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Georgia Nursing - May 2019

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“Nurses shaping<br />

the future of<br />

professional nursing<br />

for a healthier <strong>Georgia</strong>.”<br />

Since 1907<br />

The Official Publication of the <strong>Georgia</strong> Nurses Foundation (GNF).<br />

Quarterly publication direct mailed to approximately 130,000 RNs in <strong>Georgia</strong>.<br />

Visit us online at www.georgianurses.org<br />

Brought to you by the <strong>Georgia</strong> Nurses Foundation<br />

(GNF) and the <strong>Georgia</strong> Nurses Association (GNA), whose<br />

dues-paying members make it possible to advocate for<br />

nurses and nursing at the state and federal level.<br />

Volume 79 • Number 2 • <strong>May</strong>, June, July <strong>2019</strong><br />

GNA PRESIDENT’S MESSAGE<br />

#22by2022<br />

Richard Lamphier, RN<br />

GNA President<br />

Someone once told me the three most important things<br />

in an association is membership, membership, membership.<br />

I think the three most important words for the <strong>Georgia</strong><br />

Nurses Association is inclusiveness, inclusiveness and<br />

inclusiveness. I want you to be included and counted as<br />

our members.<br />

I’ve had the opportunity to work with school nurses,<br />

who in my opinion are at the front line of so many<br />

pediatric health issues. I will always remember the passion<br />

of a school nurse in South <strong>Georgia</strong>. It was a cold wintry<br />

day when I arrived. I asked to use the clinic restroom; I had<br />

to walk through a well-stocked clothes closet and food<br />

pantry. When I inquired about her supplies she said ”If my Richard Lamphier<br />

babies are cold or hungry they aren’t able to learn.”<br />

I’ve proudly lobbied side by side at the Capitol with Advanced Practice Registered<br />

Nurses (APRNs) and other nurses who work so diligently and have a passion to<br />

provide access to care for all of <strong>Georgia</strong>ns.<br />

GNA has partnered with United Advanced Practice Registered Nurses (UAPRN) of<br />

<strong>Georgia</strong> to bring you the Unity conference, which is on October 31-November 2 at<br />

the Hilton Atlanta Downtown Hotel. Our lineup of speakers and topics will rival any<br />

conference in the country.<br />

The <strong>Nursing</strong> influencers I’ve worked with at the bedside are now inviting me<br />

to their boardrooms. Clinical instructors of the past are now Deans of Schools of<br />

Health, and in my short time as President of the <strong>Georgia</strong> Nurses Association, you’ve<br />

included me in your organizations and institutions, which I am deeply appreciative.<br />

With that said, please join us in the groundswell of nursing happening in our<br />

state.<br />

Director of Membership Development Sherry Danello and I have a goal to<br />

increase membership, in the <strong>Georgia</strong> Nurses Association, to 22 percent of <strong>Georgia</strong><br />

Nurses by 2022.<br />

<strong>Georgia</strong> has approximately 170,000 licensed nurses. That number includes all<br />

nurses that are regulated by the <strong>Georgia</strong> Board of <strong>Nursing</strong>. We have approximately<br />

GNA President’s Message continued on page 2<br />

GNF PRESIDENT’S MESSAGE<br />

GNA/GNF Have Lots<br />

Going on in <strong>2019</strong><br />

Catherine Futch, MN, RN, FACHE, NEA-BC<br />

Following is a listing of events we planned or are<br />

planning for fiscal year <strong>2019</strong>. We hope many of you will<br />

join us for one or more of these events.<br />

<strong>2019</strong> Teeing Up for <strong>Georgia</strong> Nurses: Annual Benefit<br />

Golf Tournament:<br />

The GNA/GNF Annual Golf Tournament was held<br />

on Monday, April 15, <strong>2019</strong> at The Heritage Golf Club,<br />

4445 Britt Road, Tucker, GA, 30084. The day began at<br />

8:30 AM with registration and breakfast and ended at<br />

approximately 4:30pm as we announced our winners and<br />

enjoyed our 19th Hole Southern Barbecue. Prizes were<br />

given to the 1st, 2nd, and 3rd lowest scoring teams. Funds<br />

will allow us to provide scholarship awards.<br />

Catherine Futch<br />

Unity Conference Cocktail Party:<br />

On April 12, <strong>2019</strong>, we enjoyed time together with legislators, administrators,<br />

leaders, staff nurses at all levels and others interested in the ongoing evolvement<br />

of the practice of <strong>Nursing</strong> in <strong>Georgia</strong>. The Unity Conference Cocktail Party was<br />

a precursor to the Unity Conference which will be held this Fall. The Conference<br />

represents a movement devoted to making the <strong>Nursing</strong> Profession stronger by<br />

bringing nurses from all practice settings and all levels of accountability together to<br />

learn, to interact and to strengthen the practice of nursing in <strong>Georgia</strong>. This event<br />

was very popular last year. We had a great turnout and lots of interaction about<br />

nurses, nursing, their practice settings and what we all together can do to make<br />

nurses and nursing stronger throughout the State. Unity is very important to the<br />

success of all that we do as nurses no matter the role we play or the work we do.<br />

March of Dimes <strong>Georgia</strong> Nurse of the Year:<br />

October <strong>2019</strong> (date to be determined).<br />

We are especially pleased to note that GNA/GNF will be the March of Dimes<br />

GNF President’s Message continued on page 2<br />

current resident or<br />

Non-Profit Org.<br />

U.S. Postage Paid<br />

Princeton, MN<br />

Permit No. 14<br />

Nurse Spotlight. .....................3<br />

GNF Peer Assistance Program. .........3<br />

Enduring Echoes. ...................4<br />

Index<br />

<strong>Nursing</strong>: The Profession I Fell in Love With. .. 9<br />

<strong>Georgia</strong>ns For A Healthy Future. ........ 10<br />

Finance Matters .................... 11<br />

Re-capping the <strong>2019</strong><br />

Continuing Education. ............... 11<br />

Legislative Session. ................6<br />

Journey to Becoming a Clinic Owner. .... 12<br />

Mother’s Day Story. ...............7<br />

Ask a Nurse Attorney. ............... 12<br />

Near-Miss Medication Errors<br />

<strong>Nursing</strong> Leadership Perspectives. ....... 13<br />

Provide a Wake-Up Call. ..........8<br />

Membership. ................... 14-15


Page 2 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

GNF President’s Message continued from page 1<br />

exclusive 10th Anniversary Tribute Sponsor of <strong>Georgia</strong><br />

Nurse of the Year. It is an honor for us to support<br />

the recognition of registered nurses throughout the<br />

State for their hard work, professionalism and stellar<br />

work outcomes. The <strong>Georgia</strong> Nurse of the Year<br />

Award (NOTY) is an awards event and fundraiser that<br />

celebrates the health care community and recognize<br />

nursing excellence and achievements in research,<br />

education, quality patient care, innovation and<br />

leadership. Each award will be presented to the most<br />

outstanding nurse within each select category.<br />

Nurses are first nominated by peers, nurse<br />

managers, supervisors or even the families they have<br />

impacted. Once nominated, each nurse is asked to<br />

submit an application to be considered for a particular<br />

award. Each application is carefully reviewed and<br />

scored by a committee of Chief <strong>Nursing</strong> Officers and<br />

other nurse leaders from the health care community in<br />

the State of Ga. GNA/GNF look forward to being part<br />

of this fabulous event. Recognition of excellence in any<br />

category of nursing is proof that good work must be<br />

GNA President’s Message continued from page 1<br />

3,100 members, 22% of the licensed nurses in <strong>Georgia</strong><br />

would get us to 37,400.<br />

How do we plan to do this? Two by Two, two nurses<br />

encourage each other to become members of GNA.<br />

Your social media post need to have our hashtag;<br />

#22by2022. I know two nurses, working together<br />

can accomplish just about anything. We can save a<br />

life, place a central line, instruct a room full of nursing<br />

students, and lift each other up on those days. Please<br />

go to <strong>Georgia</strong>Nurses.Org to join.<br />

EVERYDAY<br />

HEROES NEEDED:<br />

VOLUNTEER<br />

REGISTER AT SERVGA.GOV<br />

not only recognized but rewarded. (Source: March of<br />

Dimes)<br />

<strong>2019</strong> <strong>Nursing</strong> Unity Conference:<br />

October 31-November 2, <strong>2019</strong> at the Hilton Atlanta<br />

Downtown Hotel, 255 Courtland Street, NE, Atlanta,<br />

GA. 30303.<br />

This is the second year GNA/GNF and UAPRN<br />

have held a Unity Conference. The first was quite a<br />

success with lots of very positive comments about the<br />

program content and, perhaps more importantly, how<br />

nice it was for nurses, irrespective of title or role, to<br />

come together as one body in one room listening and<br />

interacting in ways perhaps they never have before.<br />

It is our belief that the Unity Conference affords an<br />

opportunity to strengthen our profession and our<br />

bonds as Registered Nurses. No matter the titles and<br />

credentials we all have, the one thing we all hold in<br />

common with each other is the RN after our names.<br />

Work is presently underway to identify content and<br />

speakers. We are very pleased to announce that Tim<br />

Porter O’Grady and Sharon Hulon Cox have both<br />

agreed to be keynote speakers. Come to the Unity<br />

Conference!! We don’t think you will be disappointed.<br />

Do you know the percentage of lawyers, realtors,<br />

teachers and doctors who belong to their state<br />

organizations? Please contact me by email president@<br />

georgianurses.org or leave a message at 404-325-<br />

5536. I want to hear from you.<br />

Encourage each other to become a member of<br />

GNA. I know a school nurse in South <strong>Georgia</strong> and so<br />

many other nurses who have encouraged me.<br />

Is it a lofty goal? We think so. Is it an achievable<br />

goal? Check back in #22by2022.<br />

Amanda smoked while she was pregnant.<br />

Her baby was born 2 months early and<br />

weighed only 3 pounds. She was put in<br />

an incubator and fed through a tube.<br />

Amanda could only hold her twice a day.<br />

If you’re pregnant or thinking about<br />

having a baby and you smoke, please call<br />

1-877-270-STOP (7867)<br />

or Spanish: 1-877-2NO-FUME<br />

GEORGIA<br />

NURSING<br />

Volume 79 • Number 2<br />

Managing Editor: Charlotte Báez-Díaz<br />

GEORGIA NURSES FOUNDATION BOARD OF TRUSTEES<br />

Catherine Futch, President<br />

Sarah Myers, Vice President<br />

Alicia Motley, Secretary<br />

Wanda Jones, Treasurer<br />

<strong>Georgia</strong> Barkers, Member<br />

Rose Cannon, Member<br />

Mary Gullate, Member<br />

Gerald Hobbs, Member<br />

Rachel Myers, Member<br />

Elizabeth “Beth” Bolton- Harris, Member<br />

Richard Lamphier, Member<br />

Maura Schlairet, Member<br />

Dina Hewett, Member<br />

Stephan Davis, Member<br />

GEORGIA NURSES ASSOCIATION BOARD OF DIRECTORS<br />

OFFICERS:<br />

Richard Lamphier, President<br />

Vacant, President-Elect<br />

Maura Schlairet, Secretary<br />

Dina Hewett, Treasurer<br />

DIRECTORS<br />

Stephan Davis, Director Leadership Development<br />

Sherry Danello, Director Membership Development<br />

Iris Hamilton, Director Legislation/Public Policy<br />

Joanne Parks, Director Staff Nurse<br />

Edward Adams, Director <strong>Nursing</strong> Practice and Advocacy<br />

Elizabeth “Beth” Bolton-Harris,<br />

Director Advanced Practice Registered Nurse<br />

Catherine Futch, GNF President<br />

ADMINISTRATION<br />

Matt Caseman, CEO<br />

Tim Davis, Senior Director of Membership and<br />

Government Affairs<br />

Charlotte Báez-Díaz, Communications Manager<br />

Monica R. Dennis, Administrative Assistant<br />

W. L. Clifton Political Consulting, GNA Lobbyist<br />

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

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

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

4081. GNF and the Arthur L. Davis Publishing Agency, Inc.<br />

reserve the right to reject any advertisement. Responsibility<br />

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

issue or refund of price of advertisement.<br />

Acceptance of advertising does not imply endorsement or<br />

approval by the <strong>Georgia</strong> Nurses Foundation of products<br />

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

of an advertisement does not imply a product offered<br />

for advertising is without merit, or that the manufacturer<br />

lacks integrity, or that this association disapproves of the<br />

product or its use. GNF and the Arthur L. Davis Publishing<br />

Agency, Inc. shall not be held liable for any consequences<br />

resulting from purchase or use of an advertiser’s product.<br />

Articles appearing in this publication express the opinions<br />

of the authors; they do not necessarily reflect views of<br />

the staff, board, or membership of GNF or those of the<br />

national or local associations.<br />

<strong>Georgia</strong> <strong>Nursing</strong> is published quarterly every February, <strong>May</strong>,<br />

