2019 Wyoming Annual Book of Reports

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2019 WYOMING NURSING SUMMIT & CONVENTION

TABLE OF CONTENTS

WNA Annual Meeting Information and Reports

Board of Directors ........................................................... 3

Annual Meeting Agenda ...................................................... 5

WNA Meeting Rules and Parliamentary Information .................................. 7

2018 Annual Meeting Minutes ................................................. 10

2019 Strategic Plan ......................................................... 15

WNA Legislative Agenda ..................................................... 17

WNA Financial Statements .................................................... 18

President Report ............................................................ 28

Executive Director Report ..................................................... 30

Membership Report ......................................................... 31

Lobbyist Report ............................................................ 32

Region Reports ............................................................. 35

ANA Membership Assembly ................................................... 39

2019 Leadership Elections .................................................... 42

2019 Bylaw Amendments .................................................... 45

Appendix

WNA Bylaws .............................................................. 52

Printed and Published for the Wyoming State Nurses Association by:

Arthur L. Davis Publishing Agency

517 Washington St., P.O. Box 216

Cedar Falls, Iowa 50613

(319) 277-2414

www.wyonurse.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

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2019 WYOMING NURSING SUMMIT & CONVENTION

WNA ANNUAL MEETING

INFORMATION AND

REPORTS

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2019 WYOMING NURSING SUMMIT & CONVENTION

BOARD OF DIRECTORS 2019

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“The Membership Voice” WNA Annual Meeting

I. Call to Order

Thursday, October 3, 2019 | 3:45 to 4:45 p.m.

II.

III.

IV.

Roll Call of Board of Directors and Region Membership Representation

Declaration of Quorum

Review the Agenda

V. Approval of September 27, 2018 Annual Meeting Minutes

VI.

VII.

VIII.

IX.

WNA Financial Road Map

President’s Update on WNA Strategic Initiatives

2019 Membership Campaign and New Membership Structure

ACTION ITEM: 2019 Bylaw Amendments

X. Membership Open Forum

XI.

XII.

XIII.

Recognition of Outgoing Board Members

Tellers Report

Adjournment

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2019 WYOMING NURSING SUMMIT & CONVENTION

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Rule 1:

Rule 2:

Rule 3:

Rule 4:

Rule 5:

Rule 6:

Rule 7:

Rule 8:

Rule 9:

2019 WYOMING NURSING SUMMIT & CONVENTION

WNA ANNUAL MEETING

Meeting Rules

Registered members must wear their name badges during the business session. All membership

in good standing may vote.

In making a motion or speaking to a question, a delegate shall move to the floor microphone,

address the Chair, await recognition of the Chair, and give the delegate’s name and region.

The correct form to use in making a motion is “I move that...”

All motions and amendments should be written and signed by the maker of the motion or

amendment and then given to the Chair.

A member may not speak against her/his own motion, but may vote against it.

No member shall speak more than once, or longer than three minutes, on the same question

until all have spoken who wish to express and opinion.

All reports and supplements to reports shall be written and shall not be read.

Only currently paid members of the Association are entitled to vote in elections.

The Association staff shall report the number of members registered after the opening

ceremonies. Supplementary reports may be given later as the Chair may direct.

Rule 10: A member should raise her/his hand to indicate she/he cannot hear.

Rule 11: The member will act only on the resolves of a resolution. Questions of clarification will be

handled according to parliamentary procedure.

Rule 12: All sessions of the Annual Business Meeting shall be open to the public unless the Chair

declares an executive question.

Parliamentary Information

Robert’s Rules of Order, Newly Revised is the parliamentary authority that shall govern WNA Business

Meeting. The chair, as the presiding officer, rules on all matters relative to parliamentary law and

procedures. The Parliamentarian serves only in an advisory capacity to the presiding officer and

members.

Member participation in the business session is governed by the standing rules.

The motions that follow are defined in terms of action a delegate may desire to propose. Rules

governing these motions are listed in Table 1.

A main motion introduces a subject to the Business Meeting for consideration and is stated: “I move

that....”

An amendment (primary) is a motion to modify the working of a motion. The motion to amend may be

made in one of the following forms, determined by the action desired: “I move to amend by....”

• striking (word(s), phrase, paragraph).”

