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2020 Oklahoma Nurses Association

2020 TABLE OF CONTENTS

Convention Program

Convention Welcome ..........................3

2020 Convention Schedule ......................5

House of Delegates

Official Call to the House of Delegates. . . . . . . . . . . . . 7

Agenda .....................................9

Standing Rules ...............................11

Bylaws .....................................15

Side by Side Bylaws Comparison ................23

ONA Dues Policy .............................28

2019 House of Delegates Minutes ...............29

2019 Resolution on Value Pricing ................36

ONA Board of Directors .........................37

ONA Committees ..............................38

ONA Bylaws - 2018 .............................39

ONA Legislative Agenda ........................43

ONA Region Map ..............................44

Organizational Affiliates & Organizational Sponsors ...45

2020 Annual Board Reports

President ...................................46

President-Elect ..............................48

Vice-President ...............................49

CEO Report .................................50

ONA Board of Directors Activity Report ...........52

ONA Strategic Plan and Dashboard ..............54

ONA Financial Report .........................61

Black Lives Matter Statement ..................63

Position Statement – Culture of Safety ............64

Position Statement – Moral Distress ..............66

Legislative Report ...........................68

Education Report ............................75

Membership Development Report ...............76

Nominating Report ...........................77

Region Reports ..............................78

Organizational Reports

Oklahoma Nursing Student Association Report .....82

Oklahoma State Council on Aging ...............83

Oklahoma Opioid Overdose Fatality Review Board ..84

Oklahoma Board of Nursing - Nursing Education &

Practice Committee. . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Oklahoma Medical Reserve Corps Nurses .........86

Federal Transfer Center, Community Relations Board ..87

Oklahoma Domestic Violence Fatality Review Board. . . 88

Governor’s Health Workforce Subcommittee,

Governor’s Council on Workforce &

Economic Development .......................91

Oklahoma Health Care Workforce Center .........92

Oklahoma Health Care Authority Medical Advisory

Committee .................................93

Faith Community Nurses Association of Oklahoma ..94

AWOHNN .................................96

Nightingale Tribute ...........................97

www.oklahomanurses.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

Published for the

Oklahoma Nurses Association by:

Arthur L. Davis Publishing Agency, Inc.

P.O. Box 216,

Cedar Falls, Iowa 50613

(319) 277-2414

Oklahoma Nurses Association 6608 N. Western, #627 Oklahoma City, OK 73116

www.OklahomaNurses.org | 405-840-3476 | ona@oklahomanurses.org

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LEGISLATIVE AGENDA

Oklahoma Nurses Association is the professional association representing the state’s registered

nurse population. ONA is involved in the shaping of public policy relating to health care, which is

consonant with the goals of nurses, nursing and public health. ONA is committed to ensuring that

the registered nurse is an essential provider in all practice settings and advocates for access to

quality health care services for all individuals.

The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care in all

specialties and practice settings by working as a community of professional nurses.

Therefore, Oklahoma Nurses Association will support legislation and health care policy which:

• Facilitates the development of a system of health care delivery that emphasizes prevention,

health promotion and appropriate monitoring of quality and user satisfaction

• Supports a basic core of essential health care services that are accessible to all citizens of

Oklahoma

• Incorporates nurses at all levels of policy-making and decision making regarding the health care

system

• Assures funding to meet health care needs including recognition and remuneration for services

rendered by nurses

• Assures the delivery of health care by duly qualified providers as a means to protect the

consumer

• Recognizes the Oklahoma Board of Nursing as the sole regulatory authority for professional

nursing practice, including adequate resources for the agency

• Promotes funding for professional nursing education and research at both the basic and

advanced levels

2020 Legislative Priorities

• Improve Oklahomans’ Health Status

Advocate for legislation that promotes health: A healthy Oklahoman is a productive Oklahoman.

• Nursing Practice and Workforce

Support competent nursing practice by encouraging all licensed nursing professionals practice

to the full extent of their role.

• Governance

Preserve the Board of Nursing, a consolidated, non-appropriated board that provides oversight

and efficient, focused regulation of the nursing profession.

• Funding

Ensure adequate funding for vital health care-related services, including direct care, illness

prevention and health outcomes.

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ONA REGION MAP

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ONA Organizational Affiliates

Association of Oklahoma Nurse Practitioners

Association of Women’s Health, Obstetrics & NeoNatal Nurses

Oklahoma Association of Clinical Nurse Specialists

Oklahoma Association of Nurse Anesthetists

Oklahoma Faith Community Nurses

Oklahoma League of Nurses

Oklahoma State Council of Perioperative Nurses

Organizational Sponsors

Marie Mink Partners ($5,000)

Cherokee Nation Health Administration

INTEGRIS Health Systems

Mercy Health Center

OU Medical Center

Ascension/St. John Medical Center

Mary McDaniel Partners ($2500)

Oklahoma State University Medical Center

The Mission of the Oklahoma Nurses Association is to empower nurses to improve health care in

all specialties and practice settings by working as a community of professional nurses.

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PRESIDENT’S REPORT

Submitted by: Karen Ann Taylor, DNP, APRN-CNP, PMHNP-BC

Although 2020 was initially designated the "Year of the Nurse and Midwife" to celebrate nurses, it

soon turned into a global healthcare crisis that catapulted nurses into the spotlight. Being identified

as heroes is undoubtedly a befitting accolade for nurses, but we have always been heroes! "You see

more of us now, but we have been here all along" (Mason, 2020).

The past year has been both a challenge and an honor. In a year poised to celebrate nursing,

nurses faced a devastating virus, Covid-19, that challenged science and the provision of care.

Working with limited resources tested the resolve of our nursing workforce, but 2020, albeit a year

intended to honor nurses, turned out to be a year that showed society the value of nurses. Nurses

across the country received recognition as heroes because of their dedication, professionalism,

leadership, compassion, expertise, and the selfless care they provided to their patients in the

face of a devastating illness that wreaked havoc on health and the healthcare system. Although

the world was isolated, nurses rose up and in the face of self-risk, shortage of PPE, lack of clear

guidelines to care for the sick and dying, and inspired society to find a healing place. At their own

risk, our colleagues stayed by the side of their patients who were dying from a virus with no cure

and leveraged technology to promote family presence at the passing of a loved one. Sadness,

catastrophe, and death did not stop nursing from its course of promoting holistic care.

Despite the many restrictions posed by social isolation guidelines to stop the spread of the virus

and protect our state's health and welfare, the ONA continued to conduct Board meetings using

virtual technology beginning in late March. Although the Nurse of the Day program canceled,

members were encouraged to contact their legislators virtually to ask for the support of nursing,

healthcare, and health legislation. Before social isolation restrictions, Nurses Day at the Capitol

empowered student nurses and nurses to get involved in the legislative process and legislation.

In the morning session, attendees heard from ONA's lobbyist, legislative experts and legislators.

They participated in role-play to educate them about the legislative process and after lunch went to

the Capitol to meet with their legislators. It was a spectacular sight to see the many white coats in

and around the Capital building; I recall being asked by a visitor what nurses were doing and how

honored I felt to answer the question and be a nurse!

Regardless of the obstacles and challenges posed by Covid-19, ONA continues its support and

empowerment of nurses to advance nursing and improve healthcare across healthcare settings.

The ONA BOD continues to work and address all issues impacting nurses, nursing, health, and

healthcare delivery. Listed below are some ONA BOD efforts to support the Strategic Goals and

promote the mission and vision of the ONA:

• Engaging Members

• Going Green-The Oklahoma Nurse

• Call for Nominations

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• ONA Statement on Mask Ordinances

• Healthier Oklahoma Coalition to encourage #GotMask media event

• ONA virtual convention-Year of the Nurse: Celebrating Oklahoma Nurses

• Promoting a Culture of Wellness

• Position Statements

• Culture of Safety

• Moral Distress in Times of Crisis

• SB1290 Workplace Violence

• Networks of Support: Connecting Oklahoma Nurses

• ONA President's video message

• Empowering Nurses to Advance the Profession

• Nurse of the Day via a virtual platform

• Nurses Day at the Capitol

• ONA virtual convention

• Code of Ethics-nurses are advocates and obligated to speak up against racism,

discrimination and injustice

• ONSA dinner; NOD activities

As this is my last year as the ONA President, I want to say "thank you" for the privilege of being

your President and for all your support. I am confident that your current leaders will continue "to

foster high standards of nursing practice, promote the educational development of nurses, and

support professional nurses to the end that all people may have better health care…unrestricted

by consideration of age, color, creed, disability, gender, health status, lifestyle, nationality, race,

religion, or sexual orientation" (ONA Bylaws, 2018).

Be safe and keep well.

References:

Mason, D. (June 26,2020). Nurses lack representation in media: Recognize them for the

leaders that they are. USA Today Opinion. Retrieved from https://www.freep.com/story/

opinion/2020/06/26/nurses-leaders-medicine-but-overshadowed-media-column/3223242001/

ONA (October 24, 2018). Oklahoma Nurses Association Bylaws with Proposed Changes. Retrieved

from https://ona.nursingnetwork.com/page/74271-bylaws

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PRESIDENT-ELECT’S REPORT

Submitted by: Shelly Wells, PhD, MBA, MS, APRN-CNS, ANEF

My second year serving as President-Elect has been a busy one in these turbulent times during the

pandemic. I appreciate the work accomplished by our President Dr. Karen Taylor and the entire

Board of Directors of the Oklahoma Nurses Association.