August and November for the <strong>Georgia</strong> Nurses Foundation,<br />

a constituent member of the American Nurses Association.<br />

GNA/GNF<br />

3032 Briarcliff Road, Atlanta, GA 30329<br />

www.georgianurses.org, gna@georgianurses.org<br />

(404) 325-5536<br />

FOLLOW GNA<br />

dph.georgia.gov/ready-quit<br />

Engaging Tobacco Users: Tips for Health Care Providers in <strong>Georgia</strong><br />

(1.00 Continuing Credit)<br />

GAtobaccointervention.org<br />

#CDCTips<br />

@georgianurses<br />

facebook.com/ganurses<br />

@<strong>Georgia</strong>Nurses<br />

<strong>Georgia</strong> Nurses Association


<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 3<br />

NURSE<br />

SPOTLIGHT<br />

Original publication by Advisory Board-Daily Briefing<br />

Candice Saunders<br />

Ninfa Saunders<br />

Congratulations to Candice Saunders, president<br />

and CEO of WellStar Health System and Ninfa<br />

Saunders, president and CEO of Navicent Health for<br />

being selected for “The top 25 women in health care,<br />

according to Modern Healthcare!”<br />

On February 20, <strong>2019</strong>, Modern Healthcare released<br />

its <strong>2019</strong> list of the “Top 25 Women in Healthcare,”<br />

which honors female executives from different sectors<br />

of the health care industry.<br />

To create the list, Modern Healthcare accepted<br />

hundreds of nominations for women who are in health<br />

care leadership roles across the country. To be eligible<br />

for the honor, the women must:<br />

• Work at a hospital, health insurer, health care<br />

research organization, physician organization,<br />

home health organization, government health<br />

agency, or health care vendor or supplier<br />

organization;<br />

• Serve in a role that is senior VP or higher;<br />

• Demonstrate that they have helped their<br />

organization “exceed” its financial, clinical, and<br />

strategic goals;<br />

• Promote gender equity in the C-suite; and<br />

GNF PEER ASSISTANCE PROGRAM<br />

The following is a true account of a <strong>Georgia</strong> nurse’s<br />

experience in dealing with her disease of addiction. This<br />

story has been submitted to <strong>Georgia</strong> <strong>Nursing</strong> and is not<br />

to be reproduced without permission of the GNA Peer<br />

Assistance Program.<br />

Just six years ago, I had a fulltime job as a postsurgical<br />

nurse and was happy as a person can be having already<br />

worked as an elementary school physical education teacher<br />

for ten years. I had planned both careers and was extremely<br />

excited about caring for and teaching a different set of<br />

“students” called patients. I felt important, special, and<br />

motivated to be the best nurse ever!! On a daily basis, I<br />

presented an air of confidence and assertiveness, admired<br />

by patients and coworkers alike. I worked every shift wide<br />

open, never stopping for lunch and rarely even a break. I<br />

volunteered for all of the overtime, came early for my shift,<br />

and stayed late almost daily. I took charge like a fearless<br />

leader and externally appeared to have my “act” together.<br />

I was on cloud nine; totally fulfilled and almost intoxicated<br />

with satisfaction with my career. But, the act I had so<br />

perfected for others to see was fake, dirty, shameful, and<br />

painful every minute of the day. In actuality, I was deeply<br />

involved in addiction, specifically the injectable narcotics<br />

used for patients on my work unit. I could not even go to<br />

work on a daily basis without filling my body with moodaltering<br />

chemicals. The tireless enthusiasm and energy<br />

I displayed to others came directly from drugs - drugs I<br />

ordered in ridiculous quantities; a pattern easily spotted by<br />

our inhouse pharmacy, my direct supervisor and, eventually,<br />

the Drugs and Narcotics Agents.<br />

Why was I the last to recognize a problem of this<br />

magnitude? Why was I able to be a “super nurse” while<br />

my body was saturated with chemicals? Why was I unable<br />

to recognize my danger and ask for assistance? Shame –<br />

Guilt – Denial The uncertainty of what happens to nurses<br />

like me!! All were symptoms of my disease of addiction<br />

which were treatable and manageable despite my fear of<br />

exploring the option of admitting a problem and seeking<br />

help.<br />

I SHOULD BE DEAD<br />

To make a long story short, an intervention on my<br />

behaviors of addiction by a trained, qualified group of<br />

recovering nurses involved with the GNA Nurse Advocacy<br />

Program [currently named the GNF Peer Assistance<br />

Program] saved my life. With the amount of drugs I had<br />

to divert from the workplace, hide to avoid detection<br />

by coworkers and family, use secretively, and maintain a<br />

facade of normalcy until time to report for work the next<br />

day, this disease itself was another fulltime job.<br />

After intervention, substance abuse treatment, getting<br />

involved with support groups for nurses, and completing<br />

a four year probation through the state board of nursing,<br />

I am now employed as a registered nurse again and,<br />

finally, I am truly happy and fulfilled without the use of<br />

mood-altering chemicals to keep me alive. I am alive today<br />

because of a program called “Nurse Advocate Program”<br />

affiliated with the <strong>Georgia</strong> Nurses Association. As I<br />

mentioned earlier, “I should be dead.”<br />

The overall purpose of the GNF Peer Assistance Program is to<br />

identify and assist impaired nurses to seek treatment for addictive<br />

diseases so they may remain useful members of the nursing<br />

profession.<br />

The philosophical beliefs underlying the program are: 1)<br />

Addiction is a disease process with physical social and emotional<br />

aspects 2) There is hope in the treatment of the chemically<br />

dependent nurse. 3) No nurse should lose job or license until<br />

he/she has had opportunity for care through an appropriate<br />

intervention. 4) A profession has the responsibility to regulate<br />

and control its own members and professional practice through<br />

assuming an advocacy role and by providing a network of<br />

supportive peers.<br />

If you or one of your <strong>Nursing</strong> colleagues needs help or would<br />

like information about volunteering with our Program, please call<br />

800-462-9627 or 404-325-8807.<br />

866-296-3247<br />

Now Hiring RNs<br />

• Act as a mentor to the next generation of leaders.<br />

You may read the original publication by visiting<br />

https://www.advisory.com/daily-briefing/<strong>2019</strong>/02/20/<br />

top-25-women?WT.mc_id=Email|DailyBriefing+Headlin<br />

e|DBECTake2|DBA|DB|<strong>2019</strong>Feb20|ATestDB<strong>2019</strong>Feb20||||<br />

&elq_cid=2407647&x_id=003C00000259s9UIAQ.<br />

Recruiting for RNs for Mental Health and<br />

Developmental Disabilities<br />

Dublin office as well as our other offices<br />

Call Dublin phone number 478-304-1417<br />

or www.healthcare-staffing.com<br />

PHP places nurses in <strong>Georgia</strong> and throughout the USA and<br />

provides award winning pay and benefits packages.<br />

Apply online today at www.travelphp.com.<br />

Registered Nurses<br />

As a member of the team and a State<br />

of Florida employee, you’ll be eligible<br />

for some GREAT benefits!<br />

34 days of paid annual leave -<br />

unused vacation and sick leave accrue annually<br />

Student loan forgiveness programs<br />

Relocation reimbursement up to $5,000<br />

Low-cost health insurance<br />

Tuition fee waiver at any Florida public university<br />

Retirement options with State match<br />

FLORIDA HAS NO STATE INCOME TAX<br />

and is a member of the<br />

enhanced <strong>Nursing</strong> Licensure Compact<br />

To apply for a position, please visit<br />

https://jobs.myflorida.com<br />

Join a high-quality mental health<br />

treatment team in beautiful<br />

North Florida with locations in<br />

Chattahoochee, Gainesville and<br />

Macclenny<br />

For more information please contact:<br />

Kevin Bist, Recruiting Consultant<br />

kevin.bist@myflfamilies.com<br />

Or text 850-274-4287


Page 4 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

ENDURING ECHOES<br />

Dr. Rose B. Cannon<br />

rbcannon30@bellsouth.net<br />

As an esteemed professor of nursing at the Nell<br />

Hodgson Woodruff School of <strong>Nursing</strong> at Emory University<br />

from 1963 until 1997, Barbara Reich’s physiology classes<br />

demonstrated a depth of knowledge and her ability<br />

to engage nursing students in understanding difficult<br />

concepts. I was one of her students in 1974 in the<br />

graduate nursing program. With no nursing physiology<br />

textbooks in circulation at the time, we were assigned<br />

Guyton’s Medical Physiology. Not only detailed in content<br />

but heavy in weight, we struggled through. The struggle<br />

was made easier by Reich’s explanations in class, and her<br />

intent that we all clearly understood the concepts and<br />

their relation to nursing care.<br />

When examining her entire life, one can see that she<br />

was immersed in the sciences early on and made a mark<br />

in both her classes and in the various appointments she<br />

took. Not unlike married women of her time, her own<br />

career was dependent on where her husband’s career<br />

would take them; where he studied medicine, did his<br />

internship and residency, served in the military, and took<br />

up his practice of medicine. Only when she gave birth to<br />

their two sons did she take short intervals of time away<br />

from her own career.<br />

Born in Easton, PA to parents Allen Schneider Hoffman<br />

and Sara Smith Hoffman, she was an only child. Her<br />

mother had trained as a nurse at Easton Hospital School<br />

of <strong>Nursing</strong>, but she wanted Barbara to go to college<br />

and also imagined a traditional role for her daughter as<br />

a housewife and mother. At Chambersburg College (a<br />

small all-women’s college) Barbara was one of only four<br />

students majoring in Chemistry. When her boyfriend,<br />

Robert Reich was admitted to Yale School of Medicine,<br />

she applied to the nursing program there. At the time<br />

Yale did not have women undergraduates, so the basic<br />

nursing course was a three year academic (summers off)<br />

MN program. Because of her college major in Chemistry,<br />

Barbara was “excused” from taking the chemistry course<br />

and actually taught a Chemistry Lab. In 1954 she married<br />

Robert A. Reich.<br />

In Chicago from 1955-1957, Reich took a position<br />

at Michael Reese Hospital School of <strong>Nursing</strong> where she<br />

taught physiology and clinical courses in surgical nursing.<br />

Her first class was sixty students in a big amphitheater<br />

with four sections of anatomy and physiology labs. In<br />

Augusta, GA from 1957-1960, she taught in the BSN<br />

program at Medical College of <strong>Georgia</strong> (MCG). Here she<br />

Barbara Hoffman Reich<br />

March 7, 1931 – December 10, 2015<br />

incorporated pathophysiology into her clinical nursing<br />

courses. When the Reichs moved to Atlanta in 1963,<br />

she applied for a part-time appointment on the faculty<br />

at the School of <strong>Nursing</strong> at Emory in what was known<br />

as Program II for diploma nurses to earn their BSN<br />

degrees. The program was being phased out at the time<br />

so next she was asked to move into a funded program<br />

in Rehabilitation <strong>Nursing</strong>. Reich recalled, “My focus in<br />

the graduate Rehab Program was to expand the rehab<br />

concept beyond the traditional neuro-orthopedic aspects<br />

to include rehabilitation concepts of other conditions (e.g.<br />

heart failure, renal failure). My approach was to review<br />

normal function, describe alterations in function, correlate<br />

these concepts with the clinical findings and provide the<br />

rationale for nursing care.” Apparently Reich had made<br />

significant impressions in her first three part-time years at<br />

Emory, and with her strong resume she was hired full time<br />

beginning October 1, 1966 into the position of Associate<br />

Professor of <strong>Nursing</strong> with tenure. She went on to<br />

elaborate, “Subsequently I developed a graduate course in<br />

pathophysiology. It began as a one semester course and<br />

at the request of students became two semesters.” This<br />

second course was team taught with experts in genetics<br />

and pharmacology.<br />

In the early 1970s, Nurse Practitioner programs in<br />

Masters Programs were new (prior to that they had<br />

been certificate or post-master’s programs, the first<br />

began in Colorado in 1965). A first step in working<br />

toward a practitioner program was instituting a course<br />

in Physical Assessment. The one at Emory began in 1973<br />

was especially rigorous for faculty, not only in learning<br />

and teaching new content, but in the hours they were<br />

assigned in the laboratory. Reich’s recollection was that<br />

“The course hours were very, very long in the skills lab<br />

for practice sessions. We had a group in the morning and<br />

a group in the afternoon, and another group the next<br />

morning and afternoon, and maybe one on Friday. I mean<br />

it just seemed horrendous.” From a student perspective<br />

in 1974, I was aware that the faculty were learning one<br />

step ahead of us as we sat for lectures and practiced<br />

our physical assessment skills on each other under their<br />

supervision.<br />

Reich also served on significant committees. One was<br />

the Basic Science Committee with Reich as the School of<br />

<strong>Nursing</strong> (SON) representative at the time when students<br />

took basic science courses from faculty in the School of<br />

Medicine concurrently with their nursing courses in the<br />

SON. In the 1980s these science courses became prerequisites<br />

instead. After that Reich was asked to develop<br />

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a pathophysiology course for undergraduates. Reich also<br />

