Service Day…We provided food and served over 70 people at the Gospel Rescue Mission in
Muskogee, OK
December: Annual ONA Green Country Chapter Christmas Party—money and children’s clothing raised
for Fostering Hope-a non-profit providing clothes and needed items for foster children who are
immediately placed without clothes and necessary items located in Muskogee, OK.
January: CASA: Jenny Renfro Crosby
February: Telehealth: Lynette Gunn, APRN, GCNS-BC, CWCN, CFCN
March: Investigations into Economic Class for Nursing Students: Angela Martindale, PhD, RN
March 30: Opioid Conference held at NSU Auditorium Muskogee
April: Evaluation and debriefing from Opioid Conference
May: General Meeting: Potluck/End of year celebration and new board inductions
The Green Country Chapter/Region 3 Board of Directors for 2018-2019
President: Bertha Kassinger
President elect: Julie Nevins
Secretary: Mindy Thompson
Treasurer: Catherine White
Representative to the ONA Board: Angela Martindale
We look forward to another great year of serving the nurses in our region.
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2018 Oklahoma Nurses Association
ONA Organizational Affiliates
ONA Organizational Affiliates
Association of Oklahoma Nurse Practitioners
Association of Women’s Health, Obstetrics & NeoNatal Nurses
Nurses Organization of Veteran Affairs (NOVA) Chapter 328
Oklahoma Association of Clinical Nurse Specialists
Oklahoma Association of Nurses Anesthetists
Oklahoma Case Management Association
Oklahoma Emergency Room Nurses
Oklahoma Faith Community Nurses
Oklahoma League of Nurses
Oklahoma State Affiliate of American College of Nurse Midwives
Oklahoma State Council of Perioperative Nurses
Organizational Sponsors
Marie Mink Partners ($5,000)
Cherokee Nation Health Administration
INTEGRIS Health Systems
Mercy Health Center
OU Medical Center
St. John Medical Center
The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care
in all specialties and practice settings by working as a community of professional nurses.
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2018 Oklahoma Nurses Association
THE ASSOCIATION OF WOMEN’S HEALTH,
OBSTETRICS AND NEONATAL NURSES
Mission: The mission of AWHONN is to improve and promote the health of women and newborns and to
strengthen the nursing profession through delivery of superior advocacy, research, education and other
professional and clinical resources to nurses and other health care professionals.
AWHONN’s Purpose & Values
Core Purpose: AWHONN is an organization of nurses committed to the health of women and newborns.
Core Values (as expressed in the acronym "CARING")
• Commitment to professional and social responsibility
• Accountability for personal and professional contributions
• Respect for diversity of and among colleagues and clients
• Integrity in exemplifying the highest standards in personal and professional behavior
• Nursing Excellence for quality outcomes in practice, education, research, advocacy and management
• Generation of Knowledge to enhance the science and practice of nursing to improve the health of
women and newborns
Become an AWHONN member!
• AWHONN membership is representative of over 25,000 nurses in the US and Canada. Oklahoma
AWHONN includes over 400 members.
• AWHONN’s many nursing resources include patient education, continuing nursing education, staff
development, perinatal quality measures, annual nursing convention, and evidence-based practice
guidelines such as Women’s Health and Perinatal Nursing Care, Perinatal Staffing, Fetal Monitoring,
and Neonatal Skin Care.
• AWHONN produces Healthy Mom & Baby journal for patients and two nursing journals, Nursing for
Women’s Health and Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN). Both nursing
journals are included with AWHONN membership.
• AWHONN membership entitles you to many resources from the National organization, reduced
registration to the AWHONN Convention each June and Oklahoma Section Conference each April,
free continuing education webinars and meetings at Oklahoma AWHONN Chapter events, and the
opportunity to be a voice in the care of women’s health, obstetric and neonatal patients in Oklahoma.
AWHONN Oklahoma holds an annual nursing conference typically in
OKC, Tulsa, or Norman. Over 150 Oklahoma nurses meet each April at the
conference to learn, network and reenergize every year.
For updates and more information, see our Oklahoma AWHONN website at
www.awhonnok.org.
2019 OKLAHOMA
SECTION CONFERENCE
APRIL 4-5TH
Norman, OK
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2018 Oklahoma Nurses Association
FAITH COMMUNITY NURSES ASSOCIATION
Faith community nurses are licensed, registered nurses who practice wholistic health for self, individuals
and the community using nursing knowledge combined with spiritual care. They function in paid and unpaid
positions as members of the pastoral team in a variety of religious faiths, cultures, and countries. The focus
of their work is on the intentional care of the spirit, assisting the members of the faith community to maintain
and/or regain wholeness in body, mind, and spirit.
Their practice is governed by:
• the nurse practice act of their state
• Nursing: Scope and Standards of Practice
• Faith Community Nursing: Scope and Standards
• Code of Ethics with Interpretive Statements (for nurses) i
Mission Statement FCNA OK
Preserve, support and advance the professional practice of faith community nursing in Oklahoma.
Vision Statement
• FCNA-OK will be recognized so that faith community nursing will be accessible to the people of
Oklahoma.
• Therefore the association will serve as a model for other states.
The Purpose of FCNA OK is to preserve, support and advance the professional practice of faith community
nursing in Oklahoma. Interested registered nurses and health ministers come together to pray, witness,
support, learn and share in the context of faith and health. Faith community nursing is a specialty practice
recognized by the American Nurses Association. A faith community nurse is a registered nurse who provides
wholistic nursing care to faith community members of all ages, reclaiming the healing ministry of the
congregation.