In December 2019, I had the opportunity to attend the ANA Leadership Council Summit in

Alexandria Virginia. This group of nurse leaders from across the nation met to review the ANA

Strategic Plan, explore opportunities to strengthen the relationship between the American Nurses

Credentialing Center and the State Constituents, and prepare for the 2020 Membership Assembly.

We also engaged in discussions about the role of unconscious bias in nursing practice, the need

for increased nursing presence in the media, and ANA’s ongoing efforts to address nurse staffing

issues across the nation.

With the start of the Legislative session in February 2020, I was actively engaged with other nursing

leaders in the state advocating for the passage of SB 1290 – the Medical Provider Protection Act.

Senator Darrell Weaver, Representative Cynthia Row, Saints’ Hospital Lobbyist Jimmy Durant, and

our own Vickie White Rankin carefully shepherded the bill through the legislative process while the

legislature was in session.

In mid-March 2020, the COVID-19 pandemic hit Oklahoma head-on and ONA was involved in

advocating for nursing and patients from the start. After ONA signed on to the March 19th Letter

to Governor Stitt requesting state-wide mandates for shutdowns and the need to increase PPE,

and the State’s Re-opening plan in late April, I was active in addressing multiple requests from the

Oklahoma City’s Channel 9 news, Tulsa World, and The Oklahoman. Resulting in no fewer than 10

daily and 5 weekly newspapers across the state regarding the ONA position considering the rapidly

developing pandemic situation. I continue to work with the ONA Board and other health care

leaders in the state as we continue to monitor and intervene in response to the pandemic.

On May 13, 2020, I had the honor to virtually accept the Proclamation declaring Nurses Week in

Tulsa from the Tulsa City Council and Mayor G.T. Bynum. A special thanks to Councilor Jeanne Cue

for making that proclamation possible.

Due to the pandemic, the annual ANA Membership Assembly was conducted virtually for the first

time in its history. Representing Oklahoma Nurses is always a privilege as was serving alongside

ONA President Dr. Karen Taylor and our elected Membership Assembly member, Dr. Angie

Kamermayer. Due to the virtual nature of the meeting only urgent business matters, including

addressing the ANA Dues Escalator implementation and the approval of the ANA Statement titled

Racial Justice for Communities of Color, were included. The election of national officers was held

virtually following the meeting.

Who had any idea that the 2020 International Year of the Nurse and Midwife would have had so

much in store to showcase nursing’s many strengths? It has certainly brought to the public’s eye

the importance of nursing and caring for people across the life spectrum in all aspects of health

care and cements nursing’s reputation as the most trusted profession. I look forward to serving

as President of the Oklahoma Nurses Association for these next two years. Thank you for your

ongoing confidence in me.

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VICE PRESIDENT’S REPORT

Submitted by: Angela Martindale PhD, RN

2020 The Year of the Nurse! I am sure none of us could have imagined what this year was going to

bring. I have gone through many emotions, from excitement to sadness to disappointment and,

ultimately, to acceptance and perseverance. This year has been a year of change and adaptation. I

am honored to say that nurses have the best ability to adapt and I have seen you all demonstrate

this on every level.

I celebrate you!

I see you stepping up and sacrificing to care for the public.

I celebrate you!

I am honored to be part of this profession and I am proud of each of you for all you do.

Year of the Nurse: Celebrating Oklahoma Nurses

This year started as a celebration for nurses all over the world and I believe nurses have been

and will be celebrated for decades to come. The theme for this year’s convention focuses on

celebrating you, your dedication, and your accomplishments.

This year, the ONA convention is one that will surely go down in history as we embark on our very

first virtual conference. Although we cannot join in-person, there are many exciting ways to interact

with each other virtually. The virtual convention will include poster presentations, brain breaks and

informative presentations from nurses across the state.

The convention committee has worked hard to provide the best possible platform for your

learning needs, and we look forward to seeing you virtually. You can receive more CEUs than from

previous conventions because you will have the ability to access all breakout presentations, poster

presentations and much more.

We will begin the convention with the awards ceremony, followed by our keynote speaker, Tena

Brown and her dynamic presentation on “How to be a positively unforgettable nurse.”

There are eight breakout sessions to attend and over twenty poster presentations.

Attendees are encouraged to participate in brain break sessions to “get a break” from the

demands of our everyday lives. There will be activities for everyone in all areas of nursing and we

look forward to engaging with each of you.

Every year a Convention Committee forms and performs the work of choosing a convention theme,

topics, speakers, and the schedule. We try hard to find volunteers from each region to serve on

the committee. The committee list is available in this program and I am grateful for their service in

helping plan this convention.

This year, a new task force formed, Ngage Values Task Force, aims to communicate the merit of

Ngage Management to the members of the Oklahoma Nurses Association. The report is in this

Book of Reports.

Thank you for all you do for the citizens of Oklahoma. I am excited to continue to serve you and

celebrate you!

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CEO’S REPORT

Submitted by: Jane Nelson, CAE

"Make the most of yourself by fanning the tiny, inner sparks of possibility into flames of achievement."

- Golda Meir

Last year at this time, the ONA Board decided to contract with Ngage Management for association

management services; and I could continue as ONA's CEO. This change has allowed ONA to

share best practices, innovations, and enhance strategy with our colleagues in Wyoming, Iowa,

and Michigan. This multi-state leveraging has strengthened ONA while letting us maintain our

Oklahoma identity.

"We do not need magic to change the world; we carry all the power we need inside ourselves

already: we have the power to imagine better."

- J.K. Rowling

This year, ONA has worked to imagine what "better" would look like for nurses as it advocated and

supported nurses. As detailed below, our support efforts guided our advocacy work, and our ability

to advocate was strengthened by "being at the table." Over the years, we have built connections,

participated in coalitions, and have been actively involved in emergency/disaster preparedness.

In our ongoing efforts to support nurses, ONA has developed a Nurse to Nurse Series, called

"Networks of Support: Connecting Oklahoma Nurses." We have also developed a PPE Survey

and collected and shared stories and pictures regarding the impact of nurses. These networks and

other initiatives, coupled with individual calls and social media posts, helped us to immediately

understand and communicate what nurses were facing. We heard CNOs, educators, nurse

managers, and frontline nurses share what they were experiencing. It gave us first-hand knowledge

that we used to advocate for nurses in the "Health Care Cabinet" and with the media. We

developed resources on our website, provided uplifting support with free Billboards, and a Buff

headband with a colorful heart graphic with "Nurse" written in different languages. These graphics

are part of the Board Activity Report in this Book of Reports.

One of the first calls I received early in the pandemic was from the Governor's office about getting

Retired Nurses back to work. Our fairly new Secretary of Health wanted to run the state's COVID

hotline 24/7 and needed additional staffing, so I redirected him to the Medical Reserve Corp

(OkMRC). ONA helped establish this medical volunteer network in the years following 9/11 so that

we had an organized and trained group of nurses ready to respond in disasters and pandemic.

ONA has a long history of collaborative work with the Oklahoma Hospital Association, longterm

care associations, pharmacists, and the medical groups –State Medical, Osteopathic, and

Academy of Family Physicians. We signed on to letters advising the Governor on policies such as

Shelter in Place/Stay at Home, Testing, PPE, elective surgeries, and face coverings policies. ONA

wrote a letter to encourage the Governor on relaxing APRN Scope of Practice. This letter was also

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signed by other nursing groups and the State Chamber. Our joint letters were featured in local

newspapers, and we hit Rachel Maddow in her report on Good and Bad things Governors were

doing.

As our Oklahoma communities considered plans for reopening their economies, we weighed

in with scientific and practical advice from the healthcare frontlines. We have continued these

partnerships as the Healthier Oklahoma Coalition. Our work has focused on educating the public

on ways to stop the spread of this virus by utilizing face masks, social/physical distancing, and hand

hygiene.

ONA continues to be concerned with the ongoing effects of our long-time nursing shortage. As

the media counts beds, we are talking about staffing! An empty bed has no utility unless there are

nurses, physicians, pharmacists, etc., to care for the patient in that bed!

ONA is concerned with the demands on nurses – the current situation seems to beg the question

of whether ongoing protocols will wear nurses out physically and emotionally. How do we ensure

that nurses on the frontlines getting the support and relief they need? Other issues that we need to

consider- what about education and clinical opportunities for nursing students? I am also concerned

about the long-term effects of this pandemic on our nursing workforce, financing our healthcare

system, and more.

ONA is working to ensure that we continue to develop resources and support for our members.

ONA knows nurses are dealing with a multitude of emotions: anger, frustration, exhaustion, and

disappointment regarding employment security during the pandemic. Developing solutions to

workforce issues will be a major focus of the year ahead. On a positive note, we look forward to

commemorating the Year of Nurse with a 200-year Birthday Celebration in honor of "Flo" at our

now virtual conference.

"What you do makes a difference, and you have to decide what kind of difference you want to make."

- Jane Goodall

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2020 LEGISLATIVE SESSION

OKLAHOMA NURSES ASSOCIATION

FINAL REPORT

Submitted by: Vickie White Rankin, Government and Public Relations Professional

Government Relations Consultant for Oklahoma Nurses Association

By the People Consulting

There is a predictable rhythm to every Oklahoma Legislative Session that includes a defined

schedule of hearing deadlines for introduction and hearing of bills throughout the legislative

process. Each year, the energy level reaches multiple crescendos, ebbing and flowing, the halls of

the Capitol humming variably with predictable activity. Even within a session's natural rhythm, a few

surprises inevitably arise. The 2020 Legislative Session was undoubtedly one of the most unusual,

and perhaps unpredictable, of all the thirty-four years of Oklahoma sessions I have experienced,

both as a legislator and Government Relations Professional.