served on Promotions and Tenure, Faculty Senate, and<br />

Admissions committees at various times. When serving<br />

on the Curriculum Committee, she recalled how revisions<br />

had to conform to certain concepts. When in 1972 the<br />

curriculum was based on systems theory as a theoretical<br />

framework, her course name changed to” Regulation<br />

and Control of Selected Human Living Systems.” One<br />

of the arguments for the change in title was that<br />

pathophysiology wasn’t a discipline and sounded more<br />

like medicine. In 1977 the title of her course changed to<br />

“Physiologic Bases for Advanced <strong>Nursing</strong> Practice.” In<br />

1979 pathophysiology content was integrated into several<br />

specialty tracks. What remained the same over the years<br />

was that Reich’s courses combined both science and<br />

pyscho-social concepts with an application to the nursing<br />

care required when there was an alteration in health.<br />

The quality of her courses can be shown in this<br />

anecdote she relayed in one of her interviews. She was<br />

recalling that starting in the 1970s Emory School of<br />

<strong>Nursing</strong> was part of a Consortium of several nursing<br />

schools where once per year selected students presented<br />

their master’s research. She specifically remembered<br />

one student, “Joan Modelewski, a pediatric nurse,<br />

was selected to do one of the major presentations. Dr.<br />

Dorothy Brinsfield, a pediatric cardiologist, was on her<br />

committee, [because] . . . you had to have somebody<br />

in the Medical School agree to let students do cardiac<br />

outputs and other heart tests. Dr. Brinsfield said that<br />

Modelewski’s presentation was superior to many of the<br />

PhD presentations from the other schools.”<br />

In her interview in 2012 she mentioned how proud<br />

she was of two particular students that went on to<br />

do groundbreaking work. Pat Richardson, a nurse<br />

practitioner in endocrinology taught patients to use<br />

their insulin pumps when this was a new technology,<br />

and Barbara Johnson became an expert in cardiac<br />

rehabilitation, and lectured nationally. These students<br />

gladly came back to the school to present lectures in<br />

some of the classes Reich taught.<br />

All of us can point to professors that made a deep<br />

impression on us not only for the quality of the content in<br />

their courses but for the passion they had for us to learn<br />

and incorporate the content in our future careers. Barbara<br />

Reich will be remembered by hundreds of students for<br />

doing just this.<br />

References:<br />

Donated papers from husband, Robert Reich, MD, to the School<br />

of <strong>Nursing</strong>, Emory University<br />

Interviews with Barbara Reich, 2004 and 2012<br />

Obituary accessed from A.S. Turner & Sons Funeral Home and<br />

Crematory<br />

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<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 5<br />

The National Association of Hispanic Nurses:<br />

Representing the Voices of Hispanic Nurses<br />

in <strong>Georgia</strong><br />

Gladys N. Jusino-Leon, DNP, MSN, RN, CMSRN<br />

In Memoriam<br />

Dianne Rogers<br />

The National Association of<br />

Hispanic Nurse (NAHN) is the<br />

leading professional society<br />

for Latino nurses in the<br />

nation (NAHN, <strong>2019</strong>). It was<br />

founded in 1975 by Ildaura<br />

Murillo-Rohde, PhD, RN, ND,<br />

FAAN and today, the <strong>Georgia</strong><br />

chapter, is the newest<br />

chapter of this growing<br />

association that continues<br />

to represent the voices of<br />

Hispanic nurses in the United<br />

States. According to Pew<br />

Research Center (<strong>2019</strong>),<br />

Gladys N. Jusino-<br />

Leon<br />

the Hispanic population in the nation has increased<br />

from 6.3 million in 1960 to 56.5 million in 2015 with<br />

approximately 883,000 Hispanics currently living in<br />

<strong>Georgia</strong>. Last year we recognized the importance of<br />

establishing NAHN with the desire to promote and<br />

advance a healthy lifestyle and health knowledge<br />

among the Latinx community of <strong>Georgia</strong>. I am grateful<br />

for the opportunity of establishing and leading the GA<br />

Chapter in collaboration with three amazing people: Dr.<br />

Imelda Reyes (Treasurer), PhD student Roxanna Chicas<br />

(Vice-President) and FNP student Sasha Thompson<br />

(Secretary). Things are always easier when you are<br />

surrounded by nursing leaders that are compassionate<br />

and self-driven.<br />

The National Association of Hispanic Nurses is<br />

committed to the advancement of health and the<br />

prevention of disease in Hispanic communities. We<br />

want to promote and advocate the educational,<br />

professional, and leadership opportunities for Hispanic<br />

nurses. Latinos represent 18% of the US population;<br />

however, less than 7% of the nursing workforce is of<br />

Latino descent (NAHN, <strong>2019</strong>). In collaboration with<br />

the <strong>Georgia</strong> Latinx community, we hope to promote<br />

the nursing profession in Latinx communities and<br />

diversity in the nursing workforce. The <strong>Georgia</strong> chapter<br />

wants to raise awareness about health issues among<br />

the Hispanic population, helping them navigate the<br />

healthcare system and establish ourselves as leaders<br />

in nursing education in the Latinx community. Our<br />

purpose statement declares a commitment to our<br />

roots: “To celebrate the culture, caring and spirit of<br />

Hispanic nurses who are the leading voice of health in<br />

our communities.”<br />

Regardless of being a new chapter, we are already<br />

committed to several projects close to our hearts.<br />

We are organizing an immunization and education<br />

campaign in collaboration with Pfizer, a strong<br />

supporter of NAHN nationwide. The NAHN in <strong>Georgia</strong><br />

wants to reach out to the ever increasing migrant<br />

population in the Southern region of <strong>Georgia</strong> as they<br />

establish themselves legally in this country. We want<br />

to help migrant families understand and navigate the<br />

NAHN GA Chapter Board (L to R): Roxanna<br />

Chicas, Dr. Gladys N Jusino-Leon, Dr. Imelda<br />

Reyes and FNP student Sasha Thompson<br />

healthcare system and bring awareness of health care<br />

issues that might be affecting them. This project is<br />

led by Roxanna Chicas who is a Temporary Protected<br />

Status (TPS) recipient and very much involved in<br />

assisting other TPS recipients meet their healthcare<br />

needs. The <strong>Georgia</strong> chapter is not bound or moved by<br />

political ideas but by health care needs affecting our<br />

communities. “Empathy” is not a word that we use<br />

lightly, but it is the foundation of nursing practice. As<br />

nurses we bring to the table knowledge and countless<br />

experiences that have impacted and shaped us<br />

emotionally and professionally.<br />

In addition, the NAHN GA chapter wants to assist<br />

the Puerto Rican nurses displaced by Hurricane<br />

“Maria” that have relocated to <strong>Georgia</strong>. As a Puerto<br />

Rican, I personally invite them to reach out to us for<br />

information and guidance on how to proceed while<br />

in the US. Sasha and I are developing a project in<br />

collaboration with the University of Canterbury in<br />

New Zealand and the University of Puerto Rico in Rio<br />

Piedras. The team is designing a nursing pathway<br />

to strengthen the healthcare system in the Island<br />

by supporting nursing education through increased<br />

training in the event of another natural disaster of the<br />

same magnitude.<br />

Finally, our GA chapter is also establishing a<br />

scholarship to assist Hispanic nurses in their education<br />

and training. We are fortunate to have Dr. Imelda Reyes<br />

assisting us in that area. The <strong>Georgia</strong> chapter values<br />

ethical and equitable practice, social responsibility,<br />

comradery and cultural humility. We invite nurses, and<br />

nursing students of any culture or ethnic descent who<br />

have the desire to serve the Hispanic community to visit<br />

our website at www.ganahn.org.<br />

National Association of Hispanic Nurses<br />

info@ganahn.org<br />

She graduated from Washington county High<br />

School in 1974. Dianne chose to continue her<br />

education at <strong>Georgia</strong> College in Milledgeville<br />

<strong>Georgia</strong>. She graduated in 1979 with an Associate<br />

Degree in <strong>Nursing</strong>, in 1989 with a Bachelor’s<br />

Degree in <strong>Nursing</strong>, and in 2000 she earned her<br />

Master’s Degree in <strong>Nursing</strong>. She also obtained her<br />

<strong>Nursing</strong> Home Administrator License. Dianne had<br />

a successful career in <strong>Nursing</strong>. She dedicated 32<br />

years to Central State Hospital and was certified<br />

and as Gerontology Nurse.<br />

She dedicated her career to <strong>Georgia</strong> Nurses<br />

Association by being an active member and officer<br />

within the organization. She served on the advisory<br />

board of <strong>Georgia</strong> College and State University‘s<br />

<strong>Nursing</strong> program.<br />

Dianne established the Dianne Rogers Minority<br />

<strong>Nursing</strong> Scholarship. Her goal was to help other<br />

underprivileged students achieve their dream of<br />

becoming a nurse.<br />

Dianne had a passion for <strong>Georgia</strong> Nurses<br />

Association. She attended almost every meeting.<br />

Even when she was sick, she never complained,<br />

she always showed up and participated fully. She<br />

served as treasurer for the Old Capital chapter<br />

of GNA for years and performed the role with<br />

excellence.<br />

She passed away Thanksgiving Day after a long<br />

battle with cancer. Dianne will be never forgotten<br />

and we all will miss her.<br />

Contributions can be made to the Dianne<br />

Rogers Minority Scholarship at Dianne M. Rogers<br />

Minority <strong>Nursing</strong> Scholarship.<br />

Mail checks to: <strong>Georgia</strong> College Foundation<br />

Campus, Box 96 Milledgeville GA 31061<br />

If you prefer to use the online donation<br />

site, the link is https://alumni.gcsu.edu/sslpage.<br />

aspx?pid=298.<br />

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leadership in the implementation of Biomedical Intervention (BI) efforts<br />

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utilization at the state level. This position will advance the mission and<br />

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Page 6 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

Re-capping the <strong>2019</strong> Legislative Session<br />

Tim Davis, Sr. Director of Government Affairs & Membership<br />

The <strong>2019</strong> Legislative Session came to a close, late in the night, on Tuesday, April<br />

2, <strong>2019</strong>. The <strong>Georgia</strong> Nurses Association began the session with a robust agenda<br />

aimed at addressing several issues we deemed important to nursing in our state.<br />

As your advocate, we provided countless opportunities for GNA members and nonmembers<br />

to engage legislators and voice your opinions on a myriad of legislative<br />

initiatives. Thank you for answering that call and helping us to accomplish many of<br />

the goals prescribed in our <strong>2019</strong> Legislative Platform.<br />

The session started with our <strong>2019</strong> GNA Legislative Kick-off, on January 15th.<br />

Nurses from around the state gathered at the Capitol to meet with legislators<br />

and hand-deliver our GNA Branded gift bags along with a copy of our legislative<br />

platform.<br />

GNA also launched a page on the EMPOWRD application which allowed us to<br />

engage the nursing community with legislative “Calls to Action” and enabled our<br />

members to easily contact their legislators directly from the app using their smart<br />

phone and tablet devices. This application proved to be very successful in supporting<br />

our initiatives and defending against bills deemed bad for the nursing profession.<br />