This organization exists to share practice ideas in faith communities and to nurture personal spiritual
development. FCNA OK further supports the training, continuing education, certification, and mentoring of
Faith Community Nurses.
FCNA OK meets quarterly on the second Tuesday of January, April, July, and October from 10:00 a.m. to
3:00 p.m, at Catholic charities, Oklahoma City. Two hours of CE are offered at each membership meeting
on pertinent Faith Community Nursing topics. The Annual Conference is held on first Friday of March, at
Crossings Community Center, Oklahoma City.
FCNA OK has members from over 17 different Christian denominations. Faith Community Nursing represents
all faith traditions. The membership has grown to 81 members in 2017. For more information see, www.
fcnaok.org or www.westberginstitute.org.
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2018 Oklahoma Nurses Association
2018 Accomplishments
• FCNAOK Annual Conference – “Balancing Mind, Body & Spirit: Complete Health for Self &
Community” March 2, 2018
• Continuing Education program at FCNAOK quarterly general meetings
• January 2018 - “Whole Health begins with Mental Health”
• April 2018 - “Creating Supportive Communities for Diabetes Management”
• July 2018 - “Disaster Relief Efforts after Hurricanes Harvey and Irma, 2017”
• Scholarships provided by FCNAOK for the Faith Community Nursing Foundations Course participants
at Oklahoma City University.
• Scholarship fund for educational events for faith community nurses.
• Revised policies and procedures for the Association.
2018 Officers
Angie Tomlinson, President
Laura Miller, Vice President
Glenda Bronson, Treasurer
Genie Ford, Secretary
Membership fees are $50/year.
Respectfully submitted,
Glenda Bronson, Treasurer
i
https://westberginstitute.org/philosophy-of-parish-nursing/
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2018 Oklahoma Nurses Association
OKLAHOMA LEAGUE FOR NURSING
Oklahoma League for Nursing 2017-2018 Accomplishments:
1. The Oklahoma League for Nursing received continued status as a constituent league of the National
League for Nursing.
2. Held the Annual Membership Meeting and officer elections during the ONA convention in OKC, OK.
3. The OLN continues to work on a membership outreach. Many faculty at NLN member schools do not
realize that it does not include the state membership but they can join for $25 in 2018. Any LPN or RN
is eligible to join the Oklahoma League for Nursing.
4. Our OLN website is up and running and you can then accesses our page through a link at http://www.
nln.org . Under the Membership Service tab, select OK as a constituent league. The NLN and OLN
support all levels of nursing education and invite you to join us!
Diana Mashburn PhD, RN-BC, CNE President 2017-2018
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2018 Oklahoma Nurses Association
OKLAHOMA MEDICAL RESERVE CORPS NURSES
The Oklahoma Medical Reserve Corps Nurses was one of the first MRC Units created in Oklahoma and
and one of the first in the United States to be based within a professional organization. Nurses represent
the largest group of health care professionals in the state and within the OKMRC. The OKMRC Nurses
Unit works with other OKMRC county units to assist in the recruitment, training, and engagement of nurse
volunteers.
This is the fourth summer Oklahoma MRC Nurses Unit has sponsored a Summer Nursing Student
Externship in Public Health Emergency Preparedness & Response. This program has grown each year! The
nursing student externs provide outreach on personal preparedness to middle & high school (HS) students
in the community as well as to their nursing student peers. In 2015, the externship began with eight nursing
students at one nursing program. This summer of 2018, there are 26 nursing student externs participating at
four nursing programs: Northwestern Oklahoma State University, Southwestern Oklahoma state University,
Tulsa University and the University of Oklahoma.
The OKMRC Nurse Extern program has received national and state recognition this year. Oklahoma
MRC Nurses received the Youth Engagement Award from the national MRC program office and from
the Oklahoma Medical Reserve Corps. Each summer, the nurse extern students presented personal
preparedness information to middle school and high school students, as well as their nursing student peers.
The program focused on public health emergency preparedness and response and reached more than 800
students. OKMRC recognized the OKMRC Nurses Unit for our role in raising awareness and education about
health, disaster response and resilience through the Nursing Externship. In addition, the Nursing Student
Summer Externship was identified as a Model and Promising Practice by the National Association of County
and City Health Officials. The NACCHO Model and Promising Practices Program nationally recognizes
exemplary local public health practices. The 2018 NACCHO Model and Promising Practices were announced
at the 2018 NACCHO Annual Conference. Model Practices are those that develop outstanding local public
health initiatives through use of resources, administration, or tools that are easy to replicate.
Submitted by Loren Stein, MSN, RNC-NIC
OKMRC Nurses Unit Coordinator
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MEDICAL ADVISORY COMMITTEE
Joseph T. Catalano, PhD, RN, Representative from ONA
The primary goal of the Medical Advisory Committee (MAC) is to offer recommendations to the full Board of
the Oklahoma Health Care Authority on health care related issues, which in turn makes recommendations
to the Oklahoma Legislature. The MAC has meetings every other month, usually on Wednesday afternoon
and is composed of 26 representatives from almost all the areas of health care, including but not limited
to nursing, physical therapy, advanced practice providers, respiratory therapy, radiology, mental health,
and medicine. The meetings start by allowing the public to speak to any issue they feel is important for
the committee to hear about. Each person is allowed two minutes to talk to the health care topic they are
interested in bringing before the committee. Depending on the issues the Committee is considering, some of
the public presentations can be very lively.