• inserting (word(s), phrase, paragraph).”

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2019 WYOMING NURSING SUMMIT & CONVENTION

• adding (word(s), phrase, or paragraph at the end of the motion).”

• substituting (paragraph or entire text of a resolution or main motion and inserting another that is

germane).

An amendment to an amendment is a motion to modify the wording of the proposed amendment

and is made as follows: “I move to amend the amendment by....” The same forms for making an

amendment are applicable for making a secondary amendment.

The motion to commit or refer is generally used to send a pending motion (also called “the question”)

to a small group of selected persons - a committee, board, or cabinet, for example - so that the question

may be studied and put in better condition for the assembly to consider. The motion is stated: “I move

to commit the question to..........for further study.”

The motion to close a debate (previous question), if seconded and approved by a two-thirds vote, stops

discussion on the pending question and is stated: “I move the previous question.”

A division of the assembly may be called by any member if the chair’s decision on a voice vote is in

question. The member proceeds to the microphone and states: “I call for a division of the house.”

The chair then takes a standing or roll call vote.

A division of the question may be called when a pending motion relates to a single subject but contains

several parts, each capable of standing as a complete proposition. The parts can be separated, and

each considered and voted on as a distinct question. The motion is stated: “I move to divide the

question........as follows....”

The motion to reconsider enables a majority of the assembly to bring back for further consideration a

motion that has already been voted. The purpose of reconsidering a vote is to permit correction of hasty,

ill-advised, or erroneous action, or to consider added information or a situation that has changed since

the vote was taken. (Note exception on the Table -Rules Governing Motions)

Parliamentary inquiry is a question directed to the presiding officer to obtain information on

parliamentary law or the rules of the organization as relevant to the business at hand. A member

addresses the chair and states: “I rise to a (point) of parliamentary inquiry.”

Point of information is a request, directed to the chair or through the chair to another officer or

member for information relevant to the business at hand. The request is not related to parliamentary

procedure. The member addresses the chair and states: “I rise to a point of information.”

The motion to appeal the decision of the chair is made at the time the chair makes a ruling. If it is

made by a member and seconded by another member, the question is taken from the chair and vested

in the voting body for a WNA decision. The motion is stated: “I move to appeal the decision of the

chair.”

Before a member can make a motion or address the assembly on any question, it is necessary that he or

she obtain the floor through recognition by the presiding officer. The member must:

• rise and proceed to the microphone.

• address the chair by saying, “Madam Chair”

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• await recognition

• give name and region

• state immediately the reason for rising

2019 WYOMING NURSING SUMMIT & CONVENTION

Rules Governing Motions

Interrupt

Speaker

Recognized

by Chair

Requires a

Second

Debated

Vote

Main motion NO YES YES YES Majority

Amendment NO YES YES YES Majority

Amendment to amendment NO YES YES YES Majority

Limit Debate NO YES YES NO Two-thirds

Close debate (previous quest.) NO YES YES NO Two-thirds

Divide the Question NO YES YES NO Majority

Reconsider NO YES YES YES Majority*

Point of parliamentary inquiry YES NO NO NO Chair Decides

Point of Information YES NO NO NO Chair Decides

*Majority vote except when the motion being reconsidered required a two-thirds vote for its passage; then the

motion to reconsider requires a two-thirds vote.

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2019 WYOMING NURSING SUMMIT & CONVENTION

WNA 2018 ANNUAL MEETING MINUTES

September 27, 2018 | 3:45 to 4:45 pm

Holiday Inn | Sheridan, Wyoming

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2019 WYOMING NURSING SUMMIT & CONVENTION


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2019 WYOMING NURSING SUMMIT & CONVENTION

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2019 WYOMING NURSING SUMMIT & CONVENTION

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2019 WYOMING NURSING SUMMIT & CONVENTION

WNA FINANCIAL STATEMENTS

Fiscal Year July 1, 2018 through June 30, 2019

Financial Summary

Operating Revenues:

Membership Dues: We were over budget by $4,609.30 in membership dues during 2018/2019 fiscal

year.

Convention: The 2018 convention had a net profit of $1,173.18.

Nurses Day at the Legislature: The 2019 NDL had a net loss of $320.78.