We showed our strength utilizing not only the “calls to action” mentioned above,<br />

but also by having a large number of nurses and nursing students on hand with us<br />

at the capitol advocating for our bills.<br />

House Bill 287 sponsored by Rep. Matt Dubnik (R - Gainesville), commonly known<br />

as PTIP, proposes to create a new income tax credit for those who are licensed<br />

physicians, advanced practice registered nurses, or physician assistants who provide<br />

uncompensated preceptorship training to medical students, advanced practice<br />

registered nurse students, or physician assistant students. PTIP passed the House<br />

by a vote of 163-2 and the Senate by a vote of 41 to 9. This will incentivize and<br />

encourage practitioners to serve as preceptors, there-by enabling us to graduate<br />

more trained and ready nurses in our state. The measure now sits on Governor<br />

Kemp’s desk awaiting his signature into law.<br />

House Bill 31, sponsored by Rep. Terry England (R - Auburn), is the FY’20 budget<br />

which begins July 1st. Most importantly, the <strong>Georgia</strong> Nurses Foundation’s (“GNF”)<br />

$150,000 appropriations request was agreed to in the final version of the spending<br />

plan. The funding will help expand the <strong>Georgia</strong> Nurses Foundation Peer Assistance<br />

Program (GNF-PAP) by assisting more nurses with substance abuse issues in<br />

recovery, ensuring they are able to be reliable healthcare providers.<br />

GNA, also works to ensure bills are not passed that negatively impact nursing in<br />

our state. Such was the case with S.B. 76 sponsored by Sen. Ellis Black (R - Valdosta)<br />

which never moved from the Senate Rules Committee to the Senate floor for a<br />

vote. The legislation renames “veterinary technicians” to “veterinary nurses” by<br />

opening up the Nurse Practice Act and providing an exception to the title protection<br />

provided to nurses. GNA worked together with the chairman of Senate Health &<br />

Human Services Committee, Sen. Ben Watson (R - Savannah), and the chairman of<br />

the Senate Rules Committee, Sen. Jeff Mullis (R - Chickamauga), along with Sen.<br />

Renee Unterman (R - Buford), to educate Senators, and ensure Rules Committee<br />

members knew the importance of stopping this legislation and maintaining the<br />

public trust in the title “nurse.” Your calls and emails to Senators proved a vital asset<br />

to ensure this bill never moved and is a perfect example of how, working together,<br />

nursing can have a significant impact on a vitality of any single piece of legislation.<br />

Unfortunately we were unable to accomplish all of our <strong>2019</strong> goals. HR 448,<br />

sponsored by Rep. Sharon Cooper (R – Marietta) created a study committee on safe<br />

staffing levels of nurses in <strong>Georgia</strong>. The resolution was caught up in the commotion<br />

of day 40 and failed to make it to the floor for a vote.<br />

The General Assembly will reconvene the second Monday in January of 2020. At<br />

that time, bills not passed this session will again be available for consideration, as<br />

well as any new legislation introduced.<br />

We ask that you consider doing a few things that will help us as we prepare for<br />

the 2020 Session.<br />

1) Join the <strong>Georgia</strong> Nurses Association – as our numbers continue to grow<br />

so will our reach and access to resources needed in order to advance our<br />

profession legislatively<br />

2) Like and follow us on all Social media platforms – this is a great way to<br />

stay involved and engaged regarding the legislative process<br />

3) Participate in our Legislative Survey – this survey, done annually, is used to<br />

guide our legislative platform for the session and your valued feedback allows<br />

us to ensure we are championing legislation impactful to your profession<br />

4) Download the EMPOWRD Application on your smart phone and/or<br />

tablet device and follow GNA – this will allow us to engage and inform you<br />

of all things relating to advocacy for the nursing profession<br />

We appreciate each of you for your valued contributions to our work during<br />

the <strong>2019</strong> session. It proves that by working together and supporting a common<br />

cause we can accomplish great things for the nursing profession in our state. I look<br />

forward to seeing and collaborating with you all for even more success in 2020!<br />

This article was written in collaboration with the GNA Lobbying team W.L. Clifton<br />

Political Consultants.<br />

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<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 7<br />

Jeanne M. Cunius-Young, MN, RN, OCN<br />

jeanne.young@emoryhealthcare.org<br />

Every nurse has a story.<br />

This is mine.<br />

On a rainy October day<br />

in a suburb of Philadelphia<br />

while her two children were<br />

in school, Helen went to<br />

confession in the attached<br />

Catholic Church. She had<br />

entered the church hopeful<br />

and left embarrassed,<br />

ashamed and, according<br />

to her confessor, damned Jeanne M.<br />

to hell if she went through Cunius-Young<br />

with the plan her doctors proposed to save her life.<br />

At the age of thirty-five, in the age of Kennedy,<br />

with one first and one fifth grader, she had recently<br />

been diagnosed with breast cancer. Her doctors,<br />

knowing there was a hormonal component to the<br />

disease, proposed a Halstead radical mastectomy<br />

followed by a complete hysterectomy.<br />

Her confession that day was to seek comfort that<br />

God was on her side and would help her through<br />

the physical and mental challenges of the fight<br />

ahead. She was instead told by the priest, that<br />

removal of her female organs would be tantamount<br />

to birth control and therefore, a mortal sin.<br />

That night, laying next to her husband, she relayed<br />

what the priest had said. The ensuing argument<br />

was heard by her oldest daughter in the next room.<br />

When her husband told her that removal of her uterus<br />

would make her less than a woman, the isolation was<br />

complete.<br />

She carried this burden with her into the<br />

operating room where one breast was removed<br />

down to the ribs and later, the loss of her womb and<br />

ovaries. Her only prayer was to live long enough to<br />

raise her two girls. She did.<br />

I am Helen’s youngest child. I was mostly clueless<br />

to most of what was going on during those dark<br />

days. I guess I learned to stop asking, but I found a<br />

place where I could learn about cancer and that was<br />

nursing school.<br />

I can talk about how grateful I am to God that she<br />

got her prayer answered. She got to see my sister<br />

and I grow up, get married and start a family. She<br />

adored her grandchildren. I can speak in awe of my<br />

mother’s strength to make the hard decisions when<br />

her Church and her husband did not support her.<br />

But mostly as a daughter, I just want one more day<br />

Mother’s Day Story<br />

with her to tell her that I love her.<br />

When I think back on my long career as a cancer<br />

nurse, I see how far nursing has come. The neophyte<br />

field of oncology nursing started about the time<br />

that I became a nurse, as President Nixon declared<br />

“a war on cancer.” Without dedicated oncology<br />

nurses standing up for their patients, I believe cancer<br />

advances, and where we are now, would not be<br />

possible.<br />

Some nurses find their way to cancer, cancer<br />

found me at six years of age. Along the way there<br />

were great mentors and educators. For instance,<br />

author Rose Kushner joined Washington, DC<br />

American Cancer Society meetings where I attended<br />

as a student nurse. While a lay advocate for women<br />

with breast cancer, Rose fiercely opposed the biopsy<br />

to mastectomy route that was common during that<br />

time. She railed against using a frozen specimen at<br />

biopsy to justify not waking the patient up until after<br />

the disfiguring surgery was completed allowing for<br />

one too many false positives and devastating cancer<br />

surgeries.<br />

I have worked in diverse areas of cancer care<br />

from the beginning of my career. My knowledge<br />

and skills as a cancer nurse comes from wonderful<br />

teachers and years of caring for patients and their<br />

families. I continue to be challenged with new cancer<br />

therapies.<br />

Every day when I come to work I endeavor to<br />

work in a positive way with my patients, their<br />

families, my co-workers, and my physicians. If I don’t<br />

support every aspect of care for the patients battling<br />

cancer, I do them and all the patients before them,<br />

a disservice. Most of all, when I see a woman as she<br />

takes in her cancer diagnosis I see the face of my<br />

mother. I want her to know that she is not alone.<br />

And always, I want to make my mother proud.<br />

NURSING JOB OPPORTUNITY<br />

QM Nurse Consultant - The position is part of the statewide Ryan<br />

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responsible for providing consultation, training, and technical assistance<br />

to clinicians, nurses and other practitioners providing HIV/AIDS care<br />

throughout <strong>Georgia</strong>. The position is also responsible for conducting<br />

site visits to monitor the clinical activities of health care practitioners,<br />

continuous clinical quality improvement and quality assurance.<br />

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GNF-PAP UPDATE<br />

Exciting News and<br />

Opportunities<br />

The <strong>Georgia</strong> Nurses Foundation Peer Assistance<br />

Program (GNF-PAP) had an exciting year with some<br />

significant program expansion. In the past, all of GNF-<br />

PAP support groups were conducted by volunteer<br />

nurse Facilitators. GNF-PAP was challenged to provide<br />

state-wide coverage for peer support groups. After<br />

much thought, GNF-PAP made the decision to reach<br />

out to licensed Certificated Addiction Counselors<br />

(CACs).<br />

During the June 2018 GNF-PAP Annual Facilitator’s<br />

Training, we were able to bring 11 CACs into the GNF-<br />

PAP as trained program Facilitators. The CACs bring a<br />

great perspective on nurses in recovery and are a very<br />

welcome addition to our program. With the addition<br />

of our new CACs, we now have over 25 state-wide<br />

groups with 185 nurses in recovery in our monitoring<br />

program and attending a weekly peer support group.<br />

For <strong>2019</strong> GNF-PAP still recognizes the on-going<br />

opportunity to bring in more program Facilitators<br />

to help us provide focused coverage in certain<br />

geographical areas of the state, specifically the<br />

northern mountain areas and central/south <strong>Georgia</strong>.<br />

If you, or if you know of someone who would be<br />

willing to serve as a nurse-volunteer Facilitator, or know<br />

of a CAC in our geographical areas of need, please<br />

give us a call. We will be conducting our Annual<br />

June Facilitator’s Training on June 7, <strong>2019</strong> at GNA<br />

Headquarters and we invite interested folks to attend.<br />

If you are interested in attending, please give a call<br />

to Sherry Sims, GNF-PAP State Chair at 478-718-1945.<br />

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DREAMS.<br />

MADE REAL.


Page 8 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

Near-Miss Medication Errors Provide a Wake-Up Call<br />

Jennifer Flynn, CPHRM, Risk Manager,<br />

Nurses Service Organization<br />

Medication errors result from failures in a complex,<br />

interconnected medication-use process in which<br />

prescribers, nurses, pharmacists, and administrators all<br />

participate. For example:<br />

• A medication was prescribed that didn’t make sense<br />

for the patient’s condition. When a nurse questioned<br />

the order, she learned it had been prescribed for the<br />

wrong patient.<br />

• A medication was prescribed for a patient with<br />

a known allergy to it. The allergy had been<br />

documented in the electronic medical record (EMR).<br />

When the prescription was questioned, it was<br />

cancelled.<br />

Jennifer Flynn<br />

• The ED pharmacist hand-delivered insulin for a<br />

patient who didn’t have diabetes and whose lab values were normal. The<br />

medication had been prescribed for the wrong patient.<br />

This article discusses why near-miss medication errors such as these occur and<br />

how they can be avoided.<br />

Shared responsibility<br />

Nurses should never administer a drug if they don’t know what it’s for, aren’t<br />

able to explain it to the patient, don’t understand the outcome of its administration,<br />

or can’t recognize potential adverse reactions. 1 A multi-professional, evidence-based<br />

approach to medication management is essential.<br />

Nurses have traditionally learned to follow the five rights of medication<br />

administration: right patient, drug, route, time, and dose. The problem? These five<br />

rights focus only on medication administration at the bedside. Because a drug’s<br />

journey involves far more than what happens at the bedside, the 10 rights approach<br />

is more likely to ensure safe practice throughout the medication journey, from drug<br />

preparation to monitoring outcomes to response. 1 (See What are the 10 rights of<br />

drug administration?)<br />

Risk reduction<br />

The American Nurses Association (ANA) is working to quantify and describe<br />

nurses’ interventions related to medication error prevention by capturing information<br />

about near misses.2 Based on the results of its survey, the ANA’s recommendations<br />

for avoiding errors include the following:<br />

• Employ a system of checks and balances for medication administration, such<br />

as medication dispensing systems that cross reference with the hospital’s EMR<br />

system.<br />

• As part of the checks and balances, ask, ask, and ask again. Question orders<br />

that don’t make sense based on the patient’s clinical condition.<br />

• Engage the patient and family in the process of care.<br />

• Obtain a complete health history and perform a comprehensive physical<br />

assessment.<br />

• Treat patients holistically rather than focusing exclusively on their presenting<br />

complaints.<br />

• Get enough rest.<br />

• Always report near misses. 2<br />

Full disclosure of medication errors and transparency in an inherently litigious<br />