The second part of the meetings reviewed the proposed changes in the laws and regulations that the Health
Care Authority deals with. These can range in number from a few to several dozen. The MAC votes to either
approve the changes or not. Generally these changes are in the wording and language for the myriad of
legislative regulations that govern the Health Care Authority and are presented by the MAC staff. These are
sent on to the governing Board of the Health Care Authority for final approval.
This year the budget shortfall at both the state and national levels continues to be on ongoing issues of
discussion particularly with the passage of the increased tax on cigarettes by the legislature, then its
withdrawal and then it re-passage with some changes in where the money was being allotted. The Health
Care Authority less than it needed to maintain operations and several program budgets were cut severely,
particularly Mental Health (again). Fortunately, the CHIP, the program to help disadvantaged children, was reauthorized.
Respectfully Submitted,
Joseph T. Catalano, PhD, RN
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COMMUNITY RELATIONS BOARD
Joseph T. Catalano, PhD, RN, Representative from ONA
The Federal Transfer Center (FTC) is a US federal prison facility for male and female inmates. It is operated
by the Federal Bureau of Prisons, a division of the United States Department of Justice. The FTC is located
near the airport in OKC and houses holdover offenders and parole violators who have yet to be assigned to
a permanent prison facility. Prisoners spend anywhere from a few hours to weeks at the transfer center until
they are moved on. The facility moves approximately 87,000 prisoners through the center every year, with an
average daily turnover rate of 1,600. Almost every prisoner who is moved anywhere in the US goes through
the FTC. The FTC also maintains a small resident population of prisoners who may be incarcerated for short
periods of time instead of being sent to a large federal prison.
As a federal prison, the FTC must meet multiple regulations and standards for accreditation by several
agencies both local and national. One of the requirements for accreditation is to have and meet with a
varied group of individuals from the public who have an interest in the welfare of the inmates at the facility.
In response to this requirement, the FTC has established the Community Relations Board which has a
number of individuals from health care, including a nurse, mental health and a physician. There are also
members from local law enforcement and the FTC. Meetings are held every other month. This year the prison
underwent and received Federal Prison Board Certification for another 10 years.
The meeting format consists of a presentation by an individual from one of the departments of the prison
followed by a question and answer period from the members of the committee who are attending. The
presentations are always interesting and informative. Topics included gangs in prisons, food, health care,
mental health issues, technology, re-entry programs and education. There is also special training for the
guards in relation to the mental health issues of the inmates.
The community members are asked if they have any comments or observations that may improve the care
provided by the staff. They are also asked to present a short report on their activities and if they have any
questions.
Respectfully submitted,
Joseph T. Catalano, PhD, RN
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THE CHILDREN’S HEALTH GROUP
The Children’s Health Group functions as an advisory body to the OHCA and the OSDH on child health
issues and provides oversight of state activities to reach the 2020 objectives for perinatal, infant, child
and adolescent health in Oklahoma under the new Healthy Oklahoma 2020 - the new Oklahoma Health
Improvement Plan. Meetings occur on a quarterly basis with Dr. Mary Anne McCaffree, MD, serving as the
Chair and Dr. Marny Dunlap, MD and Dr Edd Rhoades, MD, MPH as Co-Chairs.
The meetings consist of important updates and presentations regarding child health issues in the state of
Oklahoma. Some of the highlights of this year’s meetings are set forth below:
ODMHAS-Ellen Buettner, Oklahoma Department of Mental Health and Substance Abuse (ODMHAS),
Update on Senate bills that affect the ODMHAS; these bills cover assisted outpatient treatment, allowing
providers to be employed by tribal and VA facilities, and the creation of a pilot program to improve
socioeconomic outcomes for children in state custody. Budget update for FY 2017: Rate cuts to providers
amounted to $9.24 M with a cap on Psychotherapy services that amounted to $16.45 M. For FY18,
ODMHSAS was appropriated $327.4M, which is $2.7M more than FY17, but still $3.5M short to maintain
current services.
As the year progressed, budget update for the ODMHAS indicated a deficit of $75 million dollars. With the
additional rainy day funds-there was still a deficit of $52 million. At the end of the special session, additional
funds were obtained, but agency is still $21.5 million short. When those funds are used additional cuts could
be possible if more funding is not available.
OSDH-Brian Downs, Oklahoma State Department of Health (OSDH), Mr. Downs periodically updated
the group on the financial situation regarding the OSDH. Although the agency was given a $30 million dollar
appropriation, the agency is still in a financial crisis. As part of receiving this appropriation, the agency was
required to cut 15% from its budget for FY19 and to submit a Corrective Action Plan. The anticipated budget
is $45 million for FY19 which is substantially less than the FY18 budget of $53 million. They continue to
monitor legislation on governance and budget. Mr. Downs announced that a bond to fund a public health
lab has been approved and construction on that project will begin very soon. Its location will be behind the
OSDH central office building. Additionally, a notable budget update - the OSDH budget has been cut 30%
since 2009 and an additional 2.8% incurred will be cut for FY 2018.