The Second Session of the Oklahoma Legislature opened as routinely as most others, on the

first Monday in February 2020. Despite a slight economic downturn, in which the State Board of

Equalization had determined that there was $85.5 million less available for appropriation in FY21

than we had in FY20, the session looked otherwise hopeful, as Legislators filed 2,243 new pieces

of legislation. It appeared to be an optimistic session for health care, as many newly filed bills

addressed issues of importance to nurses. We could not imagine how much more important health

care would become in the ensuing weeks, nor how historic and impactful this unusual session would

ultimately be.

One month after the session's opening gavel fell on March 6, Oklahoma experienced its first case

of COVID-19. Within ten days, just as the Legislature completed its House of Origin Deadline,

active cases of coronavirus were confirmed within the halls of the Capitol. This extraordinary

situation led to an unparalleled and expeditious response by our Legislature and Governor. On

March 15, the Governor declared a State of Emergency pursuant to the Oklahoma Catastrophic

Health Emergency Powers Act passed in 2003. On the following day, the Oklahoma House and

Senate amended rules to allow the Legislature to continue certain necessary activities while

avoiding large gatherings, including proxy voting. With approximately 1,400 bills still alive, the

Legislature closed the building to the public and avoided convening the full bodies of both Houses

for a few weeks, to reduce the impact of a rapidly spreading Pandemic. As a result, hundreds of

live pieces of legislation lay unheard. The Legislature and Oklahomans became laser-focused upon

COVID-19, a growing budget shortfall, healthcare, and the burgeoning economic fallout of the

Pandemic.

On April 6, the Legislature returned for a single day to convene in an unprecedented Pandemic

Special Session to consider the Gubernatorial Declaration of a Catastrophic Health Emergency.

This instance is the first time a 2003 law designed to respond to biological warfare, and written

following the terrorist attacks on the Twin Towers and the Pentagon, had ever been invoked. When

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the bill passed, no one truly imagined using it to fight a real Pandemic in their lifetime. On April 6,

2020, both the House and Senate provided support in a near-unanimous vote of approval, granting

the Governor greater executive authority to deal with COVID-19 during this extraordinary session.

On the same day, during the regular session, the Legislature had to address a rapidly deteriorating

budget and mid-fiscal year budget failure, as plummeting energy prices began to take their

considerable toll.

In the long three months from March 12 through June 12, Oklahoma's Governor Kevin Stitt would

issue no less than 31 Executive Orders related to COVID-19. Lobbying duties were expanded to

meet the ongoing needs created by the crisis. I remained actively involved in COVID health policy,

working to make a positive difference for nurses, monitoring and providing critical updates on vital

policy changes arising from these orders. The Executive Orders have addressed a myriad of issues,

not the least of which have been PPE, social distancing, business, and school closures, licensure,

long term care, and nursing home procedures, hospital-related issues, and many more. The need

to address COVID-19 has required new, intense, ongoing, direct government relations interactions

with local, city, and county health departments, mayors' offices, city councils, sheriffs and police

departments, state and local coalitions, state health leaders and health agencies. Our goal will

continue to be to support and protect nurses on the front lines and to care for Oklahomans, as

we strive to educate and prevent the spread of COVID-19. Nurses can remain informed through

Oklahoma Nurse Association updates and by monitoring important state and local changes in

data on the COVID-19 page of the Oklahoma State Department of Health website at https://

coronavirus.health.ok.gov, and through your local health departments.

SUMMARY OF IMPORTANT 2020 LEGISLATION

COVID-19 RELATED LEGISLATION

HB2938 Amends the current state statute to allow the Oklahoma State Department of Health to

release certain local public health data, such as that related to COVID-19, to protect the public's

health and well-being. This law became effective upon its signing by Governor Stitt on May 21,

2020.

SB 300 - The COVID-19 Public Health Emergency Limited Liability Act by Senator Daniels and

Representative O'Donnell: Protects a health care provider or health care facility from civil liability

for any harm to a person with a suspected or confirmed diagnosis of COVID-19 caused by an act

that occurred during the treatment of the person, provided it was not the result of gross negligence

or willful misconduct. The provisions of the measure are to be in effect only until October 31, 2020,

or until such time as the Governor affirmatively concludes the emergency declaration, whichever is

later. Governor Stitt signed this bill into law on May 12, 2020, and it became effective immediately

upon signing.

SB 1947 – The COVID-19 Product Protection Act by Senator Pro Tempore Treat and Speaker

McCall: Provides civil immunity to anyone who develops, produces, labels, markets, sells, or

delivers third party or off-label cleaning supplies and personal protective equipment in response to

the COVID-19 public health emergency. The immunity applies only if the individual is not ordinarily

the manufacturer of these products. The immunity extends to any government entity, health care

facility, provider, business, or first responder, that uses or dispenses these products. Immunity will

be applicable to claims filed on or after the March 15, 2020. However, immunity will not apply

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to anyone who had knowledge of a product defect or who acts with deliberate indifference or

intention to cause harm. Governor Stitt signed this bill into law on May 21, 2020, and it became

effective immediately upon signing.

NURSES' SUCCESS IN 2020 LEGISLATIVE SESSION

In spite of COVID-19 and the six weeks-long shut-down of the Capitol, the Oklahoma Nurses'

Association experienced an extremely successful legislative session. There were 1400 bills still alive

when the Capitol was shut down due to COVID-19, shortly after the House of Origin deadline in

mid-March. With the loss of a critical phase of the normal legislative session, and the need to focus

on the Pandemic, the Catastrophic Health Emergency, and the related budget crisis, it became

readily apparent that there would not be time to hear a vast majority of live 2020 bills. Only a small

select handful of surviving bills in the House and Senate would be eventually be heard. In contrast,

others would be rewritten to address urgent emerging needs created by the COVID-19 Pandemic.

Below are some highlights of the 2020 legislation passed important to the Oklahoma Nurses

Association.

SB1290 – Healthcare Worker Protection Act by Senator Weaver and Representative Roe: Corrected

the upside-down penalty in pre-existing law, increasing the penalty for aggravated assault in the

healthcare workplace, so that Oklahoma healthcare workers who are assaulted while on the job

can be protected. It further requires that warning signs be posted, reading, "Warning: Assaulting

a Medical Professional Who Is Engaged in the Performance of His or Her Official Duties Is a

Serious Crime," and that an annual report of all such assaults be submitted to the Oklahoma State

Department of Health. Signed by Gov. Stitt May 20, 2020. Effective Date: November 1, 2020

SB1423 – Increase Age to Purchase Tobacco by Senator McCortney and Representative Wallace:

Increases the age for tobacco purchases from 18 to 21 to make Oklahoma state law consistent with

federal law, improving health and enforcement efforts. Signed by Governor Stitt on May 19, 2020.

Effective Date May 19, 2020.

SB1823 – Shepherd's Law by Senator Stanley and Rep. Roe: Makes Oklahoma the 35th state

that licenses Midwives. Provides that the Oklahoma Commissioner of Health has oversight over

the profession of Midwifery, and creates an Advisory Committee on Midwifery to assist the

Commissioner in defined responsibilities related to licensure, oversight, discipline, formulary,

routine tests, continuing education, etc. The Health Department (OSDH) will maintain a roster of

all licensed midwives in Oklahoma. Senator Stanley, an educator, and Representative Roe, a nurse

(APRN), responded to the parental request and public outcry following the tragic death of an

infant following a planned home delivery. SB1823, establishes licensure, providing oversight and

accountability while preserving parental choice. It requires Certified Professional Midwives and

Certified Midwives to be licensed pursuant to Oklahoma law, and related OSDH rules. It requires

all midwives, including lay midwives to provide an informed consent document that discloses their

licensure or lack thereof, that discloses whether or not they carry liability insurance, and that sets

forth a plan related to emergencies and complications, allowing the parents to preselect a hospital

in the event that emergency treatment and transportation to a hospital becomes necessary. Signed

by Gov. Stitt on May 18, 2020, Shephard's Law goes into effect on November 1, 2020.

SB1788 – Veterinary Nurse Bill by Sen. Casey and Rep. Kerbs: Sought to allow a Veterinary

Technician to be referred to as a "Registered Veterinary Nurse." However, the title Registered

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Nurse is protected under Oklahoma statutes, just as Veterinarians are not called "physicians" in our

statutes.

Registered nurses, even with their many qualifications, are not allowed to treat animals in veterinary

settings, nor are vet techs, allowed to treat humans in medical settings. Despite these facts, this

bill made it out of the Senate Agriculture and Wildlife Committee, with strong support from the

agricultural community and veterinarians. Oklahoma Nurses strongly opposed this bill once it

reached the floor of the Senate. This bill died on the Senate floor on the last day of bill deadline

for passage in the House of Origin, because the author was unable to obtain sufficient votes for

a hearing. There have been unsuccessful attempts to pass this bill in multiple other states, but we

may see this resurface again in the future.

SB801 – Nurse Anesthetist Bill by Senator Rosino and Representative McEntire: Provides that

nurse anesthetists may practice in collaboration with physicians. The Oklahoma Association of

Nurse Anesthetists worked diligently and with great care to negotiate language with key physician

organizations in order to develop agreed-upon language that would unite rather than divide

constituents of legislative leaders. Their bill passed both houses unanimously and serves as a model

for the manner in which health care professionals can successfully approach potential changes to

their practice acts. Signed by Gov. Stitt on May 1, 2020, this measure went into effect upon signing.