Operating Expenses:

This fiscal year we were over budget in two areas.

Lobbyist Expenses was over by $518.83, this line item includes Toni’s attendance at other meetings

outside of session and includes her $500 expenses that WNA provides Toni during session.

Executive Director travel was over by $1,658.24. The reason it is over budget was the extra cost to travel

to Sheridan for the convention over prior years where it was located close to an airport where less hotel

nights and car rental was needed for staff.

Net Loss:

We ended the fiscal year with a net loss of $3,340.34.

Financial History:

In 2011/2012, a net profit of $6,000.

In 2012/2013, a net profit of $6,000.

In 2013/2014, a net profit of $8,784.

In 2014/2015, a net loss of $1,139.

In 2015/2016, a net profit of $6,902.

In 2016/2017, a net loss of $6,307.

In 2017/2018, a net profit of $1,575.06

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NOTES

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Kathy Luzmoor,

MS, RN, CNE

2019 WYOMING NURSING SUMMIT & CONVENTION

PRESIDENT’S REPORT

It is hard to believe I have finished a year as President of the Wyoming Nurses

Association. It has been an honor and I look forward to next year. The Board of

Directors and staff have been very busy on your behalf. It takes a team to run this

organization and we have a great one.

WNA’s “year” really begins with a Board Strategic Planning meeting. This is our

only full day board meeting for the year. We cram a lot of discussion and sharing

into this day. We are proud of the Strategic Goals that came from that meeting

and believe they serve the organization well. You can find them under “About

Us” on the WNA website. A good discussion that came from that meeting was

to encourage regions to be less concerned about having meetings and instead,

consider one or two events that would serve to engage nurses in their areas. We

recognize that most of you have very busy lives.

The WNA Board meets two additional times in person (prior to the Nurses Day at the Legislature

and Summit and Convention) and two times by video call. Fortunately, our meetings have very good

attendance, which is important for the organization. The work of planning the two-yearly conferences

falls to committees. This planning is begun six-to-nine months ahead of the events. Our conferences are

only as strong as our attendance. We count a great deal on vendors and sponsorships to help us fund

these events.

Nurses Day at the Legislature 2019 was well attended by 270 persons. This is an event to introduce

advocacy to future nurses, as the majority of those attending are students. They are reminded of their

high school civics class with an update in the legislative process by our staff lobbyist, Toni Decklever. For

the first time, the conference had breakout sessions that attendees could choose from. This turned out

to be very popular. We will hope to provide this option in future conferences but know we are limited

due to the size of our conference locations.

Wyoming Nurses Association sponsored a state-wide “virtual” walk-run during Nurses Week to get

nurses out and involved! The event committee chose to make it a fundraiser for suicide prevention.

The participation was high in the Southwest region but moderate in other areas. We believe there was

confusion about what a ‘virtual’ walk-run meant. The organizers were hoping for nurses to ‘join’ the

event by doing whatever they chose to do that day, unless they could join an in-person walk. We will be

discussing what the event will look like in 2020.

The Board of Directors voted to retain the services of Tobi Moore and her association management

company NGAGE for an additional three years. Tobi has been with the WNA for fourteen years and we

are looking forward to continuing this great relationship.

During the 2019 convention, the members will vote on three amendment changes to the bylaws.

One amendment is to change to the standard membership option approved by the ANA Membership

Assembly in June. This reduces the dues fees in an attempt to increase membership. It has been

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2019 WYOMING NURSING SUMMIT & CONVENTION

successful in the state where it has been piloted. Our Executive Director, Tobi Moore, has been a member

of this ANA committee.

All five of the region’s Presidents will be stepping down this year. Please take time to thank your

President for the great work they did on your behalf. It was my pleasure to work with each of them.

Thank you Christina Brewer, NE; Alicia LePard, NW; Karen Jones, Central; Sara Hooten, SW; and Karen

Clark-Bond, SE! I hope to see each of you continue your passion for advocating for nurses!

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Tobi Lyon Moore,

MBA, CAE, CFRE

2019 WYOMING NURSING SUMMIT & CONVENTION

EXECUTIVE DIRECTOR’S REPORT

“Coming together is a beginning; keeping together is progress; working together is

success.” Henry Ford

2019 was a year that brought a few changes and new additions to WNA.