OHCA-Cate Jeffries, Oklahoma Health Care Authority (OHCA), Ms. Jeffries periodically updated the
group on the OHCA budget. She stated that OHCA and the ODMHAS were given 22.8 million dollars during
the first special session and an additional $17.8 million during the second special session in 2017, but there
is still a budget deficit. OHCA is approximately $8.9 million dollars short for SFY 18 but SFY 19 shows an
increase in federal matching rates. A preliminary budget request was submitted to the legislators recently
and it is now in the process of being revised. A carryover bill from the last legislative session has resurfaced,
The Hope Act HB 1270, which would require the OHCA to contract with a private vendor to conduct eligibility
for applicants. The governor issued an executive order on March 5th to direct the OHCA to develop a
proposal and submit it to her and the legislators within six months to impose work requirements on some of
the adults receiving benefits from the OHCA.
OHCA Update-Foster Care Request for Information, Melinda Thomason, Director of Health Care Systems
Innovation, Ms. Thomason informed the group about SB 773 that directed the OHCA, in collaboration
with their partners at DMHSAS and DHS, to issue a Request for Information to the experts about care
coordination models for children in foster care and submit a report by January 1, 2018. She stated that they
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had eight organizations participate in this request. She provided a handout from the completed report with
some basic information and stated that the full report has been posted to their website at OHCA.org in the
Data and Reports page under Studies and Evaluations.
NOTABLE PRESENTATIONS:
OSDH-America’s Health Rankings 2017, Joyce Marshall, OSDH, Director, Maternal and Child Health
Service, Oklahoma’s Health Ranking has climbed from 46 to 43. Oklahoma’s top strengths include a small
disparity in health status by educational attainment, a low prevalence of excessive drinking and a higher
number of mental health providers. There are some challenges, such as; a high percentage of uninsured
population, high cardiovascular death rate and a high infant mortality rate. Some statistics that led to the
change in ranking as follows: in the past four years, low birthweight decreased from 8.5% to 7.9%; in past
five years, smoking decreased from 26.1% to 19.6%; and in the past five years, excessive drinking decreased
from 17.3% to 12.8%. However, immunizations among children decreased from 75.4% to 67.0% and
cardiovascular disease deaths increased 4%.
Neonatal Abstinence Syndrome in Oklahoma Update, Dr. Mary Anne McCaffree, OUHSC and Joyce
Marshall, Director, Maternal and Child Health Service, OSDH. Neonatal Abstinence Syndrome (NAS)
is a withdrawal syndrome experienced after birth by drug exposed newborns. Every 25 minutes, a baby is
born suffering from opioid withdrawal. Some statistics regarding opioids such as: prescriptions increasing
5-fold over last ten years; it has led to more deaths than car accidents; in 2012, enough were prescribed to
give every adult in the USA one prescription; and that deaths are rising from heroin and synthetic opioids.
Oklahoma is ranked in the second highest rate of opioid prescriptions in the USA and that data shows that
opioid pain reliever use for women in the 2nd and 3rd trimester of pregnancy has risen from 13% in 1995 to
28% in 2009.
Ms. Marshall spoke about a National Collaborative on Maternal and Opioid Use Disorder organized by the
Alliance for Innovation on Maternal Health. This collaborative includes 12 participating states, with Oklahoma
being one of them. She also mentioned that rural areas are just as prone to have cases of NAS as urban
areas and the number of NAS hospitalizations has more than doubled since 2012 with costs now into the
billions annually.
Dr. McCaffree discussed the clinical features of NAS, such as, gastrointestinal (poor feeding, vomiting, loose
stools); nervous system (tremor, irritability, seizures, decreased sleep); and autonomic activation (tachypnea,
yawning, dilated pupils). Methadone and buprenorphine have both been approved to treat opioid use
disorder in pregnancy.
Lemonade of Life Pilot and ACEs, Annette Jacobi, OSDH, Ms. Jacobi explained what is meant by an
Adverse Childhood Experiences (ACEs). She explained that there are several ACEs that can occur in
childhood that can affect the growth of an adolescent brain such as divorce, both emotional and physical
abuse, substance and alcohol abuse in the home, and other adverse events. Lemonade for Life is a
partnership between OSDH, University of Kansas Center on Public Partnerships and Research, University
of Oklahoma Center on Child Abuse and Neglect, and The Cherokee Nation. The program will have trained
home visitors working within Oklahoma and Tulsa counties who will directly address ACEs with clients during
a minimum of five visits. She stated that the goal of Lemonade for Life is to improve engagement between
client and home visitor and therefore, retain clients for longer periods of time. There will be five sessions
that will be integrated into the Lemonade for Life program. These sessions will include: teaching about the
importance of brain development, positive parenting, negative effects of not adhering to lessons one and
two, presenting an ACE questionnaire to the parents, and healthy/lighthearted activities to do with parents.
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Raising Resilient Oklahomans! Summit Highlights and OK 25 by 25-Craig Knutson, President/CEO,
Potts Family Foundation. Mr. Knutson spoke to the group about the Potts Family Foundation, a private
family foundation based in Oklahoma City. The foundation disperses between $400,000-500,000 per
year to a variety of non-profit organizations throughout the state in areas of family and early childhood
development. They have four focus areas which are: access to affordable high quality child care, access to
quality preventive care including both mental and physical care, evidence-based family support programs,
and literacy programs such as Reach Out and Read. The group is doing research on Adverse Childhood
Experiences (ACEs) and were introduced to a film called “Resilience”. After reviewing the film, they
purchased the rights to show the film in ten locations with Oklahoma County being one of them. The film is
only being shown in locations where city or municipal leaders will be able to attend to reach the community
leaders more effectively. A 2016 survey placed Oklahoma in the top three states in the US as a leader in
ACEs.