HB2587 – The Non-Discrimination in Healthcare Coverage Act by Representative Roberts and

Senator Daniels: Provides protections and certain rights to people with chronic illnesses, disabilities,

and advanced age, that may place them at higher risk. It prohibits reliance upon discriminatory

measures in the development of healthcare recommendations. It requires that state agencies

must consult with organizations representing older adults and the disabled before implementing

changes that impact them. The legislation further requires submission of an annual report to the

Legislature, which will also be posted on the state Medicaid website, outlining beneficiaries' access

to services, with emphasis on services for those with chronic illness, the disabled, and the elderly.

Signed by Gov. Stitt on May 21, 2020, this measure goes into effect on November 1, 2020.

STATE BUDGET AND IMPACT ON HEALTH CARE

The State Board of Equalization initially certified a shortfall of $85.5 million for FY21 over the

previous year, as the energy sector had already begun to dwindle, and other income to the

general revenue fund appeared to be dragging. Despite the slow economic picture, the session

began hopefully, until the COVID-19 Pandemic paralyzed the country and energy prices began

to plummet to record lows. This spring, the shortfall ballooned to $1.4 billion, as certified by the

State Board of Equalization. The House and Senate mobilized to mitigate the loss by reducing

the depth of potential cuts to state agencies, particularly critical care services and health care, for

the fiscal year beginning July 1, 2020. The use of one-time monies from the Rainy Day Fund and

Revenue Stabilization Fund made an enormous difference this year. As the Pandemic continues

its unmitigated spread, the state may face much deeper cuts impacting a wide array of needed

services in the 58th Legislative Session.

SB 1922 – The General Revenue Bill by Senator Thompson and Wallace: Provides for FY21

appropriations to state agencies, including health agencies. While this measure protects the

Oklahoma Health Care Authority by maintaining it at last year's appropriation level, some other

agencies are cut more deeply, since there was $1.4 billion less in revenue compared to the FY21

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budget. The good news is that agency appropriation reductions averaged only 4% in most cases,

and considerably better when compared to the much deeper across the board cuts initially

proposed by the Governor. Governor Stitt vetoed this bill. The Senate and House overrode the

Governor's veto, allowing the bill to become law, notwithstanding the Governor's veto. SB1922

Went into effect on July 1, 2020, the first day of the fiscal year.

SB1718 – Mental Health Parity Act – By Senator Montgomery and Representative Echols: Provides

parity in mental health insurance coverage by providing parallel coverage under Oklahoma state

law. This seeks to enhance Oklahoma enforcement of requirements for mental health care coverage

at a level comparable to that of physical health care, under health insurance plans authorized in

this state. Governor Stitt signed SB1718 on May 19, 2020. This measure will become effective on

November 1, 2020.

MEDICAID EXPANSION AND RELATED LEGISLATION

SQ 802 - On June 30, 2020, Oklahoma became the 37th state to pass Medicaid Expansion with

the passage of SQ802 by a vote of 50.48% to 49.52%. Medicaid Expansion covers Oklahoma

adults ages 18-64, earning 133% of the poverty level or less. Using federal poverty guidelines,

income below $17,236 annually would allow a single adult to be eligible for coverage, while adults

with a family of four would become eligible with an income under $35,535 annually. Under the

constitutional provisions of SQ802, the state of Oklahoma will now be required to pay for its'

portion of the cost (currently 10%), with the federal government paying the balance. Medicaid

Expansion will go into effect in Oklahoma on July 1, 2021. The Oklahoma legislature will have until

that date to develop a workable funding mechanism to pay the estimated $164 million to cover the

costs of the expansion.

SJR 27 - Redirects Majority of TSET Funds for Support of Medicaid by Senator David and

Representative Wallace: Provides for a future State Question that will allow Oklahomans to vote on

whether to redirect the majority of future Master Settlement Agreement payments from the TSET

endowment to the General Revenue Fund to support the state's expanded Medicaid program. SJR

27 would create a state question to redirect 75% of future lawsuit settlement payments away from

the voter created TSET endowment. The large corpus of TSET money will not be affected, and 25%

of TSET revenue will continue to go to TSET. 75% of future revenues coming into TSET could go to

support Medicaid. Passed House 81-17; Passed Senate 34-11; Direct to Secretary of State.

SB 1046 - SHOPP by Senator Thompson and Representative Wallace: Defines newly eligible

Medicaid populations, defines hardships, establishing Medicaid expansion subject to waiver

approval. An amendment allowed for privatized Medicaid managed care, ultimately leading to a

Gubernatorial veto of the bill. VETOED by Governor Stitt.

CMS Application Medicaid Expansion - Governor Stitt had submitted an official application to

CMS (Center for Medicare and Medicaid Services) during the 2020 Legislative session, seeking to

expand Oklahoma's Sooner Care Program by July 1, 2020. Recently, his administration officially

withdrew their (CMS) application, indicating that the Legislature has not provided a long-term

ongoing funding mechanism, despite Governor Stitt's veto of SB1046 in May.

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INTERIM STUDIES

Lobbying and Government Relations does not begin and end with the Legislative Session. It

is a year-round effort that requires ongoing communications with public officials and members

of the Legislature. Monitoring interim study activity is a crucial part of this process. Legislators

often request interim studies, whether to review an issue of interest in more depth, to appease a

constituent group in place of actually hearing a bill, or to draw press and legislative attention to an

issue prior to a legislative session. The list of approved 2020 Interim Studies below may give some

insight into areas the 2020 Legislature is interested in discussing. One must remember, however,

even an "approved" interim study is not guaranteed a hearing by the committee to which it is

assigned, particularly when COVID-19 continues to limit gatherings. We often see a reduction in

the number and length of actual hearings in an election year, as well. It is also important to note

that an interim study is not necessarily an indication that a related bill will (or won't) be filed or

actually heard once the session begins. It does, however, help us to prepare for the possibility

that certain subjects will be addressed in legislation in the coming session. Below is a list of the

interim studies assigned to House and Senate Committees that are most likely to be of interest or

consequence to ONA members and their interests.

Senate Approved Interim Studies of Interest to ONA

Senator Hicks – A Study of the Standards of Care and Coverage for Persons with Diabetes

Senator Howard – Medicaid Expansion and Prison / County Jail Housing and Health Care

Senator Jech – Department of Corrections Procedures During a Health Crisis

Senator McCortney – Medication-Assisted Treatment for Drug Addiction

House Approved Interim Studies of Interest to ONA

Representative Frix - A study of insurers that may terminate a preferred healthcare providers' innetwork

contract solely for making out-of-network referrals for their patients.

Representative Tammy West - A study to examine the lessons and best practices moving forward to

protect vulnerable adults in long-term care facilities from COVID-19.

Representative Bush - A study on medical-legal partnerships, formally pairing lawyers with health

professionals to address potential legal issues that complicate health outcomes.

Representative Munson - A study on how the accessibility of Loperamide has contributed to the

opioid epidemic.

Representative Josh West - A study to examine the regulations concerning data privacy in

Oklahoma.

Representative Kevin West - A study on the Catastrophic Health Emergency Powers Act.

Representative Caldwell - A study on possible coordination with CareerTech to implement a

program to train non-violent offenders to become CNAs to provide care for others in the Dept. of

Corrections custody who require hospice care.

Representative Roe - A study on rural emergency medical services (EMS) districts to explore

options to reduce the distance from ambulance services to rural areas.

Representative Moore - A study examining possible ways to address high health insurance costs,

examining guaranteed cost, group, individual, self-funded, and buying groups.

Representative Moore - A study on the mental health welfare of first responders.

Representative Caldwell - A study on the authority granted to municipalities during declared

emergencies.

Representative Roberts - A study on Oklahoma's pandemic preparedness.

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Representative Pittman - A study to identify best practices and tools to deal with various mental

health issues in communities of color.

Representative Echols - A study on the Oklahoma Medical Marijuana Program.

SUMMARY

Despite the disruption of COVID-19, the 57th Session of the Oklahoma Legislature was extremely

successful for the Oklahoma Nurses Association. We passed our most important introduced bills,

protected funding for healthcare despite the budget shortfall, and defeated legislation adverse

to our interests. As we move forward into the 58th Legislative Session, we will face tremendous

challenges, ranging from issues related to Sars-CoV-2 (COVID-19), health insurance coverage,

issues affecting access to health and mental health care, long-term care, and legislative battles

over local governance versus centralized governance. We anticipate struggles over the manner

in which we administer and fund Medicaid expansion during a budget shortfall while protecting

funding for healthcare workforce education. Once again, we will have to deal with the issues of

privatized managed care and third-party insurers or MCO's applied to Medicaid. It is also clear

that Sars-CoV-2 may alter the legislative landscape and the economic horizon as the 58th session

convenes. We may yet face some of the most devastating health and economic consequences of

the COVID-19 Pandemic. When nurses join their association and become active and engaged in the

process, you each make a tremendous positive difference in your profession, in decisi0ons made

by your state and local governments, and in the health and lives of many thousands of Oklahomans

across generations.

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ONA EDUCATION REPORT

Submitted by: Vanessa Wright, PhD, MSN, RN

Applying for Approved Provider Status - Historically, Oklahoma Nurses Association (ONA) was

an Approved Provider of continuing nursing education through the Texas Nurses Association. This

allowed ONA to provide continuing education activities and Joint Provide with other entities in

Oklahoma to offer continuing education credits to nurses. As of June 30th, 2020, TNA discontinued

its ANCC CNE Approver Unit, requiring ONA to apply for Approved Provider Status with Midwest

Multistate Division (MWMSD). Approved provider status changed effective 07/27/2020. New

documentation forms are available to organizations and regions applying for CE contact hours.