WNA Board approved a new vision statement that better articulates our future:

Wyoming Nurses Association will collaboratively lead to advance nursing practice

through the distribution of resources, influence, and advocacy for the promotion of

healthcare in Wyoming.”

This spring WNA hosted a statewide virtual race to promote “Healthy Nurse,

Healthy Nation” during nurses’ week. WNA was able to give the American

Foundation for Suicide Prevention—Wyoming Chapter $1,150 for proceeds

raised by nurses from across the state. Thank you to all of those who got out and walked in their local

neighborhoods on May 11th!

In addition, WNA partnered with NSO to bring professional liability insurance to Wyoming Nurses. For

over 40 years, Nurses Service Organization (NSO) has been helping defend RNs, nurse practitioners, LPN/

LVNs, CNSs, nursing aids and student nurses from medical malpractice lawsuits. Over 550,000 nursing

professionals safeguard their careers with professional liability insurance through NSO.

This year WNA launched a new membership campaign that started with a membership survey and

ended with a membership campaign video that the association produced from funds provided by ANA.

June 2019, WNA had 419 members (407 WNA/ANA and 12 WNA only). This is a record high for WNA!

• 2018, 402 members

• 2017, 364 members

• 2016, 354 members

• 2015, 339 members

• 2014, 340 members

• 2013, 339 members

As in years past WNA continues to look for ways to grow membership and retain the members we

have. Thank you to all the WNA members for knowing the importance of your membership, and the

hard work that you put into this organization and most of all, your dedication to the nursing profession.

I encourage all members to share their views as to why you are a member and to remain involved in

WNA.

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2019 WYOMING NURSING SUMMIT & CONVENTION

MEMBERSHIP REPORT

31


Toni Decklever,

MA, RN

2019 WYOMING NURSING SUMMIT & CONVENTION

LOBBYIST REPORT

A total of 503 bills were filed with the Legislative Service Office for the 2019

Legislative Session. Of these, 316 were House Bills and 166 were Senate Bills. There

were also 21 resolutions filed. Over half of the bills that were filed did not make

it through the entire process. Some bills, like the Medicaid Expansion Study and

Medicaid Work Requirements, died on the last day of the session.

Bills that WNA followed that did make it to the Governor’s desk include:

Wyoming Investment in Nursing - Sunset date – This program was mandated

to sunset in 2020, so Representative Henderson filed legislation that would extend

the program to 2030. Representative Brown amended this to remove the sunset

date entirely and it stayed that way through the rest of the process. The work that

will need to be continued is to fund the program – which is currently at a little over

2.5 million dollars a year. This funding provides for nursing faculty at the Wyoming colleges and student

loans for those pursuing their RN or graduate degrees in nursing.

Opioid Prescription Limits – Originally this bill stated that practitioners could only prescribe to opioidnaïve

patients for 14 days and then require a reassessment. This was amended to 7 days and passed

with this amendment. There are exceptions within the legislation for patients with chronic pain, terminal

illness, palliative care and other clinically appropriate exceptions.

Controlled Substance Administration and Education – This legislation requires prescribers of

controlled substances to register with the Prescription Drug Monitoring Program (PDMP). There are also

continuing education requirements for those practitioners with prescriptive authority. This includes:

Physicians and Surgeons, APRNs, Dentists, Optometrists, Podiatrists and Pharmacists.

Other bills of interest that made it to the Governor’s desk were:

Medical Alert on Driver’s Licenses – this allows a place on a driver’s license for a person to put the

words, “medical alert.”

Health care innovation – this authorizes the Dept. of Health to award funds to individuals, groups or

companies for innovative projects. The Dept. of Health was given

one million dollars for this project. The actual language of the bill is as follows:

“Innovative study” means a randomized, controlled trial, pilot project, model or analysis

conducted under scientific conditions for:

(A) Assessing a new approach to the provision of long-term care, care of chronic diseases, early

detection or other health care services which have no substantially comparable, widely available

analogue in Wyoming;

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2019 WYOMING NURSING SUMMIT & CONVENTION

(B) Testing of noninvasive diagnostic equipment. As used in this paragraph, “noninvasive” means

equipment that does not cause mental or physical effects on the human body.

