2018 Oklahoma Annual Book of Reports

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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

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2018 Oklahoma Nurses Association

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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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Visit www.jcmh.com for current opportunities.

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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

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2018 Oklahoma Nurses Association

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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.

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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

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.

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2018 Oklahoma Nurses Association

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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

OneMain Financial

Nursing Times

CHOCTAW NATION

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One Choctaw Way –

Talihina, OK 74571

careers.choctawnation.com

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535 West Federal Street,

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(405) 273-7661

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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

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2018 Oklahoma Nurses Association

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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

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2018 Oklahoma Nurses Association

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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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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

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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,

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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

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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

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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

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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.

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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

@OKNURSES

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OKNURSES

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 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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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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2018 Oklahoma Nurses Association

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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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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2018 Oklahoma Nurses Association

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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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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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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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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2018 Oklahoma Nurses Association

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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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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