Respectfully submitted,
Donna M. De Simone, JD, MS, RN, APRN-CNP, APRN-CNS, CPN, FNP-C
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2018 Oklahoma Nurses Association
NURSING EDUCATION AND
PRACTICE ADVISORY COMMITTEE
The nursing Education and Nursing Practice Advisory Committee is responsible consulting with Board of
Nursing Staff to review and suggest revisions as necessary to policies and guidelines impacting nursing
practice and nursing education. The Committee met two times since the last report.
The following policies and guidelines were reviewed by the committee since the last report and sent forward
to the Board of Nursing for approval:
• Special Reports from Nursing Education Programs to the Board Guidelines
• Simulated Patient Care Experience (SPCE) for Registered and Practical Nursing Program Guidelines
• Decision-Making Model for Scope of Nursing Practice Decisions: Determining Advanced Practice
Registered Nurse, Registered Nurse and Licensed Practical Nurse Scope of Practice Guidelines
• Refresher Course Policy
• Nursing Education Programs Offering Non-Traditional Learning Options Guidelines,
• Medic Veteran to Licensed Practical Nurse Bridge Course Guideline
• Preceptor Policy for Registered Nurses and Licensed Practical Nurses
• Nursing Education Program with Extended and Multiple Campuses Policy
• Approved Skills List for Performance by Board-Certified Advanced Unlicensed Assistants
• Registered Nurse Monitoring Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter
Techniques (Epidural, PCEA, and Intrathecal Catheters) Guidelines
• Registered Nurse Administering, Managing and Monitoring Non-Obstetrical Patients Receiving
Analgesia/Anesthesia by Catheter Techniques (Epidural, PCEA, and Intrathecal Catheters) Guidelines
Respectfully submitted by: Shelly Wells, ONA Representative to the NENPAC
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2018 Oklahoma Nurses Association
OKLAHOMA DOMESTIC VIOLENCE
FATALITY REVIEW BOARD
Janet Sullivan-Wilson, PhD, RN, ONA Representative
Donna L. Wong Professor in Nursing Science, Associate Director,
RCGNE Community Based Interdisciplinary Research
Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center,
1100 N. Stonewall, Rm.363, PO Box 26901, Oklahoma City, Oklahoma 73126-0901
MISSION of the Domestic Violence Fatality Review Board
The mission of the Oklahoma Domestic Violence Fatality Review Board is to reduce the number of domestic
violence related deaths in Oklahoma. The Board will perform multi-disciplinary case reviews of statistical
data and information derived from disciplines with jurisdiction and/or direct involvement with the case to
develop recommendations to improve policies, procedures and practices within the systems involved and
between agencies that protect and serve victims of domestic abuse. The Review Board is composed of
eighteen (18) members (or designees).
DOMESTIC VIOLENCE DEFINITIONS
22 § 60.1
PURPOSES:
1. The Oklahoma Domestic Violence Fatality Review Board shall review and study the fatalities caused
as a direct result of domestic violence acts and/or domestic violence is demonstrated to have had a
causative effect upon the death of an individual. The Board shall:
a) Conduct an in-depth review of domestic violence situations resulting in a fatality
b) Develop accurate statistical information of domestic violence-related fatalities
c) Make recommendations to improve access to protective services to those who may be living in a
dangerous domestic environment
d) Make recommendations to improve policies, procedure and access to support systems that serve
victims of domestic violence
e) Carry out such duties and responsibilities as the Board shall designate
2. In fulfilling this purpose, the Board shall be guided by specific principles:
a) Case review and data analysis shall be for the purpose of resolving systemic issues.
Individual case management shall be specifically outside the purview of the Board.
b) The Board shall be inclusive, seeking input from, and the expertise of, the diverse agencies and
disciplines working to resolve domestic violence issues.
c) Collaboration, coordination and communication shall be central to the operations of the Board.
d) All activities shall be conducted in a manner respectful to victims of domestic violence and the
feelings of their families.
3. The Office of Attorney General shall promulgate policies and procedures to administer the Board.
See 22O.S. 1601-1603§
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2018 Oklahoma Nurses Association
2017 ODVFRB Activities:
1. The 2017 ODVFRB Report analyzes 95 Oklahoma domestic violence deaths in 2016. http://www.
oag.ok.gov/Websites/oag/images/Oklahoma%20Domestic%20Violence%20Fatality%20Review%20
Board%202017%20Report.pdf. Read and share this report with colleagues. In addition to the Board’s
recommendations, the report describes major findings and professional resources. It is a wealth of
information about intimate partner violence homicides in Oklahoma.