Virtual Networking and Continuing Education - “Networks of Support: Connecting Oklahoma

Nurses” was an initiative that started in the Spring of 2020 to support Nurses during the shelter

at home phase of the pandemic. The weekly open forum facilitated by ONA leadership allowed

nurses to share stories and experiences with fellow nurse colleagues across the state. Oklahoma

Nurses Association determined to create an extension of the “Networks of Support” due to the

positive responses of those who participated. The potential evolution of the initiative includes

launching technology facilitated educational sessions for nurses. Some of the educational sessions

present nurses the opportunity to obtain continuing education credits.

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2020 Oklahoma Nurses Association

MEMBERSHIP DEVELOPMENT REPORT

Submitted by: Brandi Payton, Membership Development Chair

The Membership Development Committee received no proposals for new Chapter development in

2020. No requests were made for Membership Development funds in 2020.

We have seen Region 5 reactivate under the leadership of Nakeda Hall, Region 5 President/

Representative. The committee continues to reach out to leaders and seek ways to engage Region

4 but has had some challenges in 2020 with a focus on the COVID pandemic. Despite the obstacles

that 2020 has given us with the COVID pandemic, ONA has seen a nearly 16% increase in overall

membership with approximately 225 new members from January to June 2020.

Regions 1, 2, and 3 continue to meet regularly, though with some postponements secondary to the

COVID pandemic.

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ONA NOMINATIONS REPORT

Submitted by: 2020 Nominations Committee

Samantha Mitchell, Ann Kappen, Kim Knox, Mikie Salazar, Velmarie Swing

The ONA Nominations Committee issued a call for the following offices on the ONA Website:

• Nominating Committee Members

• President-Elect

• Secretary-Treasurer

• Education Director

• Membership Development Director

• ANA Membership Assembly Representatives

Members that submitted a Consent to Serve and met the requirements set out by the ONA Bylaws

and Nominating Committee policies are listed below. We will announce election results at the

ONA House of Delegates, which will be held virtually on September 30.

Nominations Committee (2-year term) Elect Three

Denise Barnett, BSN, RN

Deborah Browning, RN, MSN, CENP

Tamara Hanks, MSN, APRN, PCNS-BC, CNOR

Rosalind Sims, BSN, MBA/HCM, RN, PCCN

President-Elect (2 years as President-Elect and 2 years as President)

Angie Kamermayer, DNP, APRN-CNS, NEA-BC

Secretary/Treasurer (2-year term) Elect One

Amber Garretson, MSN, APRN-CNS, CCRN

Joseph Catalano, RN, Ph D

Education Director (2-year term) Elect One

Susanna McDaniel, DNP, AGACNP-BC, CVRN-BC

Mindy Thompson, DNP, APRN, FNP-C, CNE

Vanessa Wright, Ph.D., MSN, RN

Membership Development Director (2-year term) Elect One

Amy Hutchens, Ph.D., RN, CNE

Lucas Richardson-Walker, BSN, RN

ANA Membership Assembly Representative (2-year term) Elect Three

Denise Barnett, BSN, RN

Joseph Catalano, RN, Ph D

Amber Garretson, MSN, APRN-CNS, CCRN

Angie Kamermayer, DNP, APRN-CNS, NEA-BC

Lucas Richardson-Walker, BSN, RN

Mikie Salazar, APRN, FNP

Rosalind Sims, BSN, MBA/HCM, RN, PCCN

Mindy Thompson, DNP, APRN, FNP-C, CNE

Shelly Wells, Ph.D., MBA, MS, APRN-CNS, ANEF (Current President-Elect)

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REGION 2 REPORT

Submitted by: Donna Fesler, MS, RN, CNEcl, Region 2 President

Region 2 remains active supporting nurses in and around Tulsa County despite the global

pandemic. We were able to start our 2019 fiscal year by having a great Transition Meeting with a

team-building activity of making scrapbook pages that provided a visual representation of how

we view ourselves as an individual, nurse, coworker, and any other roles. Stephanie Brixey led this

activity.

This past academic year provided some excellent topics and presenters to draw in all levels of

nurses. We hosted continuing education presentations in September with Angela Martindale’s

discussion on Investigations into Economic Class for nursing students. Jane and ONA helped

make this available via Zoom to other regions. Then in February, Patti Muller-Smith presented on

Compassionomics that inspired participants into a discussion. A huge thanks to Cathy Lovelace and

Gaye Rotramel for getting the CEs approved for these presentations.

We were able to sponsor some of the costs for Shelly Wells to attend the 2019 ANA Membership

Assembly to represent ONA. She does such a professional level of representation in all that she is

active in participating. We did not have any applicants for the stipends that we offer each year. Our

Directors At Large are in the process of reviewing the award nominations and will submit the ONA

Region 2 winners to ONA for nomination as well. We were not able to have an Awards Luncheon

this year to celebrate the accomplishments of our members, award winners, and graduating

student nurses. We are tentatively planning a recognition banquet in December if the pandemic is

no longer a threat to our nursing population by then.

The past year has been challenging for the Board of Directors. We appreciate the service and

leadership that Stephanie Brixey provided as President up until life demands moved her to resign

and Michelle Isaacs as Secretary prior to her resignation. Gaye Rotramel completed her term as

Program Coordinator-Elect. Still, due to health and other reasons, she decided that she would

not be able to fulfill the role of Program Coordinator. Their passion for ONA Region 2 inspired

many. Life Balance continues to be a challenge for many of us as we push through this pandemic.

We want to thank our outgoing Region Officers Patti Muller-Smith – Treasurer, Cathy Lovelace—

Program Coordinator, and Donna Calvin-- Directors at Large. We genuinely appreciate your hard

work in supporting our Region.

We look forward to the 2020-2021 year with our current officers: Donna Fesler – President, Interim

Secretary/Treasurer; Emma Kientz– President-Elect/ONA Representative; Dean Prentice--Program

Coordinator, Directors at Large – Larcile White, April Loeffler, Leisa Gebetsberger and Linda Lyons-

Coyle; and Vernita Alexander – Nominations Coordinator. All are excited and motivated to get the

next academic/fiscal year all planned with some excellent ideas to continue to support the nurses

of ONA Region 2.

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2020 Oklahoma Nurses Association

REGION 3 REPORT

Submitted by: Leslie Davis, MSN RN 2020-2021 President / Region 3 Representative

Region 3 had another great year. Meetings are held the second Thursday during the months of

September – May. This year’s meeting topics included: Non-diabetic foot care, new methods for

managing neuropathy, trends in dialysis care, innovative ways to combat lice, a review of human

trafficking, and a historical review of healthcare in Muskogee. We are always so appreciative

of learning new things from our many guest speakers. Meetings proceeded with precaution as

COVID-19 threatened our communities. We adapted to virtual meetings in the Spring months. Our

holiday humanitarian focus highlighted Dignity Matters, which serves women facing hardship by

supplying them with feminine hygiene or incontinence products. Region 3 also contributed to their

local installment of Habitat for Humanity.

Officer Installment for 2020-2021

President: Leslie Davis

Secretary: Laura Bircham

Treasurer: Catherine White

We look forward to another great year to serve the nurses in our region. We are prepared to adapt

virtually and maintain safe practices. We hope to grow our membership, establish a new chapter in

our region, conduct online meetings for expanded attendance, and offer CEUs.

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REGION 4 REPORT

Submitted by: Leslie Collins, DNP, MS, RN, Region 4 Representative

Hello, from Region 4 of ONA! Pat Thompson, Mikie Salazar, and I have been working hard to build

up our region, bringing existing members together, and welcoming new members! Our focus is on

reaching region 4 nurses in their home/working locations and seeing how ONA can help with their

needs and professional development. We will continue these efforts and hope to have a very active

region develop over the next couple of years. Thank you to Jane Nelson and Shelly Wells for their

support, resources, and guidance during this process. We would love ideas for building up activity

in regions; if you have them, please contact us!

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REGION 5 REPORT

Submitted by: Nakeda Hall, DNP, APRN-CNP, Region 5 President

We remain active and have some new active members and a few who have canceled. We plan

to reach out to new and old members to keep them updated on ONA. We have zoom meetings

scheduled for the rest of the year present with Nakeda Hall, Dayna Trusty, Denise, and Toni. We are

still looking to volunteer for activities.

Thank you

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2020 Oklahoma Nurses Association

OKLAHOMA NURSING STUDENT ASSOCIATION REPORT

Submitted by: Dean Prentice, Colonel, USAF (Ret), DHA, MA, BSN, NE-BC

Leadership Summit

The annual Leadership Summit was not held this year. The ONSA board evaluated the past few

years and decided not to hold one in 2020 and focus on surveying current members to determine

their needs. The ONSA board has put a lot of effort into the event with mixed results. The decision

was fruitful because the event would have been held after the state went into self-isolation.

Nurse’s Day at the Capitol

Again Nurse’s Day at the Capitol proved to be an educational journey for the nursing students

across the state. The discussion among the students from the morning activities was the event

provided new information on health policy and allowed them to understand the activities legislation

better. The Board of the ONSA assisted ONA in the registration process for the event and greatly

appreciated the dinner the night before.

National Convention

The NSNA National Convention was canceled this year due to COVID-19.