healthcare culture is difficult but necessary to develop risk reduction strategies<br />

for improved medication safety practices. Nurses must recognize the complexity<br />

of medication management because it may protect them from being named in a<br />

liability lawsuit.<br />

What are the 10 rights of drug administration? 1<br />

Ten rights<br />

<strong>Nursing</strong> considerations<br />

1. Right patient • Have two patient identifiers been used?<br />

• Does the patient know why he or she is receiving the drug?<br />

2. Right drug • Is this the prescribed drug or is it a drug with a similar<br />

name?<br />

• If needed, has the drug been checked by another nurse?<br />

3. Right dosage • Is the dose appropriate or usual for the drug being<br />

prescribed?<br />

4. Right time • Has the time gap between each drug administration<br />

been appropriate?<br />

5. Right route • Is the route appropriate for the drug being administered?<br />

6. Right to refuse<br />

(patient and nurse)<br />

• Should you use your clinical judgment to refuse to give<br />

the drug and do you have the rationale for the decision?<br />

• Do you know what actions to take if the patient refuses<br />

the prescribed medication?<br />

7. Right knowledge • What monitoring is required prior to administration?<br />

• Do you know how to prepare and administer the<br />

medication according to policy?<br />

• Do you understand the pharmacokinetics,<br />

pharmacodynamics, possible interactions, adverse<br />

reactions, and expected outcomes of the drugs you’re<br />

administering?<br />

8. Right questions • Is this the right prescription and an appropriate drug for<br />

the patient’s condition?<br />

• Can you access resources such as formularies and<br />

patient-education materials?<br />

9. Right advice • Does the patient know about the drug’s adverse<br />

reactions?<br />

10. Right response<br />

or outcome<br />

• Do you know the expected response when the drug is<br />

administered?<br />

• Do you know how to observe for allergic reactions, drug<br />

interactions, and adverse reactions, and when to call for<br />

assistance?<br />

References<br />

1. Edwards S, Axe S. The 10 ‘R’s of safe multidisciplinary drug administration. Nurse<br />

Prescribing. 2015;13(8):398-406.<br />

2. American Nurses Association. Near misses. 2016. www.nursingworld.org/<br />

MainMenuCategories/ThePracticeofProfessional<strong>Nursing</strong>/PatientSafetyQuality/Advocacy/<br />

IHCI/GetInvolved/NearMisses.html.<br />

Adapted from “Near-miss medication errors provide a wake-up call” by Colleen Claffey,<br />

MSN, RN-BC, CEN, CPEN, which originally appeared in the January 2018 issue of <strong>Nursing</strong> ©<br />

2017 Wolters Kluwer Health.<br />

Jennifer Flynn, CPHRM, Risk Manager, Nurses Service Organization, Healthcare Division,<br />

Aon Affinity, Philadelphia. Phone: (215) 773-4513. Email: Jennifer.Flynn@aon.com.<br />

This risk management information was provided by Nurses Service Organization (NSO),<br />

the nation’s largest provider of nurses’ professional liability insurance coverage for more<br />

than 550,000 nurses since 1976. <strong>Georgia</strong> Nurses Association (GNA) endorses the individual<br />

professional liability insurance policy administered through NSO and underwritten by<br />

American Casualty Company of Reading, Pennsylvania, a CNA company. Reproduction<br />

without permission of the publisher is prohibited. For questions, send an email to service@<br />

nso.com, call (800) 247-1500, or visit www.nso.com.


<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 9<br />

<strong>Nursing</strong>: The Profession I Fell in Love With<br />

Ashley Blackmon, MS, CCRN, FNP-C<br />

The first week of <strong>May</strong> is Nurses Week. We set aside this<br />

time to honor nurses because nursing is hard.<br />

We’ve all been there. We barely scrape out of nursing<br />

school sleep-deprived and stressed to the max only to<br />

start a new job where every day we are terrified we are<br />

going to kill someone. The stress nurses undergo getting<br />

through a BSN program and certain jobs, especially in ICU<br />

and ED, have been compared to PTSD symptoms in war<br />

veterans. Therefore, nurses are often in states of flux:<br />

changing jobs and careers every two years or so in order<br />

to combat the constant burn-out that they feel.<br />

But nurses are more than glorified waitresses. They<br />

coordinate care with respiratory therapy, physical therapy,<br />

Ashley Blackmon<br />

nutritionists, radiology studies, other testing, and who<br />

knows what else. They change dressings, set up for procedures, prevent bed-sores,<br />

help patients exercise, and comfort family members. They double check medication<br />

after medication, always scared that they will make that one mistake. In school, and<br />

during training, I distinctly remember feeling like I was going to make that mistake.<br />

And after all of that I love it.<br />

I went this route. I went through nursing school, crying at every test and<br />

simulation with the thought that I was failing just for breathing a certain way. I did<br />

AARP Calling on Industry and<br />

Lawmakers to “Stop Rx Greed”<br />

Melissa Sinden<br />

msinden@aarp.org<br />

At AARP <strong>Georgia</strong>’s Day at the Capitol in March, one of<br />

our volunteers asked a state legislator about the high cost<br />

of prescription drugs. The legislator responded that the<br />

cost of medicine is often too high; and that she, herself,<br />

has been prescribed $600/month eye drops, which she<br />

cannot afford so she doesn’t use them. This example is all<br />

too common.<br />

Americans pay the highest brand-name drug prices<br />

in the world. Congress, the Administration, and our own<br />

<strong>Georgia</strong> legislators must take action to lower prescription<br />

drug prices, the root cause of this problem. That’s why<br />

AARP launched a national campaign urging federal and<br />

state policymakers to Stop Rx Greed by cracking down<br />

Melissa Sinden<br />

on price-gouging drug companies. AARP’s goal is to help<br />

lower drug prices for all Americans through decisive actions and solutions.<br />

In 2017, the average annual cost for one brand-name medication used on<br />

a chronic basis was almost $6,800. For the average older American taking 4.5<br />

prescription drugs per month, that would amount to more than $30,000 per year,<br />

while the average Medicare beneficiary has a median annual income of just over<br />

$26,000.<br />

Americans depend on their prescriptions, yet from cancer treatments to EpiPens,<br />

drug companies’ skyrocketing prices are pushing life-saving treatments out of reach<br />

for those who need them. That is why we are calling on Congress to:<br />

• Pass legislation to allow Medicare to negotiate for lower drug prices. With<br />

more than 40 million beneficiaries in Part D, the federal government should be<br />

leveraging that bargaining power to lower prices.<br />

• Take action to reduce out-of-pocket costs such as an out-of-pocket cap. In<br />

2015 alone, Medicare beneficiaries spent $27B in out-of-pocket drug costs.<br />

• Enact the Creating and Restoring Equal Access to Equivalent Samples<br />

(CREATES) Act and legislation to end pay-for-delay agreements to allow more<br />

generic alternatives to enter the market and lower drug prices.<br />

an accelerated program too while working nightshift weekends as an ED tech. I<br />

remember the panic attack I had when I realized I had driven two hours, spent the<br />

night the day before, just to make it to clinicals on time the next day but had worn<br />

black shoes instead of white (a uniform failure). When I was done with school and<br />

made the transition from ED to ICU, I worried about everything. I would titrate a<br />

drip wrong, or give a medication too quickly, or something. Every moment was an<br />

opportunity to fail. And failure could kill.<br />

But there is so much more to nursing than striving for perfection.<br />

<strong>Nursing</strong> is amazing. We have been persecuted and yet conformed to every<br />

single thing that healthcare has thrown at us FIRST. <strong>Nursing</strong> changed the face of<br />

healthcare starting with Florence Nightingale and how hospital wards should<br />

be run to reduce infection rates. Healthcare changed when nurse Sister Jean<br />

Ward propagated that phototherapy cured jaundice in newborns (Maisels, 2015).<br />

Healthcare changed when RN Anita Dorr created the crash cart and founded the<br />

Emergency Nurses Association (Jezierski, 1996). <strong>Nursing</strong> continues to change today<br />

by utilizing our shrinking educational force and using more online teaching tools.<br />

That’s amazing. We bend and weave. We do what we’ve always done – make do.<br />

We find a way to solve any problem.<br />

As I’ve continued down this path, now having been in nursing for 13 years, I am<br />

more in love with it than ever. There is nothing like our fellow nurses who know<br />

what it’s like to chase a call light, or clean that one horrible mess, or stand and take<br />

a yelling-at from that one patient family member. We inspire and encourage each<br />

other. There is substance in our unity.<br />

If you are feeling burned-out then please look around you. Reach out to<br />

someone more experienced for mentorship. Reach out to someone less experienced<br />

and be a mentor. Join an organization. Show up and learn something new. Take a<br />

certification course. Go back to school. But know that nursing is where it is at. I am<br />

convinced we are the largest, most dynamic, and diverse aspect of healthcare. We<br />

are the net – the backbone – that holds everything together. Join us at GNA and fall<br />

back in love with nursing.<br />

References:<br />

Jezierski, M. (1996). Anita Dorr: Her legacy to ENA. Journal of Emergency <strong>Nursing</strong> 22:258-<br />

260. Minneapolis, MN. DOI: https://doi.org/10.1016/S0099-1767(96)80129-2<br />

Maisels, M. 2015. Sister Jean Ward, phototherapy, and jaundice: A unique human and<br />

photochemical interaction. Journal of Perinatology 2015 DOI: 10/1038/jp.2015.56.<br />

Are you a nurse who wants to be challenged, respected and rewarded?<br />

UF Health Jacksonville has immediate openings for nurses with surgical<br />

operating room, open heart, labor & delivery and oncology experience.<br />

UF Health Jacksonville is a Level 1 trauma, academic health center that<br />

provides a wide range of healthcare services for residents of northeast Florida<br />

and southeast <strong>Georgia</strong>. Together with our University of Florida colleagues and<br />

affiliates we offer a fast-paced environment on the leading edge of the latest<br />

treatments and technologies.<br />

Our knowledge and expertise are unmatched. Yours can be too.<br />

Apply today at<br />

UFHealthJax.org/nursing.<br />

AARP asked likely voters ages 50 and older about their experience with<br />

prescription medication and their thoughts on proposals for reducing prescription<br />

drug costs. The vast majority surveyed (80%) say they take at least one prescription<br />

medication, and seven in ten (72%) say they are concerned about the cost of<br />

their medications. A majority (60%) say prescription drug costs are unreasonable<br />

and many indicated they have or will need to make trade-offs to afford their<br />

medications.<br />

Virtually all the voters surveyed (regardless of party affiliation) support various<br />

proposals for reducing prescription drug costs, including making it easier for generic<br />

drugs to come to market (93%) and allowing Medicare to negotiate with drug<br />

companies for lower prices (92%).<br />

No American should be forced to choose between paying for the medicines they<br />

need and paying for food, rent, or other necessities. We hope state-level lawmakers<br />

will work together with all members of Congress to protect Americans and pass<br />

bipartisan, commonsense legislation to lower prescription drug prices.<br />

Tell your legislators to support commonsense solutions to lower prescription drug<br />

prices today by visiting www.aarp.org/rx.<br />

Melissa Sinden is the Advocacy Manager for AARP <strong>Georgia</strong><br />

References<br />

1<br />

This survey was conducted by the nonpartisan and objective research organization<br />

NORC at the University of Chicago on behalf of AARP. For this national survey, data were<br />

collected using the AmeriSpeak Panel. AmeriSpeak, the probability-based panel of NORC,<br />

is designed to be representative of the U.S. household population.