The Labor Health and Social Services (LHSS) had their first interim meeting on June 13-14, 2019, in

Riverton. The Committee heard reports from various agencies and began discussion about potential

legislation for the 2020 general session. The minutes and all documents presented are available on the

Legislative Office website – wyoleg.gov.

Future LHSS Committee Meetings are scheduled Sept. 23-25, in Evanston and November 6-7, in

Cheyenne. The Committee has a priority list of issues and topics that will be researched during the

interim.

These include the following:

Priority #: 1 Wyoming Aging Population

The Committee will examine ways to address the growing aging population in Wyoming. Among other

proposals, the Committee may consider: 1. Changes to Medicaid to support individuals in need of longterm

care; 2. Regulation of long-term care facilities, including financial viability and service availability;

3. Existing long-term care workforce issues; 4. Rebasing long-term care facility reimbursement rates;

5. Senior health care special districts (2019 HB 181); and 6. Consultation services with long-term care

service providers. The Committee will summarize its long-term care findings and provide these to the

Joint Appropriations Committee.

Priority #: 2 Mental Health & Substance Abuse

The Committee will examine mental health and substance abuse issues to identify better health

outcomes and savings to the State of Wyoming. Among other proposals, the Committee may consider:

1. A Medicaid behavioral health waiver for adults; 2. Prevention services and services provided

by community mental health providers, including financing, direct funding, Medicaid, statutory

authorization and private reimbursement; 3. Title 25 issues, including stranded patients in community

hospitals, pre-State Hospital diversions, post-State Hospital reintegration into communities and access to

community services; 4. Adolescent mental health, especially acute care and post-acute care placements

and the continuum of care; 5. Department of Corrections issues, including mental health and substance

abuse funding, counselors in correctional facilities, and handoffs to community service providers when

prisoners are released; and 6. A Justice Reinvestment review of mental/behavioral health and substance

abuse issues, in partnership with the Council of State Governments.

Priority #: 3 Responses to Federal Actions, Litigation and Reports from State Agencies

• The Committee will monitor the implementation of 2019 HB 194 (Air Ambulance coverage-

Medicaid) and receive updates regarding ongoing litigation related to workers’ compensation

reimbursement rates for air ambulance providers.

• Congressional Actions and ACA Litigation: The Committee will monitor legislation in Congress

relating to health care and insurance, as well as take any necessary actions relating to ongoing

litigation surrounding the constitutionality of the ACA (Texas v. United States, Fifth Circuit Court

of Appeals) and the payment of cost-sharing reductions.

• Multiple Employer Welfare Arrangements and Short-Term Health Insurance Plans: The Committee

will monitor federal regulatory issues relating to multiple employer welfare arrangements and shortterm

health insurance plans for impacts on Wyoming’s small and individual health insurance market.

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2019 WYOMING NURSING SUMMIT & CONVENTION

• Labor Standards Compliance: The Committee intends to work with the Department of Workforce

Services to study Wyoming labor laws which may need to be amended to ensure compliance with

federal requirements. These amendments will likely allow the Department of Workforce Services

to take a greater role in enforcing labor laws.

• Agency Reports: During the 2019 interim, the Committee is required to receive reports from

agencies on the following topics:

Multi-payer claims database (2019 HB 1, Department of Administration & Information)

Review of sustained hospital viability (2019 HB 1, Department of Health)

Medicaid services for school districts (2019 HB 1, Department of Health).

• Family First Prevention Services Act: Congress enacted the Family First Prevention Services Act

(the Act) in February, 2018. The Act is intended to provide in-home prevention services to families

prior to the removal of a child from a home and to encourage kinship placement when removal is

deemed necessary. The Committee intends to study the potential impact of the Act in Wyoming.

• Medicaid Birth Cost Recovery: The Committee intends to review outcomes associated with recent

legislation relating to Medicaid birth cost recovery (2018 HB 86).

• TANF and SNAP Issues: The Committee intends to study the Temporary Assistance for Needy

Families (TANF) case load and existing work requirements for the Supplemental Nutrition

Assistance Program (SNAP).

• Task Force Reports During the 2019 interim: The Committee is required to receive a final report

from the Opioid Addiction Task Force (2018 SF 78).