State Convention

This year the ONSA convention is undetermined. The Board is in discussions of moving it virtual or

canceling it altogether.

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OKLAHOMA STATE COUNCIL ON AGING

Submitted by: Anne W. Davis, PhD, RN State Council on Aging Advisor and Chair, Oklahoma

Long-term Care Ombudsman Program Advisory Committee

Did you know that 100 Oklahomans turn 60 every day and that there are more Oklahomans over 65

years than are 18 years or younger?! As a nurse serving as an advisor to Oklahoma's State Council

on Aging, I have been privileged to represent our profession at state council, Long-term Care

Ombudsman Advisory Committee, and at the Capitol. Of course, with COVID-19 restrictions, our

meetings have become either per Zoom or conference call. The State Council on Aging and Longterm

Care (LTC) Ombudsman Advisory meetings are scheduled quarterly. The LTC Ombudsman

group focuses on issues affecting residents in the long-term care settings, including the delivery of

advocacy services and complaint resolution through the Ombudsman Program. Meetings are open

to the public. Examples of recent issues discussed during the past year include, but are not limited

to:

• A major issue resulting from COVID-19 is the restriction of visitors, including family members

and volunteer ombudsmen, unless there is a compassionate reason to be with a resident. There

will hopefully be a change in these restrictions by the time this goes to press;

• Involuntary discharges from long-term care facilities remains a concern. Along with elder abuse,

neglect, and exploitation, involuntary discharges greatly influence resident health;

• Legislation impacting elders;

• Volunteers serving as long-term care ombudsman advocates in nursing homes are stable but

lower than those of previous years. The importance of volunteer ombudsmen who are onsite

in LTC facilities cannot be overemphasized. Bill Whited, Oklahoma's state LTC Ombudsman,

estimates that 99% of all complaint cases are resolved within the LTC Ombudsman process.

Monitoring bills that impact Aging Services programs require active vigilance and interventions.

Communicating with our state representatives and senators can be accomplished either in-person

or electronically. You are vital to the legislative process! To track a bill, simply go to http://www.

oklegislature.gov/BasicSearchForm.aspx. Nurses can and do make a difference in how our elected

representatives vote on bills; your voice is needed! Please: do not underestimate your potential to

influence your representatives!

A dedicated group representing Oklahoma's Aging Partnership, composed of the Alliance on

Aging, Oklahoma Silver Haired Legislator Alumni Association, and the State Council on Aging,

meets to plan activities, such as meeting with our legislators about specific bills and attending

committee meetings. I have come to greatly appreciate both legislators who listen and those

advocates, such as Jane Nelson, who spend many intense hours advocating for nurses and issues

which impact nurses.

Please email me (aiwdavis73@gmail.com) if you have questions or feedback related to the State

Council on Aging, especially the Long-term Care Ombudsman Advisory Committee, or information

in this report.

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OKLAHOMA OPIOID OVERDOSE

FATALITY REVIEW BOARD

Submitted by: Sheila St. Cyr, M.S., R.N., N.P.D.-B.C.

On May 8, 2018, Governor Mary Fallin signed HB 2798 to establish the Opioid Overdose Fatality

Review Board. The Review Board was a key legislative recommendation by the Oklahoma

Commission on Opioid Abuse and became law in November of 2018. The Board is comprised

of subject matter experts from the following areas: forensic medicine, law enforcement, criminal

justice, emergency medical services, public health, drug addiction treatment and recovery, and the

lived experience. The members meet quarterly to review cases and develop strategies to improve

the state's response to opioid overdoses by its citizens.

The Review Board met for the first time on January 29, 2019, to discuss the Board's goals and

procedures. The Board met three additional times in 2019 under the direction of Dr. Jason

Beaman, D.O., Chairman of the Board. Midwest City Policy Chief Brandon Clabes and Dr. Keven

Taubman, M.D., serve as co-Vice-Chairmen of the Board. Local experts provided education and

training on Oklahoma opioid overdose data and processes followed by the Office of the Chief

Medical Examiner of Oklahoma and law enforcement agencies where opioid overdose fatalities are

concerned. The Office of the Chief Medical Examiner provided a list of Oklahoma decedents who

had unintentional opioid poisoning listed as the primary cause of death. The Board chose cases for

review from this list.

For cases reviewed, the Board staff performed an initial review of records. The information yielded

from the review was abstracted to detail a timeline of events that preceded the individual's death.

The cases were then presented to the Board where members performed a more comprehensive

review during the executive session. The Board members, from the data collected, were asked

to identify trends, opportunities for detection or intervention, and to develop recommendations

to prevent fatal opioid overdoses. For 2019, the Board reviewed 13 cases. These 13 cases of

unintentional opioid overdoses occurred between January 2018 and September 2019. A detailed

description of the demographics, cause of death by drug type, naloxone use, and other findings

and recommendations are found in the full Annual Report of the Oklahoma Opioid Overdose

Fatality Review Board 2019 (http://www.oag.ok.gov/Websites/oag/images/Final%20Fatality%20

Review%20Board%20Report%201-31-2020_.pdf).

The Board had their first meeting of 202O on January 17. There were two additional Board

meetings scheduled for April 17 and July 17. Due to the rising COVID rates and concern for

everyone's health and safety, these two meetings were canceled. Possible virtual platforms are

being explored to ensure the Board's progress, and case reviews can continue.

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OBN NURSING EDUCATION AND NURSING

PRACTICE ADVISORY COMMITTEE

Submitted by: Shelly Wells, PhD, MBA, MS, APRN-CNS, ANEF

The Nursing Education and Nursing Practice Advisory Committee (NENPAC) of the Oklahoma

Board of Nursing met twice since our last report. This committee consists of nurses engaged

in practice, education, and administration at all levels. The committee is charged with the

review of existing Board practice guidelines and rules to assure that best practice is followed.

Recommendations are forwarded to the Oklahoma Board of Nursing members for final approval.

The OBN website is updated after final approval is received.

This year, the committee voted to revise two practice guidelines as follows:

P#22: Placement of Nasogastric Tubes by Registered Nurses in Post Bariatric or Anatomy Altered

(Upper Gastrointestinal tract and Stomach) Surgical Patients. References were updated, and

language was added that "the nasogastric tubes are made of various materials and vary in diameter

and length."

P#14: Patient Assessment Guidelines: The references for this guideline were updated.

Other guidelines that were reviewed with no changes recommended included:

Meeting Requirements for Continuing Qualifications for Practice for License Renewal Guidelines

Employment of Nursing Students or Non-Licensed Graduates Guidelines

Determining Appropriate Faculty to Student Ratios in the Clinical Area in Board-Approved Nursing

Education Programs Guidelines

Nursing Competencies by Educational Level: Guidelines for Nursing Practice and Education in

Oklahoma

The customary summer meeting of the NENPAC did not meet due to the COVID-19 situation.

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OKLAHOMA MEDICAL RESERVE CORPS NURSES

Submitted by: Loren Stein, MSN, RNC-NIC, OKMRC Nurses Unit Coordinator

The Oklahoma Medical Reserve Corps Nurses was one of the first MRC Units created in Oklahoma

and one of the first in the United States to be based within a professional organization. Nurses

represent the largest group of health care professionals in the state and within the OKMRC. The

OKMRC Nurses Unit works with other OKMRC county units to assist in recruiting, training, and

engaging nurse volunteers.

This summer, The Oklahoma MRC Nurses Unit once again sponsored a Summer Nursing Student

Externship in Public Health Emergency Preparedness & Response. This year is the 5th summer an

externship was offered. This year the externship was entirely virtual and offered over four weeks.

Seventeen nursing students from the Northwestern Oklahoma State University Charles Morton

Share Trust Nursing program and The University of Oklahoma Fran and Earl Ziegler College of

Nursing participated.

The focus of the externship was mass immunization. Before COVID-19, mass immunization seemed

like a good idea. Today, there is a public health landscape where mass immunizations will occur

as soon as there is a vaccine with enough available for such. The goal is to have training modules

that nursing programs incorporate into their curriculum that educate nursing students about public

health emergency preparedness and provide the training to allow nursing students to assist with

the local health department mass immunization program. The COVID Pandemic required changing

the format from in-person training to remote Zoom meetings and online training. It also spurred

the additional content on learning the characteristics of the COVID-19 disease, understanding the

development of the COVID-19 pandemic, and discussing societal challenges raised by COVID-19

and opportunities to address them.

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COMMUNITY RELATIONS BOARD OF THE

FEDERAL TRANSFER CENTER

Submitted by: Joseph T. Catalano, PhD, RN, Representative from ONA

The Federal Transfer Center (FTC) is a US federal prison facility for male and female inmates. It is

operated by the Federal Bureau of Prisons, a division of the United States Department of Justice.

The FTC is located near the OKC airport and houses holdover offenders and parole violators who

have yet to be assigned to a permanent prison facility. Prisoners spend anywhere from a few hours

to weeks at the transfer center until they are moved on. The facility moves approximately 87,000

prisoners through the center every year, with an average daily turnover rate of 1,600. Almost every

prisoner who has moved anywhere in the US goes through the FTC. The FTC also maintains a small

resident population of prisoners who may be incarcerated for short periods instead of being sent to

a large federal prison.

As a federal prison, the FTC must meet many regulations and standards for accreditation by several

local and national agencies. One of the accreditation requirements is to meet with a varied group

of individuals from the public who are interested in the welfare of the inmates at the facility. In

response to this requirement, the FTC has established the Community Relations Board, which has

several individuals from healthcare, including a nurse, mental health, and a physician. There are also

members of local law enforcement and the FTC. Meetings are held every other month. This year

the prison underwent and received Federal Prison Board Certification for another ten years.