Page 10 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

GEORGIANS FOR A HEALTHY FUTURE<br />

Healthy Minds, Healthy Bodies: Get to know Project AWARE, Part I<br />

Michelle Conde, Communications &<br />

Special Projects Manager<br />

<strong>Georgia</strong>ns for a Healthy Future<br />

mconde@healthyfuturega.org<br />

<strong>Georgia</strong> consistently<br />

ranks poorly among states<br />

in children’s mental health<br />

services, this year ranking<br />

51st in a report from the<br />

Commonwealth Fund.<br />

However, state leadership<br />

has been adamant about<br />

improving <strong>Georgia</strong>’s system<br />

of care through the infusion<br />

of additional dollars for<br />

children’s mental health<br />

services in the state budget<br />

Michelle Conde<br />

and through innovative<br />

programs like Project Advancing Wellness and<br />

Resilience Education (AWARE).<br />

<strong>Georgia</strong> Project AWARE is a youth mental health<br />

initiative focused on improving the experiences of<br />

school-aged youth in <strong>Georgia</strong>, and is funded by a grant<br />

from the Substance Abuse and Mental Health Services<br />

Agency (SAMHSA) to the <strong>Georgia</strong> Department of<br />

Education (GaDOE).<br />

The purpose of <strong>Georgia</strong>’s Project AWARE is “to<br />

increase awareness of mental health issues among<br />

school-aged youth; provide training in Youth Mental<br />

Health First Aid; and connect children, youth, and<br />

families who may have behavioral health issues with<br />

appropriate services.”<br />

The four main goals of <strong>Georgia</strong> Project AWARE are:<br />

1. Increase participation of families, youth, and<br />

communities and mental health providers in<br />

efforts to identify the mental health resources<br />

available to meet the needs of students and<br />

families;<br />

2. Increase awareness and identification of mental<br />

health and behavior concerns, and student and<br />

family access to mental health providers through<br />

the PBIS framework in <strong>Georgia</strong> Project AWARE<br />

(GPA) schools;<br />

3. Increase the percentage of <strong>Georgia</strong> youth and<br />

families receiving needed mental health services<br />

through collaboration between school systems<br />

and community mental health providers; and<br />

4. Train educators, first responders, parents and<br />

youth group leaders to respond to mental health<br />

needs of youth by providing free training in Youth<br />

Mental Health First Aid (YMHFA).<br />

<strong>Georgia</strong>’s Project AWARE grant supports the<br />

participation of three <strong>Georgia</strong> school systems: Griffin-<br />

Spalding County School System, Muscogee County<br />

School District, and Newton County Schools. The<br />

GaDOE has partnered with these school districts to<br />

provide training in Youth Mental Health First Aid and to<br />

develop innovative ways to connect youth and families<br />

to community-based mental health services.<br />

Through Project AWARE, elementary and middle<br />

school teachers conduct universal screenings of their<br />

students and the screening results are used in two<br />

ways. School-, grade-, and classroom-level data is used<br />

to guide decisions about what universal supports or<br />

programs may be needed to better support the social<br />

and emotional needs of students. For example, if the<br />

results of the screening show high rates of anxiety<br />

for an entire grade of students, school leaders and<br />

teachers may make changes to school practices that<br />

may contribute to student anxiety or implement a<br />

program to help reduce or address the anxiety students<br />

are feeling.<br />

Individual level screening results are used to identify<br />

those students who could benefit from extra social<br />

and emotional supports. These students are then<br />

connected to the appropriate behavioral services<br />

through partnerships the schools have developed with<br />

community-based providers.<br />

<strong>Georgia</strong> Project AWARE has already screened a<br />

total of 18,713 students in 29 schools. <strong>Georgia</strong> State<br />

University’s Center for Leadership in Disability and the<br />

Center for Research on School Safety, School Climate<br />

and Classroom Management provide support for the<br />

program through analysis of the screening results and<br />

trainings for school leadership and staff.<br />

In Getting to know Project AWARE: Part II, we’ll<br />

learn more about Youth Mental Health First Aid and<br />

how it helps educators meet the social and emotional<br />

needs of their students.<br />

References:<br />

https://healthyfuturega.org/<strong>2019</strong>/01/02/healthy-mindshealthy-bodies-get-to-know-project-aware-part-i/<br />

http://datacenter.commonwealthfund.org/scorecard/state/12/<br />

georgia/<br />

http://www.gadoe.org/Curriculum-Instruction-and-<br />

Assessment/Special-Education-Services/Pages/<strong>Georgia</strong>-<br />

Project-AWARE.aspx<br />

https://www.pbis.org/<br />

https://www.mentalhealthfirstaid.org/<br />

http://www.gadoe.org/Curriculum-Instruction-and-<br />

Assessment/Special-Education-Services/Pages/<strong>Georgia</strong>-<br />

Project-AWARE.aspx<br />

https://www.samhsa.gov/programs<br />

http://www.gadoe.org/Curriculum-Instruction-and-<br />

Assessment/Special-Education-Services/Documents/<br />

Project%20AWARE/GDAP-Fall18-web.pdf<br />

AUBURN UNIVERSITY SCHOOL OF NURSING<br />

is now hiring Assistant/Associate Professor,<br />

Assistant/Associate Clinical Professor | 2 positions<br />

The School of <strong>Nursing</strong> at Auburn University, located in<br />

Auburn, Alabama, invites applications for two<br />

full-time 12-month, positions to begin August <strong>2019</strong>. The<br />

successful candidate will be appointed to a tenure track<br />

(Assistant/Associate Professor) position or a non-tenure<br />

track (Assistant/Associate Clinical Professor) position<br />

depending upon experience and qualifications.<br />

Review of applicants will begin April 1, <strong>2019</strong> and will<br />

continue until a suitable candidate is identified.<br />

Candidates should use the following link to apply:<br />

aufacultypositions.peopleadmin.com/postings/3414<br />

Auburn University is an EEO/<br />

Vet/Disability employer.


<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 11<br />

FINANCE MATTERS<br />

CONTINUING EDUCATION<br />

Nurse Overboard?<br />

Jim Williams, CEO and Founder of Lendwell<br />

Have you made a job change in the past few years? If the<br />

answer is yes, your employer introduced you to their corporate<br />

culture through an “Onboarding” experience. For some new<br />

hires the process consists of completing a couple hours of<br />

paper work through the human resources department. As<br />

a result, after the first few days of work a new hire can easily<br />

feel they have been thrown “Overboard” and left alone to<br />

fend for themselves. Other employers are leaning toward<br />

extensive orientation programs which may last a few days or<br />

2-3 weeks. In the last decade more healthcare providers have<br />

taken measures to seriously evaluate the value of human capital<br />

Jim Williams<br />

including the impact on the bottom line and patient care.<br />

In <strong>Georgia</strong> Registered Nurse positions are still in high<br />

demand. A significant number of nurses will reach retirement<br />

age by 2025 creating demand that will not be able to keep<br />

up with employer needs. A healthcare provider’s hard cost of hiring a registered nurse<br />

is just shy of $3,000. This figure does not include costs associated with a mentoring or<br />

shadow program for recent graduates nor a fee for utilizing a staffing agency. Industry<br />

experts estimate the overall cost of replacing a seasoned registered nurse between<br />

$20,000-$60,000 based on the market area, specialty and level of clinical expertise. A<br />

vacancy rate of just over 16% and a turnover rate of almost 14% is creating a significant<br />

drain on current personnel and a financial burden for many healthcare organizations.<br />

As an employer what does this mean? First of all evaluate your employee turnover<br />

rates and determine how your organization stacks up against industry standards.<br />

Secondly, it is good business to retain valued talent rather than consistently replacing<br />

nurses because they are unhappy. First impressions make a huge impact. Take the<br />

time to interview team members hired within the past six months as well as long<br />

term employees. Ask them what they like in their work setting and suggestions for<br />

improvement. It is amazing what people will share if we just ask the questions.<br />

The onboarding experience can be an incredible next step in a career. Many<br />

employers need to wise up if they expect to remain competitive by hiring and keeping<br />

top talent. To learn how your organization can make a positive difference to your<br />

relocating new hires, please contact Jim Williams at jim@gahighlands.net.<br />

Jim worked for thirty-two years in the financial services industry and was the founder of<br />

Lendwell, a mortgage bank focused on serving the needs of healthcare professionals. For six<br />

years Jim also served on the Board of Directors for two <strong>Georgia</strong> based healthcare systems.<br />

Lynn Rhyne, MN, RNC-MNN<br />

GNA Continuing Education Approver Unit (CEAU) Nurse Peer Review Leader<br />

As we move into summer vacation time, I know many nurses are not thinking<br />

about continuing professional development. However, if an organization is planning<br />

an activity or conference, now is the time to start developing your applications and<br />

submitting them for approval to award contact hours.<br />

Currently, March 17-24, I am enjoying a respite from looking at applications, by<br />

cruising in the Caribbean. Meaning, I will be rested and willing to assist any applicants<br />

as they work on developing a quality continuing educational offering.<br />

Also, for those organizations who were Approved Providers through GNA in the<br />

past, we are open for business and welcome you back! The website has applications<br />

for both Individual Activity and Approved Provider applicants.<br />

My role as Nurse Peer Review Leader involves many responsibilities. First, I am<br />

responsible to the nurses in <strong>Georgia</strong>, as well as other states, for ensuring applications<br />

adhere to American Nurses Credentialing Center (ANCC) standards and criteria. By<br />

adhering to these, the participants are assured of an educational offering that is of<br />

high quality.<br />

Second, I am responsible to ANCC for approving applications that demonstrate<br />

adherence to their standards and criteria. In other words, a continuing educational<br />

offering has demonstrated the offering is addressing a professional practice gap<br />

in the practice setting. We no longer award contact hours just for the sake of<br />

assisting nurses in gaining the number of contact hours needed for re-licensure or<br />

recertification.<br />

Third, I am responsible to <strong>Georgia</strong> Nurses Association for ensuring that all reviewers<br />

are oriented to and understand ANCC standards and criteria. I also must ensure The<br />

Continuing Education Approver Unit (CEAU) follows GNA’s philosophy, goals and<br />

mission.<br />

The role is a lot of work, but I truly believe nurses never stop learning. Our CEAU<br />

is still growing since our initial Accreditation as an Approver Unit in June, 2017. We<br />

continue to increase our number of Individual Activity applications. Slowly, our<br />

number of Approved Provider applications are being submitted.<br />

I am a resource available at most times of the day during the week. I have<br />

discovered my Yahoo email account is not ideal when cruising, so I will be changing<br />

that soon. You can contact me at ce@georgianurses.org.<br />

Even though GNA has not been offering many educational presentations that are<br />

not related to the CEAU and the application process, if there is something you would<br />

like us to offer, please let us know. GNA’s email is ce@georgianurses.org. I check that<br />

site several times daily if you would like to email.<br />

Have a wonderful summer.<br />

Remember, we want to meet the educational needs of you, our nurses in <strong>Georgia</strong>.<br />

THE Indian Health Service….<br />

You belong here!<br />

The Indian Health Service (IHS), offers<br />

nurses extraordinary opportunities<br />

in providing comprehensive care<br />

in culturally rich Native American<br />

Indian and Alaska Native communities<br />

throughout 35 states. IHS nurses fulfill<br />

critical roles ranging from Registered<br />

Nurses to Nurse Specialists to<br />

Advanced Practice positions, in clinics,<br />

hospitals and public health programs.<br />

IHS offers work and life balance in<br />

some of the most beautiful areas of<br />

the country, in communities with<br />

deep traditions, located mainly,<br />

but not exclusively in rural settings.<br />

Whether you are a new graduate<br />

nurse or an experienced nurse looking<br />

for a new challenge, you can find it<br />

with Indian Health Service.<br />

OPPORTUNITIES AVAILABLE<br />

THROUGHOUT OUR<br />

NATIVE COMMUNITIES<br />

EMPLOYMENT OPPORTUNITIES:<br />

• COMPETITIVE SALARY<br />

• RELOCATION ASSISTANCE<br />

• SIGN ON BONUS<br />

(RECRUITMENT INCENTIVE)<br />

• STUDENT LOAN REPAYMENT<br />

• FEDERAL EMPLOYEE<br />

HEALTH BENEFITS<br />

• OPPORTUNITIES FOR<br />

PROFESSIONAL ADVANCEMENT<br />

Please visit us at<br />

www.ihs.gov/nursing/<br />

or contact us by email at:<br />

ihsrecruiters@ihs.gov<br />

Must be a U.S. Citizen and have a current, active and unrestricted<br />

nursing license from any state in the U.S. or its territories.