Our legislators work all year long looking at solutions and strategies for the betterment of the state.

Unpopular decisions are not uncommon, but the goal is to hopefully make decisions that will benefit

the majority, rather than the minority. When the public connects with legislators, this assists them in

reaching that goal. Legislator contact information is at www.wyoleg.gov.

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2019 WYOMING NURSING SUMMIT & CONVENTION

Southwest Region Report

REGION REPORTS

Southwest Region Board:

Sara Hooten, President

Heidi Frandsen, Vice President

Deanne Garner, Secretary

Carla Lee, Treasurer

Events

The Southwest Region hosted three major events over the past year that have been enjoyed by

members: Nurses Night with Legislators, Virtual Race - Rock Springs, Nurses Week Celebration and

WWCC Senior Nursing Student Research Project Poster Presentation.

Nurses Night with Legislators

Twenty nurses from varying settings and three counties attended Southwest Region’s Nurses Night

with the Legislators, eager to share their concerns related to nursing and healthcare in WY. We were

fortunate to have Representatives Freeman (Sweetwater) and Eyre (Unita) County with us. Various topics

were discussed: mandatory education on opioids, Medicaid and Medicare, Wyoming Investment in

Nursing Funding and WNA supporting the tax on cigarettes.

Virtual Race - Rock Springs

On May 11th, the Southwest Region Nurses started our celebration at 9 a.m. by participating in the

Virtual Race to bring awareness to Suicide Prevention. The money raised statewide will be donated to

the Wyoming Chapter of Suicide Prevention. We had nursing students and various disciplines of nursing

to represent the Southwest region. We even had a group of ladies from the area to join us. We would

like to thank Western Wyoming Community College for letting us use their facility to start and end our

race.

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2019 WYOMING NURSING SUMMIT & CONVENTION

By far, our biggest function was our Annual Brunch. This year, we gathered at Aspen Mountain Medical

Center for an amazing event planned by Stems & Co. for brunch, presentation of awards, door prizes

and a small raffle. The brunch was catered by Hungry Buddha Food Truck by Sands and was delicious.

ReaAnna Peltieri, RN gave a great talk on Mindfulness. She led us through a short mindfulness session

and then encouraged us each to find time every day to find our inner happiness and bring it forward

throughout our day. Western Wyoming Community College Nursing Students also celebrated with us.

They brought their poster presentations to share as well. We were very excited about the turnout of 46

nurses! We had various disciplines and stages of nursing attend. We had a handful of students, retired

nurses and working nurses. Multiple facilities were well represented also.

The following awards were presented:

Excellence in the Workplace: Patty O’Lexey RN, BSN

Nominees: Patty O’Lexey, Callie Perkins, Betty Ritter

Excellence in Advanced Practice Nursing: Corrie Carver, FNP

Nominees: Corrie Carver, FNP

New Nurse for the Future: No nominations were sent in

Nightingale Award for Excellence: April Buss, RN, BSN

Nominees: April Buss

Exemplary Service to the Wyoming Nurses Association: Sara Hooten, RN

Pictured: April Buss RN, BSN, Corrie Carver, FNP, Sara Hooten, RN,

Not pictured: Patty O’Lexey, RN, BSN

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2019 WYOMING NURSING SUMMIT & CONVENTION

Aspen Mountain Medical Center

WWCC Poster Presentation

Senior nursing students complete a semester-long project which synthesizes the available literature to

answer a unique question about nursing practice. Winners will have their registration fee paid for by the

Southwest Region for the 2019 WNA Nursing Summit & Convention.

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Northeast Region Board:

President: Alicia Le Pard

Vice President: Josephine Le Master

Secretary:

Treasurer: Jennifer Rasp-Vaughn

2019 WYOMING NURSING SUMMIT & CONVENTION

Northeast Region Report

The 2018-19 year for the NEW region showed that our secretary position remained unfilled thru the first

of the year. Leesa Bellus stepped up to take on that role

Meetings were held every month other than May and December via Zoom. All members were asked to

join using their personal/work computers/tablets/phones from their work/kitchen/sofa/car/bedroom to

have our business meetings. Meetings were not robust.

Projects for the upcoming year include increasing membership participation in the business and projects

of the Region including contributions to our local communities. The Region did participate in the spring

virtual run with the WNA at Club Engergize.