The meeting format consists of a presentation by an individual from one of the prison

departments, followed by a question and answer period from the members of the committee who

are attending. The presentations are always interesting and informative. Topics included gangs

in prisons, food, health care, mental health issues, technology, re-entry programs, and education.

Unfortunately, the meetings were discontinued because of the COVID-19 pandemic starting in

March. At this point, no future meetings are scheduled.

The community members are asked if they have any comments or observations that may improve

the care provided by the staff. They are also asked to present a short report on their activities and if

they have any questions.

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OKLAHOMA DOMESTIC VIOLENCE FATALITY

REVIEW BOARD

Submitted by: Janet Sullivan-Wilson, PhD, RN, Oklahoma Nurses Association Designee,

Donna L. Wong Professor in Nursing Science, Associate Director, RCGNE Community Based

Interdisciplinary Research Fran and Earl Ziegler College of Nursing, University of Oklahoma

Health Sciences Center

MISSION of the Domestic Violence Fatality Review Board:

The mission of the Oklahoma Domestic Violence Fatality Review Board is to reduce the number

of domestic violence-related deaths in Oklahoma. The Board will perform multidisciplinary case

reviews of statistical data and information derived from disciplines with jurisdiction and/or direct

involvement with the case to develop recommendations to improve policies, procedures, and

practices within the systems involved and between agencies that protect and serve victims of

domestic abuse. The Review Board is composed of eighteen (18) members (or designees).

DOMESTIC VIOLENCE DEFINITIONS

22 § 60.1

PURPOSES:

1. The Oklahoma Domestic Violence Fatality Review Board shall review and study the fatalities

caused as a direct result of domestic violence acts and/or domestic violence is demonstrated to

have had a causative effect upon the death of an individual. The Board shall:

a) Conduct an in-depth review of domestic violence situations resulting in a fatality

b) Develop accurate statistical information of domestic violence-related fatalities

c) Make recommendations to improve access to protective services to those who may be living

in a dangerous domestic environment

d) Make recommendations to improve policies, procedure, and access to support systems that

serve victims of domestic violence

e) Carry out such duties and responsibilities as the Board shall designate

2. In fulfilling this purpose, the Board shall be guided by specific principles:

a) Case review and data analysis shall be for the purpose of resolving systemic issues.

Individual case management shall be specifically outside the purview of the Board.

b) The Board shall be inclusive, seeking input from and the expertise of the diverse agencies

and disciplines working to resolve domestic violence issues.

c) Collaboration, coordination, and communication shall be central to the operations of the

Board.

d) All activities shall be conducted in a manner respectful to victims of domestic violence and

the feelings of their families.

3. The Office of Attorney General shall promulgate policies and procedures to administer the

Board.

See 22O.S. 1601-1603§

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2019 Oklahoma Domestic Violence Fatality Review Board (ODVFRB) Activities:

1. The 2019 ODVFRB Annual Report of the Oklahoma Domestic Violence Fatality Review

Board analyzes 2018 Oklahoma domestic violence deaths. Please share this report with

interdisciplinary colleagues. In addition to the Board’s recommendations for Oklahoma, the

report describes major findings and gives professional resources. It is a wealth of information

about intimate partner violence homicides in Oklahoma and can be distributed widely.

http://www.oag.ok.gov/Websites/oag/images/2019%20DVFRB%20Annual%20Report%20-%20

Final.pdf

2018 ODVFRB Report findings at a glance:

o In 2018, there were 82 deaths in Oklahoma due to domestic violence.

o Leading causes of deaths: firearms (59%), followed by knife/cutting instruments, blunt

force, strangulation, and asphyxiation. Firearms were also the cause of death of the 9

(100%) perpetrators who committed suicide or died by law enforcement, bystander,

Good Samaritan intervention.

o Gender: In 2018, consistent with national data and previous years in Oklahoma, men

were more likely to be perpetrators, and women were more likely than men to be killed

by an intimate partner than by a non-intimate partner.

o 1,785 victims died in Oklahoma because of domestic violence between 1998 and 2018.

o The average age of all domestic violence victims was almost 38 years old; of all adult

victims, almost 44 years old

o Of the 88 victims, 63% were Caucasian, 14% African-American, 5% Naïve American 15%

Hispanic/Latino, 3% Asian, and 1% identified as “other.”

o Consistent with national data, firearms continue to be the most commonly used weapon

in domestic violence homicides

o The Review Board identified 14 children (


2020 Oklahoma Nurses Association

Wilson, with members of the LAP, began the work of submitting an OVW grant proposal related to

evaluation of the implementation fidelity of the Oklahoma Lethality Assessment Protocol. Criminal

justice interventions that work well in highly controlled research trials may fail to yield the same

outcomes when they transition to real-life settings if they are not performed as the original protocol

specified. The purpose of the proposal is to determine the extent to which the OK-LA (a National

Institute of Justice “promising practice”) adheres to or is consistent with the intended research

protocol now that it is legislated and transitioning into “real world” settings in Oklahoma.

4. Operation 922

Operation 922 is a new domestic violence legal initiative from the US Attorney Office of the

Western District of Oklahoma that says when a subject is in possession of a firearm while subject

to a Victim Protective Order, after a prior misdemeanor or conviction for domestic assault and

battery, or after a felony, the US Attorney can prosecute that firearms offense as a federal offense.

This strategy of prosecuting offenders with a criminal history of domestic violence including

misdemeanor convictions and those subject to a Victims Protective Order has proven to be

protective of victims because the initiative can prosecute these cases as federal firearms violations,

focusing on the illegal possession of the firearm and protects victims from the necessity to testify

about the specific abuse by the defendant.

5. Resources for Nurses: (See other resources in the Annual Report)

The Strangulation Training Institute provides onsite trainings in San Diego, CA, or other

locations as well as online trainings and an online library of reference materials. https://www.

strangulationtraininginstitute.com/. Trainings are available for healthcare professionals on a regular

basis

US Preventive Services Task Force recommends that clinicians screen for intimate partner violence

(IPV) in women of reproductive age and provide or refer women who screen positive to ongoing

support services. Several screening instruments can be used to screen women for IPV. The following

instruments accurately detect IPV in the past year among adult women: Humiliation, Afraid,

Rape, Kick (HARK); Hurt, Insult, Threaten, Scream (HITS); Extended–Hurt, Insult, Threaten, Scream

(E-HITS); Partner Violence Screen (PVS); and Woman Abuse Screening Tool (WAST). HARK includes

4 questions that assess emotional and physical IPV in the past year. HITS includes 4 items that

assess the frequency of IPV, and E-HITS includes an additional question to assess the frequency of

sexual violence. PVS includes 3 items that assess physical abuse and safety. WAST includes 8 items

that assess physical and emotional IPV.

https://www.uspreventiveservicestaskforce.org/BrowseRec/Search?s=domestic+abuse

National Health Resource Center (HRC) on Domestic Violence, The Futures Without Violence,

provides numerous resources for health care providers use in the clinical area to screen, assess,

treat, and refer for intimate partner trauma. The HRC offers a number of multilingual, low-literacy

patient education safety cards that provide information on healthy and unhealthy relationships,

their impact on health, and list national referrals for support. The evidence-based safety card tool

was developed to help clinicians, and domestic violence/sexual assault (DV/SA) advocates open

conversations about DV/SA and healthy relationships with their clients. They are typically a 4-5

panel double-sided tool that folds into a 2.5 x 3-inch card (business-card sized)

https://www.futureswithoutviolence.org/health/

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2020 Oklahoma Nurses Association

HEALTHCARE WORKFORCE SUBCOMMITTEE TO

THE GOVERNOR’S COUNCIL FOR WORKFORCE

AND ECONOMIC DEVELOPMENT

Submitted by: Shelly Wells, PhD, MBA, MS, APRN-CNS, ANEF

The Healthcare Workforce Subcommittee met twice this past year. The Subcommittee worked to

refine the ongoing group goals as follows:

Build capacity for health workforce data collection

Commit to strategic recruitment and retention strategies

Maximize the talent pipeline through public-private partnerships.

The COVID-19 pandemic shutdown slowed the work of the Subcommittee; however, there were

several positive outcomes related to goal #2 realized:

Passage and enactment of SB 1290 – Medical Care Provider Safety Act

Physician Manpower Training Commission Nursing Education Program qualifications and funding

was modified to emphasize training need for rural Oklahoma. The amounts of awards were

increased, and the "Doctor of Nursing Practice" was added to the types of programs that are

eligible.

Rural Health Projects Office in Enid, Oklahoma, was awarded a $75,000 Sector Grant to explore

the opportunity to develop a shared Nurse Residency Program for Oklahoma's rural hospitals. A

needs assessment was completed. A group of rural nursing leaders convened to identify necessary

components and partnership opportunities for a shared residency program for the state's smaller

rural and critical access hospitals.

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OKLAHOMA HEALTH CARE WORKFORCE CENTER

Submitted by: Lara Morris and Dr. Debbie Blanke

Although collaborations on healthcare workforce development have been a

direct effort in Oklahoma for over 20 years, in 2006, Senator Susan Paddack

and Representative Doug Cox co-authored Senate Bill 1394, which was

passed by the legislature and became effective November 1, 2006.