Page 12 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

Journey to Becoming a Clinic Owner<br />

Tamu Spruill-Barton MSN, APRN, FNP-C/<br />

Owner of New Heart Medical, LLC<br />

I know a student on her way to college. When asked<br />

what she wants to do or what she is going to college for, she<br />

answers, “I want to be a nurse practitioner.” My response to<br />

her is always that you have to be a nurse before you become<br />

a nurse practitioner. The reason I say this is because the first<br />

step to becoming a great nurse practitioner is to become a<br />

great and skilled nurse. Many young nurses want to bypass the<br />

nurse part and go directly to the practitioner part. They miss<br />

out on a lot of fundamental elements by going straight to<br />

being a nurse practitioner. I was a registered nurse for 12<br />

years before I became a nurse practitioner. It taught me<br />

the one thing I did not have to learn when I became a nurse<br />

practitioner which is how to have rapport with my patients. I<br />

had sympathy and empathy for my patients. I had sympathy Tamu Spruill-Barton<br />

because I too had been in their situation at one time.<br />

I had empathy for them because I could only imagine what some of them were going<br />

through. I have been at births and I have been at deaths. Both of these situations teach<br />

you something about yourself that you otherwise would not have learned. Eventually, you<br />

learn how to deal with extreme situations, and this is something that you carry with you<br />

into practice. Patients not only want someone who is clinically smart, they want someone<br />

who cares and has empathy. So that is my first bit of advice to new nurses. Build a solid<br />

foundation by gaining some experience as a registered nurse first.<br />

Secondly, when you are in the nurse practitioner program make every clinical count.<br />

Pay attention not only to the clinical part, but also the business part. When I graduated<br />

from the nurse practitioner program, I learned I was well prepared for the clinical side of<br />

the practice. I did well as a health care provider. I was in a situation where I started off<br />

being a solo provider right out of school. It was a very busy pediatric clinic that was turning<br />

into a family clinic, and if I do say so myself, I rocked it. I saw between 30 and 40 patients<br />

a day, sometimes more. I gained experience very quickly with the high patient volume.<br />

Soon, I felt running my own clinic was a distinct possibility. Most of my research indicated<br />

that 3 to 5 years of experience as a practitioner was ideal to start a practice of your own.<br />

With the patient volume that I dealt with, I felt I had the necessary experience. However,<br />

admittedly I did not have enough experience on the business side. I don’t think most nurse<br />

practitioners get the type of experience needed to become successful clinic owners. You<br />

have to seek out the knowledge you need to run a successful business. I needed another<br />

year of medical business education. The problem is the information is out there in pieces<br />

or not at all. Before starting a business you need to learn billing and coding, how to run<br />

the front office and the back. You don’t only need to know how to draw labs but you<br />

need to know how to order them and know what tube they go in. These are just some of<br />

the things I have had to learn since being in business for myself.<br />

Figure out what kind of practice you would like to have. Do you want a mobile business<br />

or an office space? What type of patients do you want to see? What is your name going<br />

to be? Go on the state website and register your name. Pick a name that will go with<br />

any changes that your practice my go through. The legal name of my clinic is New Heart<br />

Medical, LLC. However, I first start using New Heart Medical, with the by line After Hours<br />

Pediatrics. We are now open all day, so I changed the by line to New Heart Medical,<br />

Pediatrics and Family after hours clinic. Find out how much money you will need to run<br />

on the first year. Considering the volume I dealt with at the practice where I worked, In<br />

my mind my own clinic would be busy from the start. That has not been the case. It takes<br />

time and money to build up a practice. One needs to estimate how much money they<br />

will need not only to start a business, but to operate for 6 months or more without a<br />

significant income coming from the business. A business plan is important for this reason. I<br />

did not take any of the aforementioned steps and it caused me a lot of heartache.<br />

Next form your business entity such as a LLC or S-Corp. It is a good idea to consult a<br />

certified public account (CPA) before you choose which one. A CPA can point you in a the<br />

right direction that will be the best legal way to protect your business and get the most<br />

out of your taxes. Find your niche in the medical community. My niche is that I have the<br />

only pediatric clinic with afterhours services within 3 counties. I also see mothers if they are<br />

sick when their children are sick. I advise parents that you have to save yourself before you<br />

can save the ones you love and care for. It’s just like when you are on a plane and they tell<br />

you to put on your own mask before you help anyone else. If you are sick and tired, how<br />

are you going to properly take care of your children?<br />

Lastly, you need a support team. Whether it is your family, friends or other<br />

entrepreneurs, you need a support system. You need someone to bounce ideas off of. Get<br />

a mentor, someone that knows more than you about the business you are trying to get<br />

into. Surround yourself with like-minded people who inspire you and reinforce your focus.<br />

New Heart Medical, LLC, 1021 Rosser Street NW | Conyers, GA 30012<br />

www.newheartmedical.com<br />

Dear Hahnah,<br />

I am a registered nurse in <strong>Georgia</strong> who was recently arrested for marijuana<br />

possession. It’s a long story, but I was a passenger in a car that was searched by<br />

a police officer. The officer found marijuana under the passenger seat where I was<br />

sitting. The officer arrested the driver and me. I hired a criminal attorney to handle<br />

my pending marijuana possession charge. However, I heard that my license can be<br />

automatically suspended if I am convicted. Is this true?<br />

Thanks for your time,<br />

BK (Grayson, GA)<br />

Dear BK,<br />

Thank you for your question. Your criminal attorney has likely explained whether<br />

you are being charged with a misdemeanor or felony. In either instance, you<br />

should absolutely be concerned about the potential impact on your license. Yes, a<br />

conviction for marijuana possession (even misdemeanor possession) can subject your<br />

license to suspension and/or revocation. In general, here’s how it works:<br />

1) <strong>Georgia</strong> law requires licensed professional nurses to notify the <strong>Georgia</strong> Board of<br />

<strong>Nursing</strong> within ten (10) days following the conviction of any criminal offense<br />

involving the manufacture, distribution, trafficking, sale, or possession of a<br />

controlled substance or marijuana. Importantly, this notification requirement<br />

extends to drug convictions in other states and pursuant to federal law. Failure<br />

to provide this notification can subject your license to revocation.<br />

2) The Board is required to suspend a nurse’s license for a minimum of three (3)<br />

months for felony drug convictions. The Board may impose lesser sanctions<br />

if this is the nurse’s first conviction for a misdemeanor drug offense. The<br />

Board is required to revoke a nurse’s license upon second and subsequent<br />

drug convictions. Importantly, these suspension and revocation sanctions<br />

are intended as minimum sanctions meaning that the Board has authority to<br />

implement more stringent sanctions.<br />

3) The Board may reinstate the nurse’s suspended or revoked license upon successful<br />

completion of a Board approved drug abuse treatment and education program.<br />

See Ga. Code Ann., § 16-13-111.<br />

BK, it is critical that you discuss these license implications with your criminal<br />

attorney as soon as possible given that a felony conviction will likely subject your<br />

license to automatic suspension for three months. It may also be a good idea to<br />

consult with a nurse attorney to obtain specific advice and information.<br />

<strong>Georgia</strong> Nurses! We are excited to give you the opportunity to submit your<br />

general legal questions to Nurse Attorney Hahnah Williams, Esq, RN. Selected<br />

questions and answers will appear in this “Ask A Nurse Attorney” column. To ask<br />

Hahnah a question, email her at ask@hahnahwilliams.com. Your identity will not be<br />

revealed.<br />

About the Author<br />

Hahnah Williams is an attorney and registered nurse in <strong>Georgia</strong>. As a dual<br />

professional, Ms. Williams has a unique blend of education, training and experience<br />

in the fields of medicine and law. Ms. Williams combined this knowledge and<br />

experience to develop a law practice representing nurses, physicians, and other<br />

healthcare professionals in licensing issues before their respective licensing Boards,<br />

including the <strong>Georgia</strong> Board of <strong>Nursing</strong>. Hahnah also represents healthcare<br />

professionals in medical malpractice defense cases. Hahnah has conducted several<br />

seminars and webinars on legal issues in healthcare through her legal education<br />

business “For the Scrubs.” For more information about Hahnah visit www.<br />

forthescrubs.com<br />

Disclaimer<br />

It is important to note that Hahnah Williams’ responses are not specific legal<br />

advice nor are they to be used as such. This column and Hahnah Williams’ posts<br />

are for educational purposes only and should not be construed as specific legal or<br />

other advice. Individuals who need legal advice should contact a nurse attorney or<br />

attorney in their state.


<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 13<br />

Stephan Davis,<br />

DNP, MHSA, NEA-BC, CENP,<br />

CNE, FACHE,<br />

Director of Leadership<br />

Development,<br />

<strong>Georgia</strong> Nurses Association<br />

As the board director of<br />

leadership development for the<br />

<strong>Georgia</strong> Nurses Association,<br />

it gives me great pleasure to<br />

feature Dr. Linda A. Streit, Dean of the <strong>Georgia</strong> Baptist<br />

College of <strong>Nursing</strong> at Mercer University.<br />

I came to know Dean Streit through my prior role<br />

as the system director of academic partnerships for<br />

WellStar Health System. In working with Dean Streit, it<br />

became clear that she was a thoughtful and innovative<br />

leader and committed to the advancement of the<br />

nursing profession. Examples of this include Mercer’s<br />

development and sponsorship of the Executive <strong>Nursing</strong><br />

Leadership Excellence Award at the annual Atlanta<br />

Journal Constitution’s Celebrating <strong>Nursing</strong> Event and<br />

the college’s recent creation of a one-year accelerated<br />

bachelor of science in nursing program for nonnurses<br />

with a bachelor’s degree in another field. These<br />

initiatives reflect Dean Streit’s exemplary strategic<br />

thinking, leadership and innovation.<br />

In addition to being a thoughtful leader, Dean Streit<br />

is also such a warm and genuine person. If you ever<br />

have the pleasure of meeting her, I assure you that<br />

she will listen to you attentively and provide words of<br />

encouragement to support the achievement of your<br />

goals. I am confident you will enjoy reading about Dean<br />

Streit’s leadership journey as much as I did.<br />

Linda A. Streit, Ph.D., RN<br />

Dean and Professor<br />

<strong>Georgia</strong> Baptist College of<br />

<strong>Nursing</strong><br />

Mercer University<br />

What inspired you to become<br />

a nurse and pursue roles in<br />

nursing leadership?<br />

At an early age, I made the<br />

decision to become either a<br />

math teacher or a nurse. My parents encouraged me to<br />

volunteer as a ‘candy striper’ to gain greater awareness<br />

of the care provided by nurses. Candy stripers were<br />

under the supervision of registered nurses and these<br />

volunteers wore red and white striped pinafores, which<br />

resembled candy canes. Hence the name candy striper.<br />

The nurses were kind, took me under their wings, and<br />

their support and mentorship led to my desire to be a<br />

registered nurse. As a nurse, I could incorporate my<br />

knowledge of science with my desire to care for patients<br />

<strong>Nursing</strong> Leadership Perspectives on the Value of<br />

Professional Association Involvement<br />

and their families. From the moment I entered my<br />

baccalaureate program, I knew I would pursue advanced<br />

degrees. I valued education and I thrived on knowledge.<br />

Clinical experience was also important to me. As a<br />

newly minted RN, I began my career in the emergency<br />

department at the very same hospital I served as a candy<br />

striper. I would later move to another state and while in<br />

Virginia Beach a director of nursing saw my potential.<br />

This mentor recommended I consider graduate nursing<br />

programs and progress into leadership positions. This is<br />

where my leadership journey began. My first leadership<br />

position was serving as a clinical nurse specialist in an<br />

intensive care unit. My strong interest in teaching led<br />

me to academia and over the years I completed my<br />

doctorate in nursing and advanced through the ranks<br />

up through professor. Making the decision to serve as<br />

dean for nursing was a pivotal leadership moment for<br />

me. Serving as dean has provided me with the ability<br />

to support colleagues, students, and the profession.<br />

Ultimately, my service in the position affirms my<br />

professional fulfillment. Over my years of working as a<br />

registered nurse, I have learned that leadership is truly<br />

a choice and it is not defined by a title or position. I<br />

encourage all nurses to seize their opportunities.<br />

What do you see as the greatest leadership<br />

development opportunities for nurses in the State<br />

of <strong>Georgia</strong>?<br />

The state of <strong>Georgia</strong> offers numerous leadership<br />

opportunities for nurses. A key opportunity is focusing<br />

on preparing a diversified and unified professional<br />

nursing workforce which can work collaboratively to<br />

meet the healthcare needs of society. An important<br />

element is working as a unified professional team<br />

to focus on achieving the highest targeted patient<br />

outcomes. Nurse educators are in a unique position to<br />

develop creative and innovative educational degree<br />

programs to address the <strong>Georgia</strong> nursing workforce<br />

shortage. Collaborative clinical partnerships are likely<br />

to be integral to the success of nursing educational<br />

programs.<br />

<strong>Nursing</strong>ALD.com can point you<br />

right to that perfect NURSING JOB!<br />

<strong>Nursing</strong>ALD.com<br />

Free to Nurses<br />

Privacy Assured<br />

Easy to Use<br />

E-mailed Job Leads<br />

It is also critical to acknowledge trailblazers within<br />

the profession. Celebrating leaders is essential to team<br />

building. National Nurses’ Week is often a time of<br />

celebration. During this week <strong>Georgia</strong> celebrates at<br />

the Atlanta Journal-Constitution <strong>Nursing</strong> Excellence<br />

Awards Ceremony, which includes the Executive<br />

<strong>Nursing</strong> Leadership Excellence Award. <strong>Georgia</strong> has been<br />