2. 2017 ODVFRB Report 2016 major findings:
In 2016, there were 95 deaths in Oklahoma due to domestic violence. The majority of the (over 18 year
old) victims were Caucasian females, averaging 44 years old. The majority of (over 18year old) offenders
were male, Caucasian, and almost 39 years old. Firearms are still the most commonly used weapons
and the leading cause of domestic violence deaths in Oklahoma. The large majority (80%) of Oklahoma
domestic violence homicides occurred with family members and intimate partners. Looking at the 2010
US Census data, African American women are disproportionately affected by domestic violence. (See,
“Domestic Violence and African American Women: A Report from the Domestic Violence Fatality Review
Board, pp17-21). Although women are at a higher risk for domestic violence homicides, men are killed
in domestic violence incidents as well. Looking at a six-year interval, from 2011-2016, two-thirds of the
Oklahoma intimate partner deaths were female and one-third were male. Fifteen children were killed in
2016; the majority were under the age of five years old and killed by their biological fathers.
Implications for Nursing Practice
A. Be well informed about the morbidity and mortality of family physical/emotional violence.
B. Train to identify and ensure delivery of services that provide health care treatment and safety. The
USPSTF recommends that clinicians screen for intimate partner violence in women of reproductive
age and provide or refer women who screen positive to ongoing support services. (Grade B) https://
www.uspreventiveservicestaskforce.org/BrowseRec/Search?s=domestic+abuse (See DRAFT for
child, intimate partner, and elder abuse).
C. Participate in strangulation awareness training (DVFRB Recommendation #1)
D. Know the 2005 Health Care Reporting Law for child, intimate partner violence, and elder abuse.
E. Be aware how race, class, gender, age, socio-economic status, and historical contexts affect family
violence morbidity and mortality outcomes.
F. Question “silo thinking” about child, adult, and older adult abuse and think in terms of family and
community violence prevention.
3. Formation of the Sub-Committee on Intimate Partner Violence (IPV) and African Americans: In
Oklahoma as well as nationally, African American women are disproportionately represented in domestic
violence statistics, indicating they have higher risks for poor health outcomes and death. Dr. Janet
Sullivan Wilson, ONA Representative to the DVFRB, with OAG DVFRB Project Director, Jacqueline Steyn,
formed the Sub-Committee on Intimate Partner Violence (IPV) and African Americans in 2016. Outreach
to the Oklahoma community gathered a dynamic group of women who worked together to develop an
action plan to reduce African American deaths in Oklahoma. One of the outcomes of their work is a new
Oklahoma service model and organization, For TIA. See pp17-21 of the ODVFRB Report for a description
of their work.
Members included: Chair: Janet Wilson, Oklahoma Nurses Association Representative to the Review
Board, Vanessa Morrison, Palomar Angela Beatty, YWCA Oklahoma City Tamera Babbitt, Oklahoma
Coalition Against Domestic Violence and Sexual Assault Karen Jacobs, Oklahoma Department of Human
Services Doristina Moncriffe, Langston University Aleshia M. Overall, Community Health Centers of
Oklahoma Marie Robinson, Wings of Hope Family Crisis Services, Stillwater, OK Tina Brown, Private
Citizen Stephanie Moore, Moore Marketing and Communications, LLC Sherrica Buckingham, Oklahoma
City.
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4. DVFRB Recommendations for Health Care
2018 Oklahoma Nurses Association
ODVFRB Recommendations for Health Care
RECOMMENDATION #1: ALL SYSTEMS All
Professionals Working with Victims of Domestic
Violence: advocates, judges, law enforcement
officers, prosecutors, child welfare, mental health/
substance abuse professionals, and healthcare
professionals should participate in strangulation
awareness training
RECOMMENDATION #3: DEPARTMENT OF
HUMAN SERVICES – ADULT PROTECTIVE
SERVICES 1. Professionals working in the domestic
violence, intimate partner violence and elder abuse
fields should obtain cross-training to assist with
identifying and responding to the needs of elder
abuse victims of intimate partner violence. 2.
The Review Board should develop protocols for
consulting with elder abuse professionals when
reviewing cases involving domestic violence-related
deaths of older victims.
RECOMMENDATION #4: DOMESTIC VIOLENCE
SERVICE PROVIDERS Domestic Violence
Service Providers should ensure that services are
responsive to the unique needs of male victims of
intimate partner violence within a gender-inclusive
framework.
MULTIDISCIPLINARY PAST
RECOMMENDATIONS [2016]: Enhance consistent
and safe implementation of the Lethality Assessment
Program (LAP) in Oklahoma. The goal of the
Task Force is to collect data to evaluate LAP
outcomes and to provide technical assistance to
law enforcement and domestic violence victim
programs.
Implementation for Nurses
The Strangulation Training Institute provides onsite
trainings in San Diego, CA, or onsite at other
locations; online trainings; and an online library of
reference materials.
https://www.strangulationtraininginstitute.com/
Trainings are available for healthcare professionals
Nurses caring for older adults (60 and over) in
hospitals, clinics, primary care, private practice, day
care, respite care, rehabilitation settings, memory
centers, should have elder abuse training and
protocols re: identification and referral resources for
managing the care of older adults who are abused.
Although the research still supports that females
are at a higher risk than males for being victims of
domestic violence, education about family violence
toward boys and men should be included in nursing
curricula with knowledge about appropriate services
available at the local, state, and national levels.
The OAG established a Task Force to oversee the
statewide execution of the Lethality Assessment
Program (LAP) [21 O.S. § 21-142A-3(D)], September
2017. Representation from law enforcement,
including CLEET, domestic violence victim
programs, health care*, and an LAP researcher
from the University of Oklahoma, Health Sciences
Center.*
*Dr. Janet Sullivan Wilson, ONA Representative
to the ODVFRB, and Kathy Bell, MS, RN, Tulsa
Forensic Nurse, are on this task force.
