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 />
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Call Dublin phone number 478-304-1417<br />
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To apply for a position, please visit<br />
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Join a high-quality mental health<br />
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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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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 />
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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 />
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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 />
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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.