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2019 WYOMING NURSING SUMMIT & CONVENTION

2019 ANA Membership Assembly

ANA’s Membership Assembly was held Friday, June 20th and Saturday June 21st in Washington,

DC. About 360 nurses, observers and other leaders attended the two-day governance meeting in

Washington, DC. Included in those attendees were five from Wyoming: Faith Jones (ANA Vice

President), Kathy Luzmoor (WNA President), David Bodily (WNA Vice President), Tobi Moore (WNA

Executive Director) and Annette Pepper (WNA Deputy Director).

Assembly members participated in four dialogue forums where they gained in-depth information

on the issues, as well as shared their experiences, knowledge and perspectives. They also addressed

several proposals and governance-related changes.

Ultimately, Assembly representatives took the following actions:

ANA believes that to protect the health of the public, all individuals should be immunized against

vaccine-preventable diseases, according to the best and most current evidence. Given the recent

surge of measles cases and potentially uncontrollable outbreaks of other vaccine-preventable illnesses,

the Assembly voted to strengthen ANA’s position statement on vaccination compliance, removing

the religious exemption and requiring annual recertification for medical exemptions. They expressed

strong support for this vital policy, which is crucial to protecting at-risk children and others who can’t

be vaccinated. Representatives also called for advocacy for increased funding for social marketing

education campaigns, which in part, can help combat vaccine hesitancy and misinformation.

They approved the revised ANA position statement, The Nurse’s Role When a Patient Requests

Aid in Dying. According to the revised statement, ANA supports recommendations that nurses

remain objective when discussing end-of-life options with patients who are exploring medical aid

in dying; have an ethical duty to be knowledgeable about this evolving issue; and have the right to

conscientiously object to being involved in the aid-in-dying process, among others.

They approved a recommendation aimed at allowing nursing students who are Deferred Action

for Childhood Arrivals (DACA) recipients – often called DREAMers – to take the NCLEX in all states

without facing barriers. (The DACA program provides deportation relief for eligible immigrant

individuals who came to the U.S. when they were young children.) Only eight states allow DACA

students to sit for this licensing exam. This action would also help increase diversity in the workforce

and ease nursing shortages. A related recommendation also was approved.

To help solve the public health crisis of human trafficking, they called for ANA and its member

organizations to educate nurses on the use of effective screening tools when an individual comes into

a health care facility. Two other recommendations focused on promoting trauma-informed care using

a collaborative approach when dealing with a human trafficking victim/survivor, as well as requesting

ANA to convene a national task force on this issue.

To increase the visibility of nurses in the media, including as sources, Assembly representatives

approved recommendations focused on improving nurses’ and the media’s understanding of each

other, as well as positioning nurses as influencers. During an earlier held hackathon, Assembly

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participants generated strategic ideas, which included creating an Institute of Media Ambassadors

that provides intensive media training and developing a database of nurse content experts who could

quickly respond to media requests, under four key themes.

They also agreed to adopt the ANA Presidential Election Engagement Policy, rather than continuing

to endorse a presidential candidate. The new policy includes reaching out to each declared candidate

with information on ANA; educating ANA members and the public on presidential candidates’

positions on ANA’s policy agenda and priorities; and aggressive promotion of voter registration and

voting among RNs, as well as other engagement efforts.

Representatives took action on several compelling and critical issues focused on patient care and

public health.

• Vaccinations Exemptions: Given the recent surge of measles cases and potentially

uncontrollable outbreaks of other vaccine-preventable illnesses, ANA no longer supports

religious exemption as a reason to not get vaccinated. ANA believes that to protect the health

of the public, all individuals should be immunized against vaccine-preventable diseases.

• Medical Aid in Dying: While nurses remain ethically prohibited from administering aid-indying

medication, ANA recommends that nurses remain objective when patients are exploring

this end-of-life option. Nurses have an ethical duty to be knowledgeable about this evolving

issue and have the right to conscientiously object to being involved in the aid-in-dying process,

among others.

• Advocacy for DACA Nursing Students: ANA recommends that nursing students who

are Deferred Action for Childhood Arrivals (DACA) recipients – often called DREAMers – be

allowed to take the National Council Licensure Examination (NCLEX) in all states without

facing barriers. This action would also help increase diversity in the workforce and ease nursing

shortages.