SB 1394 created the Oklahoma Health Care Workforce Resources Center (Resources Center)

to coordinate, facilitate, and communicate statewide efforts to meet the supply and demand

needs of Oklahoma's healthcare workforce. The initial focus for the Center includes health care

professionals in short supply, including nurses. The Resources Center was expected to focus on

1.) Data collection to support strategic decisions and policy recommendations regarding current

healthcare worker supply and demand, future supply and demand, and gap analyses; 2.) Education

and training ensure that Oklahoma's current education and training systems have the resources

and support necessary to produce the number of health care workers needed in both the short and

long term; 3.) Recruitment to increase the level of awareness among Oklahoma's youth and adults

of the opportunities available in health care, thereby increasing the number of individuals entering

health careers, and 4.) Retention to improve job satisfaction and retention rates for Oklahoma

health care employees.

The Resources Center in legislation has not appropriated any funding for these activities and

services. As a result, the Oklahoma Health Care Workforce Center (OHCWC) was created as a

public-private partnership in September 2011 with in-kind and monetary contributions from The

Oklahoma Hospital Association, the Oklahoma Department of Commerce, the Oklahoma State

Regents for Higher Education, the Oklahoma Department of Career and Technical Education,

the University of Oklahoma Health Sciences Center, and the OU Medical Center. As these funds

dwindled, the OHCWC developed a clinical placement portal that was licensed to a company to

provide an online clinical placement processing system for hospitals and colleges/universities to

schedule students in placement rotations for their educational programs. This small operation now

provides some of the meager funding that the OHCWC uses for its activities.

For 2020, the OHCWC has limited funding and no dedicated staff, so many of the activities

are organized through dedicated volunteers. They care deeply about ensuring Oklahoma has

an adequate, highly qualified health care workforce. To date, the OHCWC hosts the following

activities:

• The Simulation Conference. An annual event that provides professional development, training,

educational resources, and best practices to expand the use and capacity of simulated clinical

experiences for health care students. Unfortunately, due to COVID-19, the 2020 Simulation

Conference was canceled. However, plans are in development for a 2021 conference.

• Scholarships to Health Occupations Student Association participants from technology centers

across the state to attend conferences and professional development.

• Scholarships to associate degree nursing students near completion at Oklahoma colleges

participating in the Reach Higher Direct Complete program sponsored by the Oklahoma State

Regents for Higher Education.

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MEDICAL ADVISORY COMMITTEE OF THE

OKLAHOMA HEALTH CARE AUTHORITY

Submitted by: Joseph T. Catalano, PhD, RN, Representative from ONA

The primary goal of the Medical Advisory Committee (MAC) is to offer recommendations to the

full Board of the Oklahoma Health Care Authority on healthcare-related issues, which in turn makes

recommendations to the Oklahoma Legislature. The MAC has meetings every other month, usually

on Thursday afternoon, and is composed of 26 representatives from almost all the areas of health

care, including but not limited to nursing, physical therapy, advanced practice providers, respiratory

therapy, radiology, mental health, and medicine. The meetings start by allowing the public to speak

to any issue they feel is important for the committee to hear. Each person is allowed two minutes

to talk to the healthcare topic they are interested in bringing before the committee. Depending on

the issues the committee is considering, some of the public presentations can be very lively. The

MAC members then have time to comment on the input from the public.

The second part of the meeting reviews the proposed changes in the laws and regulations that

the Health Care Authority handles. These can range in number from a few to several dozen. The

MAC votes to either approve the changes or not, generally these changes are in the wording and

language for the myriad of legislative regulations that govern the Health Care Authority and are

presented by the MAC staff. These are sent on to the governing Board of the Health Care Authority

for final approval.

This year has been very busy attempting to keep pace with the numerous changes made to

healthcare laws due to the elimination of key parts of the ACA by the Federal Government.

Because of the loss of Federal funds for key elements of state health care activities, monies were

reallocated from the state budget. However, some activities had to be eliminated. Mental health

care, once again, received major reductions in allocations. Recognition that Oklahoma still ranks

at the bottom of states in crucial healthcare indicators seems to have little effect on how the

legislature treats health care.

The Covid-19 virus pandemic brought an end to the face-to-face meeting in March 2020. The

meetings since that time have been virtual. The transmission platform is not the best, and in one

meeting, I was not able to connect at all. For now, all meetings will be virtual until the pandemic is

over.

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FAITH COMMUNITY NURSES ASSOCIATION OF

OKLAHOMA (FCNA OK)

Submitted by: Brenda Rice, Treasurer

Faith community nurses are licensed and registered nurses who

practice holistic health for self, individuals, and the community using

nursing knowledge combined with spiritual care. They function in

paid and unpaid positions as members of the pastoral team in various

religious faiths, cultures, and countries. The focus of their work is on the intentional care of the

spirit, assisting the members of the faith community to maintain and regain wholeness in body,

mind, and spirit.

Their practice is governed by:

The nurse practice act of their state

Nursing: Scope and Standards of Practice

Faith Community Nursing: Scope and Standards

Code of Ethics with Interpretive Statements (for nurses) https://westberginstitute.org/philosophyof-parish-nursing/

Mission Statement FCNA OK

Preserve, support, and advance the professional practice of faith community nursing in Oklahoma.

The Purpose of FCNA OK is to preserve, support, and advance the professional practice of faith

community nursing in Oklahoma. Interested registered nurses and health ministers come together

to pray, witness, support, learn, and share in the context of faith and health. Faith community

nursing is a specialty practice recognized by the American Nurses Association. A faith community

nurse is a registered nurse who provides wholistic nursing care to faith community members of all

ages, reclaiming the healing ministry of the congregation.

This organization exists to share practice ideas in faith communities and to nurture personal

spiritual development. FCNA OK further supports the training, continuing education, certification,

and mentoring of Faith Community Nurses.

FCNA OK meets quarterly on the second Tuesday of January, April, July, and October from 10:00

a.m. to 3:00 p.m, in Oklahoma City or as happened in April and July 2020, by Zoom. Two hours

of CE are offered at each membership meeting on pertinent Faith Community Nursing topics.

The Annual Conference is on the first Friday of March, Oklahoma City, with approximately 8 CNEs

provided to nurses. Providing CNEs to nurses is very important to our membership. Many members

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2020 Oklahoma Nurses Association

are retired with no other direct source of obtaining pertinent continuing education for their faith

community nursing practice.

FCNA OK has members from over 18 different Christian denominations. Faith Community Nursing

represents all faith traditions. The membership has 75 members in 2020. For more information, see,

www.fcnaok.org or www.westberginstitute.org.

2020 Accomplishments

FCNAOK Annual Conference – "Healing Through The Arts: A Collage" March 6, 2020

Continuing Education program at FCNAOK quarterly general meetings

January 2020 - "Leading Longer, Healthier, and More Meaningful lives through Faith and Innovative

Brain Research"

April 2020 - " Each One Teach One: Stroke Care "

July 2020 – "Addressing a Congregation's Spiritual and Mental Health Needs using the FCN Scope

and Standards of Practice"

Scholarships provided by FCNAOK for the Faith Community Nursing.

Foundations Course participants at Oklahoma City University.

Scholarship fund for educational events for faith community nurses.

Small grants provided to congregations of members for COVID-19 related supplies.

Revised policies and procedures for the Association, updated web sites, use of Zoom meetings,

CNE policy.

2020 Officers

Laura Miller, President

Roberta Billy, Vice President

Lana Bollhouse, Treasurer

Brenda Rice, Secretary

Denise McGough, Spiritual Director

Membership fees are $65 /year.

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THE ASSOCIATION OF WOMEN’S HEALTH,

OBSTETRICS AND NEONATAL NURSES

Mission: The mission of AWHONN is to improve and promote

the health of women and newborns and to strengthen the nursing

profession through delivery of superior advocacy, research, education

and other professional and clinical resources to nurses and other health

care professionals.

AWHONN’s Purpose & Values

Core Purpose: AWHONN is an organization of nurses committed to the health of women and

newborns.

Core Values (as expressed in the acronym "CARING")

• Commitment to professional and social responsibility

• Accountability for personal and professional contributions

• Respect for diversity of and among colleagues and clients

• Integrity in exemplifying the highest standards in personal and professional behavior

• Nursing Excellence for quality outcomes in practice, education, research, advocacy and

management

• Generation of Knowledge to enhance the science and practice of nursing to improve the health

of women and newborns

Become an AWHONN member!

• AWHONN membership is representative of over 25,000 nurses in the US and Canada.

Oklahoma AWHONN includes over 400 members.

• AWHONN’s many nursing resources include patient education, continuing nursing education,

staff development, perinatal quality measures, annual nursing convention, and evidence-based

practice guidelines such as Women’s Health and Perinatal Nursing Care, Perinatal Staffing, Fetal

Monitoring, and Neonatal Skin Care.

• AWHONN produces Healthy Mom & Baby journal for patients and two nursing journals, Nursing

for Women’s Health and Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN). Both

nursing journals are included with AWHONN membership.

• AWHONN membership entitles you to many resources from the National organization, reduced

registration to the AWHONN Convention each June and Oklahoma Section Conference each

April, free continuing education webinars and meetings at Oklahoma AWHONN Chapter

events, and the opportunity to be a voice in the care of women’s health, obstetric and neonatal

patients in Oklahoma.

AWHONN Oklahoma holds an annual nursing conference. Over 150

Oklahoma nurses meet each April at the conference to learn, network and

reenergize every year.

For updates and more information, see our Oklahoma AWHONN website at

www.awhonnok.org.

2021 Oklahoma/Texas

Regional Conference

April 8-10th at WinStar

World Casino & Resort

Thackerville, OK

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