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Spotlight*
Homicide Prevention Initiatives in Oklahoma
Domestic Violence Risk Assessment for Health Care Professionals,
Kathy Bell MS, RN, Tulsa Forensic Nursing Services, Tulsa Police Department
Website: http://www.tulsapolice.org/content/tulsa-forensic-nursing-services.aspx
The Oklahoma Lethality Assessment Protocol for police officers involves a collaboration that consists of
advocacy services and law enforcement. In 2014 the police protocol was legislated (HB2526) and is now
mandated for all Oklahoma police officers to use when called to a domestic violence incident. There is
an effort underway in Tulsa that expands that model and involves a tripartite approach. It consists of
collaboration with the addition of healthcare. Each of the three agency types provides services to victims
at a time they are experiencing violence. This collaboration would provide another layer of safety. The
project has been titled the Oklahoma Lethality Assessment Protocol for Health Care (OK-LAPHC) The pilot
protocol education has been developed to alert staff in an emergency department that further evaluation
is necessary regarding the safety of their patient. A trained nurse or social worker will perform the lethality
assessment which involves asking a series of questions associated with high lethality in researched intimate
partner violence cases. As in the Law enforcement model, the victim will have the opportunity to consult with
a domestic violence advocate and develop a safety plan for use once they leave the emergency department.
At the time of discharge the patient will have access to an abundant list and knowledge of resources that
they would not have been aware of in the past. The result of the assessments will be made available to
the City of Tulsa forensic nursing program and Family Safety Center. With a patient’s consent, contact
will be made to a safe phone number where discussions of other services and needs of the patient can
be discussed. Research data from the law enforcement project, suggested when victims go into services,
the rate of re-assault drops by 60%. One explanation for this finding is that with more knowledge victims’
implemented greater protective strategies, such as obtaining protective orders and seeking services
that they may not have previously been aware of. It is reasonable to believe the same results will extend
to a healthcare led process. This project will be the first in Oklahoma to implement a coordinated lethality
assessment protocol response development for Emergency Departments health care, law enforcement, and
advocates. The pilot project is being implemented in one hospital in the City of Tulsa with the plan to expand
throughout the city and then throughout the state.
*ODVFRB 2017 Report, p38
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2018 Oklahoma Nurses Association
NURSING SCHOLARSHIP ADVISORY COMMITTEE
Beverly Botchlet, RN, MS
For the past several years I have represented ONA as a committee member on the Nursing Scholarship
Advisory Committee (NSAC) with the Physician Manpower Training Commission (PMTC). Meetings were
traditionally held each year in July after the statewide interviews had been completed with applicants from
all over the state of Oklahoma. However, with recent budget cuts, annual meetings and annual interviews
were cut. Members of the NSAC Committee, in addition to the Oklahoma Nurses Association, remain to
be comprised of representatives from the Rural Hospital Nursing Service, Urban Hospital Nursing Service,
Oklahoma Association of Healthcare Providers, Oklahoma Hospital Association, Oklahoma League for
Nursing, Oklahoma State Association of Licensed Practical Nurses, Oklahoma League for Nursing, Associate
Degree Nursing Director’s Council, Association of Deans and Directors of Baccalaureate and Higher Degree
Nursing Programs, and one Lay Member.
The committee membership role now involves consulting. With the interviews no longer conducted across
the state and with no general annual meeting, the committee members are available as resources. I remain to
be the Vice-Chairperson and serve in that capacity when necessary.
The scholarships are either matching or non-matching, depending upon whether the student has matched
with a sponsoring facility or not. These student nurses are enrolled in LPN, ADN, BSN and Masters Nursing
Programs from across the state of Oklahoma as well as some national online Internet programs. Students
are now screened by the staff at Physician Manpower Training Commission. Determination of qualified
candidates are made at that time.
In order to qualify for a scholarship a recipient must be a legal resident of the State of Oklahoma, citizen
of the United States, and unconditionally accepted into a nursing program. For each year of financial
assistance, there will be a one-year full-time work obligation (or equivalent thereof) worked by the recipient.
The obligation is fulfilling at the sponsoring health institution if the funds are matched/sponsored or at a
qualified health institution if the scholarship is a non-match. Maximum assistance is for two years for each
program.
PMTC has placed nurses in all 77 counties, mostly in rural hospitals and nursing homes. The purpose of
the program is to provide assistance to Oklahoma nursing students pursuing LPN, ADN, BSN or MSN
degrees and who are interested in practicing or teaching nursing in Oklahoma communities, with emphasis
placed on rural or smaller communities. There are many more applicants that will be turned down due to
limited funding. Physician Manpower has assisted nearly 6,700 nursing students since 1982 and will provide
scholarships to approximately 215 students for the academic year of 2017-2018. The funding for the current
academic year is attached to this report.
Respectively,
Beverly Botchlet, RN, MS
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STATE COUNCIL ON AGING
Anne W. Davis, PhD, RN State Council on Aging Advisor and
Chair, Oklahoma Long-term Care Advisory Committee
As a nurse serving as an advisor to Oklahoma’s State Council on Aging, I have been privileged to represent
our profession at state council, Long-term Care Committee, and at the Capitol. The Capitol—yes! Please,
review this (underline mine):
Oklahoma Statutes Title 63, Section 1-2216 of the Long-Term Care Ombudsman Act establishes the
Ombudsman Advisory Committee. The Oklahoma State Council on Aging was established by the
Oklahoma Commission for Human Services to review, monitor and evaluate programs targeted to older
persons. Members from the State Council serve in an advisory capacity to the State Long-Term Care
Ombudsman through establishment of a committee with equal provider and consumer representation.