instrumental in providing accolades to members of the<br />

nursing profession who have been identified as leaders<br />

of excellence. Confident, accomplished leaders inspire<br />

those around them and we must always embrace time<br />

to celebrate our professional achievements.<br />

As a member of the <strong>Georgia</strong> Nurses Association,<br />

what do you find valuable about your involvement<br />

with the oldest professional nursing organization<br />

in the state?<br />

GNA remains committed to their mission and<br />

vision of nurses shaping the future of professional<br />

nursing for a healthier <strong>Georgia</strong>, as well as a promise to<br />

provide opportunities for growth through energizing<br />

experiences, empowering insight and essential<br />

resources. Members are able to embrace a professional<br />

group that values and supports professionals across all<br />

specialties. This unified ‘nursing voice’ provides distinct<br />

professional value through a commitment to education,<br />

advancement of health policy, legislative advocacy with<br />

supportive lobbyists, and most importantly working<br />

to promote the health of all <strong>Georgia</strong>ns. GNA facilitates<br />

the networking of nurses, which fosters a high-level<br />

engagement to focus on improving the profession.<br />

The fundamental core of healthcare is the nursing<br />

profession. Membership in GNA strengthens all nursing<br />

efforts within the state and serves as the key element<br />

for promoting and advocating for <strong>Georgia</strong> nurses, the<br />

nursing profession, and those who receive nursing care.<br />

There’s no place like<br />

NOME<br />

$5,000 Sign on Bonus<br />

Director of <strong>Nursing</strong> - LTC<br />

RN/OB & RN Case Managers<br />

Quality Improvement RN | RNs | LPNs<br />

Contact Rose Marie at recruiter@nshcorp.org<br />

or 877-538-3142 for more information<br />

Nome, Alaska<br />

www.nortonsoundhealth.org


Page 14 • <strong>Georgia</strong> <strong>Nursing</strong> <strong>May</strong>, June, July <strong>2019</strong><br />

MEMBERSHIP<br />

<strong>Georgia</strong> Nurses Association Political Action Committee<br />

(GN-PAC)<br />

About GN-PAC:<br />

The <strong>Georgia</strong> Nurses Association Political Action Committee (GN-PAC) actively<br />

and carefully reviews candidates for local, state and federal office. This consideration<br />

includes the candidate’s record on nursing issues and value as an advocate for the<br />

nursing profession. Your contribution to GN-PAC today will help GNA continue to<br />

protect your ability to practice and earn a living in <strong>Georgia</strong>. Your contribution will<br />

also support candidates for office who are strong advocates on behalf of nursing.<br />

By contributing $25 or more, you’ll become a supporting member of GN-PAC. By<br />

contributing $100 or more, you’ll become a full member of GN-PAC! The purpose<br />

of the GN-PAC shall be to promote the improvement of the health care of the<br />

citizens of <strong>Georgia</strong> by raising funds from within the nursing community and friends<br />

of nursing and contributing to the support of worthy candidates for State office<br />

who believe, and have demonstrated their belief, in the legislative objectives of the<br />

<strong>Georgia</strong> Nurses Association.<br />

TO DONATE VISIT:<br />

https://georgianurses.nursingnetwork.com/page/75371-gn-pac<br />

GEORGIA NURSES FOUNDATION<br />

HONOR A NURSE<br />

We all know a special nurse who makes a difference! Honor a nurse who has<br />

touched your life as a friend, a caregiver, a mentor, an exemplary clinician, or an<br />

outstanding teacher. Now is your opportunity to tell them “thank you.”<br />

The <strong>Georgia</strong> Nurses Foundation (GNF) has the perfect thank you with its<br />

“Honor a Nurse” program which tells the honorees that they are appreciated<br />

for their quality of care, knowledge, and contributions to the profession.<br />

Your contribution of at least $35.00 will honor your special nurse through the<br />

support of programs and services of the <strong>Georgia</strong> Nurses Foundation. Your<br />

honoree will receive a special acknowledgement letter in addition to a public<br />

acknowledgement through our quarterly publication, <strong>Georgia</strong> <strong>Nursing</strong>, which<br />

is distributed to more than 100,000 registered nurses and nursing students<br />

throughout <strong>Georgia</strong>. The acknowledgement will state the name of the donor and<br />

the honoree’s accomplishment, but will not include the amount of the donation.<br />

Let someone know they make a difference by completing the form below and<br />

returning it to the following address:<br />

E-Store Now Open!<br />

Purchase GNA merchandise at GNA’s Café Press online store!<br />

Cups, bags, hats, t-shirts, hoodies, and more!<br />

www.cafepress.com/georgianursesassociation<br />

<strong>Georgia</strong> Nurses Foundation<br />

3032 Briarcliff Road, NE | Atlanta, GA 30329<br />

FAX: (404) 325-0407 | gna@georgianurses.org<br />

(Please make checks payable to <strong>Georgia</strong> Nurses Foundation.)<br />

I would like to Honor a Nurse:<br />

Honoree:<br />

Name:___________________________________________________<br />

Email:___________________________________________________<br />

Address:_________________________________________________<br />

State/City:_______________________________Zip:____________<br />

From:<br />

Donor:__________________________________________________<br />

Email:___________________________________________________<br />

Address:_________________________________________________<br />

State/City:_______________________________Zip:____________<br />

Amount of Gift:___________________<br />

MasterCard/Visa #:_____________________________ Exp Date:____________<br />

Name on Card:______________________________________________________<br />

My company will match my gift? __ YES (Please list employer and address<br />

below.) ____ NO<br />

Employer:________________________________________________<br />

Address:_________________________________________________<br />

The <strong>Georgia</strong> Nurses Foundation (GNF) is the charitable and philanthropic arm of GNA<br />

supporting GNA and its work to foster the welfare and well being of nurses, promote<br />

and advance the nursing profession, thereby enhancing the health of the public.<br />

Benchmark Human Services<br />

Now hiring for the following positions:<br />

Registered Nurse (RN) & Licensed Practical Nurse (LPN)<br />

Locations: Tifton, Acworth, Fort Valley/Kathleen<br />

We offer competitive wages, performance bonuses, opportunities for career advancement,<br />

and full-and-part-time openings for all shifts, including weekends! Benefits include medical<br />

and dental insurance, flexible spending accounts, 401k with employer match, tuition<br />

reimbursement, paid time off and sick time, and referral bonuses.<br />

Valid State <strong>Nursing</strong> License and driver’s license required<br />

Please send resume to lhorne@benchmarkhs.com<br />

EEO and Affirmative Action Employer<br />

Veterans, Women and Individuals with Disabilities encouraged to apply


<strong>May</strong>, June, July <strong>2019</strong> <strong>Georgia</strong> <strong>Nursing</strong> • Page 15<br />

MEMBERSHIP<br />

I Want to Get Involved: Joining and Creating a GNA Chapter<br />

Are you interested in Palliative Care? Nurse<br />

Navigation? Informatics?<br />

Whatever your nursing passion may be, <strong>Georgia</strong><br />

Nurses Association (GNA) can help you connect with<br />

your peers locally and across the state. Becoming<br />

involved in your professional association is the first step<br />

towards creating your personal career satisfaction and<br />

connecting with your peers. Now, GNA has made it<br />

easy for you to become involved according to your own<br />

preferences.<br />

Through GNA’s new member-driven chapter<br />

structure, you can join multiple chapters and also<br />

create your own chapter based on shared interests<br />

where you can reap the benefits of energizing<br />

experiences, empowering insight and essential<br />

resources.<br />

Visit https://georgianurses.nursingnetwork.com/<br />

page/77581-chapter-chairs to view a list of current<br />

GNA Chapters and Chapters Chair contact information.<br />

DO YOU HAVE<br />

A NURSE<br />

LICENSE PLATE?<br />

The <strong>Georgia</strong> Nurses Foundation (GNF) special nurse license<br />

plate is available NOW at <strong>Georgia</strong> tag offices. Each nurse plate<br />

sold results in revenue generated for GNF, which will be used for<br />

nursing scholarships and workforce planning and development to<br />

meet future needs. Show your support for the nursing profession<br />

in <strong>Georgia</strong> by purchasing a special nurses license plate today! Get<br />

details at http://www.georgianurses.org/?page=LicensePlate.<br />

Connect with Chapter Chairs to find out when they will<br />

hold their next Chapter meeting!<br />

The steps you should follow to create a NEW GNA<br />

chapter are below. If you have any questions, contact<br />

the membership development committee or GNA<br />

headquarters; specific contact information and more<br />

details may be found at www.georgianurses.org.<br />

1. Obtain a copy of GNA bylaws, policies and<br />

procedures from www.georgianurses.org.<br />

2. Gather together a minimum of 10 GNA<br />

members who share similar interests.<br />

3. Select a chapter chair.<br />

4. Chapter chair forms a roster to verify roster<br />

as current GNA members. This is done by<br />

contacting headquarters at (404) 325-5536.<br />

5. Identify and agree upon chapter purpose.<br />

6. Decide on chapter name.<br />

7. Submit information for application to become a<br />

chapter to GNA Headquarters. Information to be<br />

submitted includes the following:<br />

To become a member of GNA please<br />

review and submit our membership<br />

application located on the homepage of<br />

our website at www.georgianurses.org<br />

Chapter chair name and chapter contact<br />

information including an email,<br />

Chapter name, Chapter purpose, and Chapter<br />

roster.<br />

8. The application will then go to the Membership<br />

Development Committee who will forward it to<br />

the Board of Directors. The Board will approve or<br />

decline the application and notify the applicant<br />

of its decision.<br />

AUBURN UNIVERSITY SCHOOL OF NURSING<br />

Assistant/Associate Professor<br />

Tenure Track | 2 positions<br />

Minimum Qualifications for Tenure Track:<br />

Requires an earned Ph.D in a relevant discipline, Masters in<br />

<strong>Nursing</strong> and BSN with a specialty in Adult Health/Medical Surgical,<br />

Pediatrics, Community Health, Maternal Health and Mental<br />

Health and must have current clinical skills. Must be eligible for<br />

Alabama RN License and meet eligibility requirements to work<br />

in the United States at the time the appointment is scheduled to<br />

begin and continue working legally for the proposed term of the<br />

employment at the time employment begins.<br />

Review of applicants will begin April 22, <strong>2019</strong><br />

Candidates should use the following link to apply:<br />

aufacultypositions.peopleadmin.com/postings/3445<br />

Auburn University is an EEO/<br />

Vet/Disability employer.<br />

As a GNA Member, you are part<br />

of the largest <strong>Nursing</strong> association<br />

in the State of <strong>Georgia</strong>.<br />

Other benefits include:<br />

• Active representation at the State<br />

Legislature by respected professional<br />

lobbyists<br />

• Opportunity to serve as a GNA Board and/<br />

or Committee Member*<br />

• Access to shared-interest and local<br />

chapters, and avenues to connect with<br />

leaders in the profession<br />

• Participation in the Biennial Professional<br />

Development Conference and Membership<br />

Assembly<br />

• Hot-off-the press legislative updates that<br />

affect the nursing profession<br />

• Member-only access to ANA’s Nurse Space<br />

• Free access to The Online Journal of Issues<br />

in <strong>Nursing</strong> (OJIN)<br />

• Free subscription to The American Nurse<br />

Today - the official journal of ANA<br />

• Discounts at NursesBook.Org<br />

• Access to free and discounted webinars at<br />

Navigate <strong>Nursing</strong> Webinars<br />

• LARGEST discount on initial ANCC<br />

certification ($120/full members only)<br />

• LARGEST discount on ANCC recertification<br />

($150/full members only)<br />

Member Lifestyle Benefits<br />

We partnered with trusted organizations to<br />

meet the needs of our members beyond the<br />

professional scope so that at the end of a long<br />

day or week they can focus on what matters<br />

the most: enjoying life with their loved ones.<br />

GNA Members receive exclusive access<br />

to valuable retail, hospitality and financial<br />

planning discounts and services at:<br />

*Serving as a GNA Board Member is subject to<br />

running in and winning the GNA Board of Directors’<br />

Election for the position of interest.

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