• Human Trafficking: To help solve the public health crisis of human trafficking, ANA believes

that nurses must have increased education on the use of effective patient screening tools;

advocate for human trafficking protocols in all 50 states and U.S. territories; promote Adverse

Childhood Experiences (ACEs) education; provide trauma-informed care for victims and

survivors; support awareness and preventions campaigns. Additionally, ANA’s Membership

Assembly requests that the ANA Board of Directors create a national task force on the issue.

Faith Jones Presenting

Kathy Luzmoor at Mic

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ANA Vice President Faith Jones and

ANA President Ernest Grant

David Bodily and Kathy Luzmoor

Pictured Left to Right: Faith Jones (ANA Vice President), Tobi Moore

(WNA Executive Director), Kathy Luzmoor (WNA President), David Bodily

(WNA Vice President), and Staff Member.

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2019 LEADERSHIP ELECTIONS

WNA members received their electronic ballot on Tuesday, September 10th. Voting remained open until

5:00 pm on Tuesday, September 24th.

2019 WNA Board Candidates

WNA Board Vice-President (Elect One)

David Bodily, MS, RN, CHSE – Green River

Program Director at University of Wyoming

Tommi Ritterbusch, BSN, RN, OCN – Sheridan

Welch Cancer Center Manager at Sheridan Memorial Hospital

WNA Board Secretary (Elect One)

Ann Marie Clevenger, MSN, RN – Green River

Director of Nursing Programs at Western Wyoming Community College

2019 WNA Region Candidates

Northeast Region - Region President (Elect One)

Lacey Johnson, RN, MSN – Buffalo

Director of Nursing at Sheridan Memorial Hospital

Gwen Reed, MS, RN, PARAMEDIC, CNE, CNE – Gillette

Nurse Educator at NWCCD Gillette Campus

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Misty Robertson, RN – Gillette

Chief Nursing Officer at Campbell County Health

Northeast Region - Region Treasurer (Elect One)

Alicia Le Pard, APRN, ACNP, FNP, ENP, GNP – Gillette

Owner, NP at High Desert Healthcare, LLC

Northwest Region - Region President (Elect One)

Linette Johnson, MSN, RN – Hudson

Retired from WY Public Health & as a National Consultant with Nurse Family Partnership

Kimberley Morse, RN – Jackson

PM Charge at St. Johns Medical Center

Northwest Region - Region Treasurer (Elect One)

Christina Brewer, MSN, RN – Powell

School Nurse at Park County School District #6

Central Region - Region President (Elect One)

Aubrey Bremer, MSN, RN – Lingle

CNO at Platte County Memorial Hospital-Banner Health.

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Southwest Region - Region President (Elect One)

2019 WYOMING NURSING SUMMIT & CONVENTION

Carla Lee, MS, RN, CNE – Green River

Assistant Professor of Nursing at Western Wyoming Community College.

(Region President & Treasurer Candidate)

Marisha VanVleet, MSN, RN-BC, SANE/FNE, CIC – Evanston

Director of Nursing, Clinical Services, and Education at Rocky Mountain Care - Post Acute

Rehab, SNF, Inpatient Palliative Care

Southwest Region - Region Treasurer (Elect One)

Rachelle Stratton, MSN, RN – Rock Springs

Assistant Professor at Nightingale College

Julie Leavitt, MSN, RN – Rock Springs

Assistant Professor of Nursing at Western Wyoming Community College

Southeast Region - Region President (Elect One)

Shawn Wyse, RN – Torrington

RN, Owner, Administrator at Robins Nest Home Care

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APPENDIX

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NOTES

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The Wyoming Foster Care Program would like to extend a heartfelt,

“Thank You!” to nurses who are foster parents.

And to all nurses who, day in and day out, work to support foster

parents, youth in care and their families, you make a difference

every day in more ways than you may ever know!

Fostering is about families.

Please consider becoming a foster parent!

Contact Wyoming Foster Care at 307-721-1951,

email Thomas.Kennah@wyo.gov or go to

wyomingfostercare.org for more information and

to find out about other ways you can help.

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