(http://www.okdhs.org/services/aging/Pages/adcomm.aspx, accessed 8.19.2018)
Several bills introduced, considered, and passed by our state Representatives and Senators greatly impacts
Aging Services programs, hence the importance of monitoring bills. You are vital to the legislative process!
To track a bill, simply go to http://www.oklegislature.gov/BasicSearchForm.aspx. Nurses can make a
difference in how our elected representatives vote on bills.
Here’s an example of a 2018 session bill which will impact elders and which our Governor signed:
HB3064 was authored by Representatives O’Donnell and Jordan and Senator Quinn and establishes a
“Vulnerable Adult Abuse, Neglect and Exploitation Registry, which is to be populated by those who have
been previously convicted of those crimes with certain notice prior to publishing and for the registry to be
made public.” (http://webserver1.lsb.state.ok.us/cf_pdf/2017-18%20ENR/hB/HB3064%20ENR.PDF, accessed
8.19.2018)
Each week a dedicated group representing Oklahoma’s Aging Partnership which is composed of the Alliance
on Aging, Oklahoma Silver Haired Legislator Alumni Association, and the State Council on Aging, meets to
plan activities, such as meeting with our legislators about specific bills and attending committee meetings. I
have come to greatly appreciate both legislators who listen and those advocates, such as Jane Nelson, who
spend many intense hours advocating for nurses and issues which impact nurses.
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2018 Oklahoma Nurses Association
Besides monitoring and supporting (or not) legislation, I attend the quarterly State Council on Aging meetings
and Long-term Care Ombudsman Advisory meetings. The group meets to discuss issues affecting residents
in the long-term care setting and the delivery of advocacy services and complaint resolution through the
Ombudsman Program. Meetings are open to the public. Examples of recent issues discussed during the
past year include, but are not limited to:
• Involuntary discharges from long-term care facilities. Along with elder abuse, neglect, and
exploitation, involuntary discharges greatly influence resident health;
• Dementia Friendly City Center project which focuses on retrofitting an urban mall to provide a
community for individuals with dementia and their families. The OSU School of Architecture is
involved with the project;
• Legislation impacting elders. It should be noted that the State Council supported HB 1013 (see ONA
Legislative report for more on this bill); and,
• Volunteers serving as long-term care ombudsman advocates in nursing homes—numbers are stable,
but lower than previous years.
Please email me (aiwdavis73@gmail.com) if you have questions or feedback related to the State Council on
Aging, especially the Long-term Care Ombudsman Advisory Committee, or information in this report.
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2018 Oklahoma Nurses Association
OKLAHOMA HEALTHCARE WORKFORCE CENTER
The Oklahoma Healthcare Workforce Center sponsored the 12th Annual Simulation Conference
on May 22, 2018 at Moore-Norman Technology Center, South Penn Campus. Several out-of-state
presenters gave exciting and informational sessions, which can be found on the OHCWC website: http://
okhealthcareworkforce.com/Conferences/. On May 23rd, the Simulation committee, who also planned the
conference, offered a “Simulation Bootcamp” at Francis Tuttle Technology Center. This introduction and
immersion into simulation helped teachers become acquainted with a variety of manikins and learn the
basics of simulation including preparing a simulation/scenario, moulage and debriefing the simulation. Due
to the great popularity of this activity, the Oklahoma Healthcare Workforce Center will be repeating this
bootcamp at no cost three times within the next school year. It will be open to educators and healthcare
professionals alike, with a limited class size. Please contact lara.morris@careertech.ok.gov if you’d like to get
on the email list.
The workforce center continues to strive to meet the needs of healthcare professionals across the
state and those interested in health careers by offering scholarship opportunities. In the coming year,
we are committed to offering over $5000 worth of scholarships. Continue to watch our website at http://
okhealthcareworkforce.com for more information.
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2018 Oklahoma Nurses Association
CODE OF ETHICS FOR NURSES
1 The nurse, in all professional relationships, practices with compassion and respect for the
inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of
social or economic status, personal attributes, or the nature of health problem.
2 The nurse’s primary commitment is to the patient, whether an individual, family, group, or
community.
3 The nurse promotes, advocates for, and strives to protect the health, safety, and rights of
the patient.
4 The nurse is responsible and accountable for individual nursing practice and determines the
appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum
care.
5 The nurse owes the same duties to self as to others, including the responsibility to preserve
integrity and safety, to maintain competence, and to continue personal and professional
growth.
6 The nurse participates in establishing, maintaining, and improving health care environments
and conditions of employment conducive to the provision of quality health care and
consistent with the values of the profession through individual and collective action.
7 The nurse participates in the advancement of the profession through contributions to
practice, education, administration, and knowledge development.
8 The nurse collaborates with other health professionals and the public in promoting
community, national, and international efforts to meet health needs.
9 The profession of nursing, as represented by associations and their members, is responsible
for articulating nursing values, for maintaining the integrity of the profession and its practice,
and for shaping social policy.
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